Senior Reimbursement Analyst - Revenue Management

Overview

This position provides critical analytical and reimbursement support for reimbursement functions, including Medicare, Medicaid, and other third-party cost report activities. The role supports reimbursement-related audits, appeals, disproportionate share hospital (DSH) activities, and Drug Discount Program (340B) CPT/HCPCS code change needs for assigned entities (4–6). The analyst completes monthly and year-end entries for third-party reserves and summarizes reimbursement data for market and local finance leadership.

Responsibilities

• Prepare workpapers; review and submit annual Medicare and Medicaid cost reports and other regulatory filings required on behalf of the organization.
• Coordinate Medicare and Medicaid cost report reviews and audits, including reviews/audits of overall cost report, wage index, bad debt, S-10, Medicaid log, and Medicaid eligible days.
• Prepare monthly settlement reserve entries.
• Research reimbursement and regulatory issues and provide analyses to the System Director or other stakeholders.
• Review net revenue analytics and identify areas requiring additional analysis.
• Assist in the annual budgeting process for net revenue.
• Produce reports, perform analyses, integrate data, and complete assigned projects accurately and efficiently.
• Prepare reimbursement-related reports and analyses as needed to support reimbursement leadership.

Requirements

• Bachelor’s degree in Accounting or Finance required.
• Minimum 3 years of experience in consulting or multi-hospital acute-care health system work related to Medicare and Medicaid reimbursement and cost report preparation.
• Ability to research reimbursement issues and provide practical and concise interpretations.
• Strong organizational skills and the ability to use critical thinking to query appropriate data for projects.
• Excellent analytical and computer skills.
• Ability to effectively communicate and interact with regional and corporate office associates.
• Excellent oral and written communication skills and strong interpersonal skills.
• Ability to work independently and proactively with limited supervision.

Preferred Qualifications

• Graduate (Master’s) degree in Accounting or Finance.
• Experience with Ohio, Kentucky, Virginia, and/or South Carolina Medicaid reimbursement.
• Experience with Medicare medical education reimbursement, Medicare wage index, and/or Medicare critical access hospital reimbursement.

Compensation & Benefits

• Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible).
• Medical, dental, vision, and prescription coverage, including HSA/FSA options; life insurance; mental health resources; and discounts.
• Paid time off; parental and FMLA leave; short- and long-term disability; backup care for children and elders.
• Tuition assistance, professional development, and continuing education support.
• Benefits may vary based on the market and employment status.

Equal Employment Opportunity

All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability.