Senior Reimbursement Analyst

Facility:
Work from Home ‑ Hybrid ‑ Ohio

Department:
Reimbursement

Schedule:

Full time

Hours:

40 per week

The Senior Reimbursement Analyst optimizes the organization’s financial performance through comprehensive reimbursement and revenue cycle data analysis. The analyst conducts in‑depth evaluations of reimbursement, denial, and payment variance data to identify trends by payer, service line, provider, and operational department, translating complex data into actionable insights that support leadership decision‑making and revenue integrity.

• Develop and deliver advanced reporting and dashboards assessing end‑to‑end revenue cycle performance, including the financial impact of front‑end processes (eligibility, authorization), mid‑cycle functions (coding, documentation), and back‑end outcomes (denials, underpayments, net reimbursement).
• Prepare required cost reports and ensure compliance with third‑party payer and regulatory reporting requirements.
• Perform contract performance and reimbursement variance analysis to evaluate expected versus actual reimbursement, identify underpayments, and support payer negotiations.
• Lead root‑cause analysis of denials and revenue leakage, quantifying financial risk and recommending data‑driven process improvements to enhance net revenue realization.
• Partner with revenue cycle, finance, clinical, and operational leaders to provide guidance on reimbursement strategies, implement predictive and performance‑based analytics, and establish benchmarks and key performance indicators (KPIs).
• Advance automation, standardization, and best practices in revenue cycle analytics to proactively mitigate risk, improve efficiency, and sustain financial performance.

• Education
  :
  Bachelor’s degree required;
  Master’s degree (MBA/MHA) preferred.
• Experience
  : 3 years of hospital and physician billing and reimbursement data analytics required; 5 years preferred.
• Healthcare administration, finance, or related experience required; 5+ years in healthcare revenue cycle preferred.
• Skills & Competencies
  :
  Proficiency in Microsoft Excel and other database management software; knowledge of EPIC; proven analytic and problem‑solving skills; understanding of cost reporting.

Dayton Children’s is proud to be an Equal Opportunity Employer that values diversity and will not discriminate against minorities, women, protected veterans, individuals with disabilities, or based on age, color, gender identity, national origin, race, religion, sex, sexual orientation, or transgender status.