Senior Financial Analyst- Pediatrics (Remote in Iowa)

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Posted Jul 23, 2026

Remote · Iowa Full Time
Est. $70K – $95K/yr

Overview

A Senior Financial Analyst position is available within the Department of Pediatrics. This role involves assisting with operating budget development, submission, and implementation. The analyst will oversee monthly accounting, workflow, reporting, variance analysis, and reconciliation processes. Additionally, the position requires performing financial analysis and developing proforma for business and strategic initiatives.

This position is eligible for remote work within Iowa. A work arrangement form must be completed at the start of employment, with annual reviews to ensure compliance with remote work and employee travel policies.

Responsibilities

Revenue Cycle Management

  • Participate in monthly cross-department meetings; act as liaison for denials, appeals, payer relations, and coding inquiries.
  • Address unresolved patient billing questions and manage patient follow-up communications.
  • Manage CARTS ad hoc requests and oversee Pre-Service CARTS workflows.
  • Provide coding support to providers, including guidance on new services, workflow questions, and chargemaster inquiries.
  • Serve as the HCIS build contact for new services to ensure accurate charge capture and system configuration.

Metabolic Formula Coordination

  • Maintain and update the Formula Orders Spreadsheet, ensuring pricing and documentation accuracy.
  • Serve as the primary contact for PCD/PFS questions related to metabolic formula processes and Charity Care considerations.

HCIS, Chargemaster & Provider Specialty Codes

  • Manage new bill area setup, provider/APP bill area requests, and Allowed Services reviews.
  • Coordinate bill area mapping for revenue across divisions.
  • Act as liaison for Provider Credentialing with CSO, PCD, and HR, validating new provider taxonomy and Medicare assignments.

Financial Oversight, Reporting & Analysis

  • Create, validate, and disseminate incentive plan reports.
  • Track RVUs across providers.
  • Manage penalty tracking including Charge Lag, Documentation Deficiency, Bumped Clinic, Compliance, and DRG (CDI) Queries.
  • Respond to ad hoc report requests from providers and executive leadership.
  • Assist the Finance Manager with annual budget preparation and salary posting.
  • Complete mandatory reconciliations and reporting following established processes.
  • Assess variance reports on revenue, expense, and other statistical measures; prepare specialized reports as requested.

Financial Analysis and Planning

  • Perform complex financial and statistical analysis using expert knowledge of financial systems.
  • Utilize decision support/data warehouse systems to develop proforma and business analysis for programmatic and strategic initiatives.

Compliance and Operational Oversight

  • Advise and guide divisions on compliance requirements related to billing, coding, and revenue cycle processes, ensuring adherence to organizational policies, regulatory standards, and applicable laws.

Leadership and Training

  • Deliver best-practice training to staff and support ongoing education related to revenue cycle processes.
  • Recommend and assist in developing training solutions to improve accuracy, efficiency, and effectiveness of financial transactions, billing practices, and coding processes.
  • Advise departmental leadership on financial controls and compliance requirements related to billing, coding, and revenue cycle operations.
  • May provide functional and/or administrative supervision including direction, assignments, feedback, coaching, and counseling.

Strategic Planning

  • Assist in coordination and preparation of analysis for strategic plans in support of department leadership.

Requirements

  • Bachelor’s degree in business administration, accounting, finance, management information systems, or an equivalent combination of education and experience.
  • Minimum of three years’ experience in finance and/or an accounting-related field.
  • Knowledge of medical coding and revenue cycle processes (CPT/ICD codes, chargemaster, payer billing workflows).
  • Excellent verbal and written communication and interpersonal skills.

Preferred Qualifications

  • Experience with healthcare billing systems such as HCIS, Epic, or similar.
  • Demonstrated experience with database queries or computer programming.

Compensation & Benefits

  • Pay Level: 4B
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
  • Work Modality: Remote within Iowa

Location

Remote work is permitted within the state of Iowa. A work arrangement form is required upon employment.

Additional Information

  • Applicants must upload a resume and cover letter to be considered.
  • Job postings remain open for a minimum of 7 calendar days and may be filled at any time thereafter.
  • Successful candidates will be required to self-disclose any conviction history and undergo a criminal background check and credential/education verification.
  • Up to five professional references may be requested during the recruitment process.
  • This position is not eligible for employment authorization sponsorship.