Senior Reimbursement Analyst

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Note:

This position can be remote in the following states: AL, AZ, AR, FL, GA, , IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY.

The Senior Reimbursement Analyst serves as a key reimbursement and financial analysis resource for the Cancer Center, supporting Medicare and Medicaid reimbursement activities and ensuring accurate and optimal third-party reimbursement. This position is responsible for preparing and analyzing the interim and annual Medicare cost report, monthly contractual allowance and settlement models, reimbursement forecasts, and other reimbursement-related financial analyses. The Senior Reimbursement Analyst also serves as a subject matter resource on Medicare and Medicaid regulations, cost reporting, settlement matters, and regulatory reimbursement impacts to support accurate financial reporting and reimbursement optimization.

Moffitt is a cost-based, PPS-exempt Cancer Center with significant cost report settlement activity. In addition to executing technical reimbursement work, the Senior Analyst performs financial modeling and regulatory impact analysis and collaborates cross-functionally with Government Relations, Managed Care, Patient Financial Services, and external auditors and consultants.

• Bachelors Degree in Finance, Accounting or related Field. Minimum of five (5) years of experience in a healthcare financial-related field, with hospital reimbursement experience strongly preferred.
• Preferred:
  Three (3) or more years of hospital reimbursement experience.
• Experience with cost-based / PPS-exempt providers and cost report settlements.
• Experience with Medicaid supplemental payment programs (e.g., DSH/LIP, UPL, state directed payments, IGTs).

• Preparation of the Medicare Cost Report Prepares, analyzes, and maintains the interim and final Medicare cost report, supporting documentation, and reimbursement-related analyses to ensure compliance, accuracy, and optimization of reimbursement outcomes.
• Maintain and review for reasonableness all cost allocation statistics (including square footage, time studies, and other statistical drivers); recommend changes as necessary.
• Maintain tracking of physician time study documentation to maximize reimbursement.
• Completes monthly Medicare and Medicaid contractual allowances and third-party settlements.
• Prepare and update settlement and contractual allowance models to accurately reflect payment changes, cost report impacts, and other relevant data elements.
• Reconcile balance sheet settlement and contractual allowance accounts and ensure they accurately reflect all transactions and current estimates.
• Serves as a resource on Medicare and Medicaid matters and regulations.
• Monitor proposed and final rules, laws, and regulations impacting reimbursement for the hospital and physician practice; prepare analysis of financial impacts.
• Coordinate and complete regulatory provider enrollment activities, including CMS-855A applications, and other required provider enrollment updates.
• Attends monthly meetings with the Alliance of Dedicated Cancer Centers.
• Monitor impacts of the various State Medicaid programs (including the Florida Cancer Hospital Program) to help…