Directly accountable for assigned reimbursement workstreams across the full reimbursement value chain - including cost reporting, Medicare and Medicaid payment integrity, regulatory analysis, audit defense, settlement, and strategic advisory - and collaborates closely with Revenue Cycle, Finance, Legal, Compliance, and operational partners to protect reimbursement yield and ensure defensible reimbursement outcomes across the assigned state portfolio. Provide strategic oversight of Medicare and Medicaid cost reports, home-office cost statements, DSH, S-10, SSI, GME/IME, wage index, bad debts, rural reimbursement, supplemental payment programs, third-party reserves, interim rates, audits, NPRs, reopenings, and appeals, as applicable to the assigned portfolio and designated subject matter expertise.