Sr. Reimbursement Analyst

Number of Positions In Requisition 1 Job Details Senior Reimbursement Analyst Job Description Remote position The Senior Reimbursement Analyst independently performs complex government reimbursement reporting and analysis for assigned hospitals and entities.

The position prepares and reviews Medicare and Medicaid cost-report schedules and regulatory submissions, develops reimbursement estimates and financial-impact analyses, supports audits, appeals, and settlement activities, and interprets regulatory requirements to develop well-supported recommendations for department leadership. The Senior Reimbursement Analyst leads assigned projects and process improvements, maintains strong documentation and internal controls, collaborates with internal and external stakeholders, and provides technical guidance to support accurate, timely, and compliant reimbursement results.

Prepare and review complex Medicare and Medicaid cost-report schedules, reimbursement work papers, and government submissions for assigned hospitals and entities, ensuring accuracy, complete supporting documentation, and compliance with established deadlines and requirements.

Independently collect, validate, reconcile, and analyze financial, statistical, and operational data from multiple systems and departmental sources; identify inconsistencies and resolve or elevate issues as appropriate.

Develop reimbursement estimates, forecasts, reconciliations, variance analyses, and financial-impact models; interpret results and present findings and recommendations to department leadership.

Support cost-report audits, reopenings, appeals, and settlement activities by preparing and reviewing responses, work papers, data requests, and supporting analyses and by coordinating assigned issues through resolution.

Research and interpret Medicare and Medicaid regulations, payment rules, and regulatory guidance; assess financial and operational implications and develop well-supported summaries and recommendations.

Perform detailed analyses related to disproportionate share hospital payments, indirect and direct graduate medical education, wage index, geographic reclassification, supplemental payments, and other government reimbursement methodologies.

Manage assigned components of federal and state reimbursement programs, including data collection, validation, submission preparation, reconciliation, compliance monitoring, financial tracking, and communication of results.

Prepare and review reimbursement assumptions and analyses for the annual operating budget, financial forecasts, long-range planning, period-end close, and other financial reporting activities; investigate variances and recommend adjustments.

Maintain and enhance reimbursement work papers, process documentation, reporting standards, and internal controls; identify opportunities to improve accuracy, efficiency, and consistency.

Lead assigned reimbursement projects and process-improvement initiatives by defining work plans, coordinating information across departments, monitoring milestones, resolving issues, and communicating progress and results.

Collaborate with finance, accounting, revenue cycle, legal, compliance, operations, clinical departments, auditors, consultants, and governmental representatives; provide technical guidance and review support to team members and stakeholders on assigned areas of expertise.

Education - Required Bachelor’s degree in accounting, finance, health administration, or a related field.

Experience – Required 4 years of hospital reimbursement, healthcare finance, accounting, financial analysis, or related experience. Experience preparing financial analyses, reconciliations, work papers, or regulatory reports. Experience…