The glue that connects us all in the healthcare industry is a culture of service and a desire to do good. At Cascadia, we want to be a Force for Good for our residents, our employees and the communities that we serve.

We are looking for a cost reporting and reimbursement professional who combines strong financial expertise with a collaborative, solutions-focused mindset. This person is curious, detail-oriented, and takes pride in helping healthcare organizations navigate complex reimbursement requirements while identifying opportunities for improvement.

Position Summary

The Cost Reporting Manager is a strategic leader to the organization’s financial health, responsible for leading complex analyses related to Medicare and Medicaid reimbursement, net revenue, and cost reporting. This role combines deep expertise in federal and state regulations, advanced financial and analytical skills, and the ability to translate regulatory requirements into actionable insights. The Cost Reporting Manager collaborates across departments to support audit readiness, budgeting, and financial decision-making.

Key Responsibilities

• Lead the preparation, review, and submission of Medicare and Medicaid cost reports, ensuring accuracy, compliance, and timely filing.
• Own audit strategy and execution, including managing external auditor relationships, coordinating responses, and leading appeals and reopening opportunities.
• Serve as the organization’s subject matter expert on federal and state reimbursement regulations, translating requirements into clear operational and financial guidance.
• Analyze reimbursement rates, cost trends, and regulatory changes to identify financial risks and opportunities.
• Lead preparation of supplemental reporting for federal and state agencies (e.g., Wage Index, Contract Labor, Bad Debt, and other required filings).
• Partner with accounting and operations to ensure appropriate cost allocation, expense classification, and reimbursement optimization.
• Support budgeting and forecasting related to net patient revenue and third-party reimbursement.
• Translate audit findings and reimbursement changes into financial impact analyses and executive-level insights.
• Establish and maintain standardized documentation, processes, and controls to ensure audit readiness and consistency across facilities.
• Mentor and support reimbursement staff, fostering technical development and promoting best practices.

Required Qualifications

• Bachelor’s degree in Accounting, Finance, or related field. CPA preferred.
• Minimum of 6-8+ years of experience in skilled nursing home reimbursement, with a strong focus on Medicare/Medicaid cost reporting and audits.
• Advanced proficiency in Microsoft Excel and other Microsoft Office applications.
• Experience with Workday, PointClickCare, and business intelligence tools.
• Strong understanding of revenue cycle processes in healthcare environments.
• Excellent analytical, financial modeling, and technical accounting skills.
• Ability to interpret and apply federal and state reimbursement regulations.
• Strong communication, presentation, and interpersonal skills.
• Ability to manage multiple projects under tight deadlines with high attention to detail.

Why Join Us

• Play a key role in supporting the financial health and sustainability of the communities we serve.
• Partner with leaders across finance, operations, and clinical teams to drive meaningful business decisions.
• Apply your expertise in a strategic role that directly influences organizational performance.
• Lead complex reimbursement, audit, and regulatory initiatives in a dynamic healthcare environment.
• Be part of a collaborative team that values accountability, innovation, and continuous improvement.
• Contribute to an organization dedicated to delivering exceptional care and positive outcomes for residents.

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