Manager, ICF Regulatory Compliance & Reimbursement

Manager, ICF Regulatory Compliance & Reimbursement

Location: Harrisburg, PA / Hybrid / Remote – Flexible

Reports to: Chief Executive Officer

Compensation: $55,000 - $95,000 plus annual discretionary bonus

About the Firm

AZTAC LLC is a specialized administrative services firm serving intermediate care facility (ICF) providers across Pennsylvania. Our clients are mission-driven organizations supporting individuals with intellectual disabilities, and we act as their trusted partner for cost reporting, Medicaid reimbursement, regulatory compliance, and strategic financial guidance. Our work is high-impact and relationship-driven: clients rely on us daily to navigate a complex regulatory environment and secure the funding that sustains their programs.

Position Summary

The Manager, ICF Regulatory Compliance & Reimbursement will own the end-to-end reimbursement and compliance workstream for a portfolio of Pennsylvania ICF clients. This is a multi-hat role that blends financial analysis, regulatory reporting, revenue cycle management, and hands-on client relationship management. The ideal candidate is comfortable interpreting financial and operational data, translating it into state-mandated formats, advocating for clients' funding needs, and serving as a responsive, trusted point of contact – often all in the same day.

While fluency with financial statements and client accounting data is essential, this is not a traditional accounting role. Rather, this role is closer to that of a financial analyst and client advisor: gathering information, synthesizing it, applying regulatory requirements, and communicating outcomes clearly to clients and state agencies.

Key Responsibilities

Cost Reporting & Regulatory Compliance

• Prepare and submit annual cost reports for ICF clients using client-provided accounting data, ensuring accuracy and conformity with Pennsylvania Department of Human Services forms and requirements
• Interpret and apply Pennsylvania Medicaid regulations governing ICF reimbursement, and stay current on regulatory changes affecting clients
• Support clients through state reviews, disputes, and appeals, including coordinating with legal counsel where needed

Revenue Cycle & Reimbursement Management

• Prepare and submit documentation and waiver funding requests to support increases to clients' per diem billing rates
• Maintain records of per diem rate changes and cost settlement calculations

Client Relationship Management

• Serve as a primary point of contact for a portfolio of clients, fielding calls and requests throughout the day with responsiveness and professionalism
• Gather financial and operational data from clients, often requiring persistence, tact, and clear communication
• Build durable, trust-based relationships; provide guidance and "hand-holding" as clients navigate deadlines and regulatory requirements
• Communicate complex regulatory and financial matters in plain language to client leadership

Team Management

• Manage a team of 5 analysts and associates responsible for day-to-day submission preparation
• Encourage culture of collaboration, continuous improvement, and professional ethics
• Implement new systems and processes to improve efficiency and team coordination

Qualifications

Required

• Bachelor's degree in accounting, finance, healthcare administration, or a related field, or equivalent experience
• 3+ years of experience in accounting, financial services, healthcare reimbursement, revenue cycle, cost reporting, financial analysis, or a related function
• Strong comfort with financial data — reading, interpreting, and reorganizing accounting and operations data
• Excellent written and verbal communication skills; confident on the phone with clients
• High attention to detail with the ability to manage recurring deadlines across multiple clients
• Proficiency in Excel and fluency in accounting / finance
• Willingness to manage a very busy workload in September / October to meet state submission deadlines

Preferred

• Experience with Medicaid reimbursement, particularly Pennsylvania Medicaid, ICF/ID programs, Consolidated Waiver programs, or long-term care / HCBS settings
• Familiarity with state cost reporting requirements and forms
• Experience interacting with state agencies, auditors, or legal counsel
• Client service or account management experience in a professional services environment

Why This Role

In this role, your community impact will be significant, and strong performers have room to grow with our firm. You'll have real ownership over a team with direct exposure to the CEO, in a lean, growing firm where your work directly affects the funding and stability of organizations caring for vulnerable populations. Our organization will train the right candidate and we are willing to invest in long-term career development.

AZTAC offers benefits including:

• Hybrid work environment, potential for fully remote for the right candidate
• Flexible work schedule — we care about results, not rigid hours
• 160 hours (4 weeks) of PTO, plus 11 paid holidays
• 401(k) with employer match — 100% match on the first 3% you defer, then 50% on deferrals from 3% to 5%
• Health, dental, and vision insurance

English - native / fluent required for communications with clients

Spanish - helpful, but not required for communications with global team members