Reimbursement Analyst Senior
Endeavor Health
Reimbursement Analyst Senior
Position Highlights:
- Location: Warrenville, IL or Arlington Heights, IL
- Full Time/Part Time: Full Time
- Hours: Monday-Friday, 8am 4:30pm
Job Summary:
The Senior Reimbursement Analyst is responsible for performing advanced reimbursement and financial analysis to ensure accurate reimbursement, regulatory compliance, and financial decision-making for the organization. This role serves as a subject matter expert in healthcare reimbursement, including Medicare, Medicaid, and commercial payer methodologies, and partners with operational and finance leaders to identify reimbursement opportunities, mitigate financial risk, and support revenue optimization. The position also contributes to key financial processes such as month-end close activities, reserve analysis, reconciliations, budgeting, reporting, and audit support.
What you will do:
- Conduct complex analysis of reimbursement data, including Medicare, Medicaid, and commercial payers, to identify trends, variances, opportunities, and reimbursement discrepancies; evaluate the financial impact of reimbursement rate changes, contract terms, and regulatory updates.
- Lead reimbursement optimization efforts through review of payment methodologies, reimbursement rates, payer terms, and denial trends; develop recommendations to improve reimbursement performance and reduce revenue leakage.
- Conduct key financial operations, including month-end close activities, journal entries, AR reserve model calculations and analysis, balance sheet reconciliations, and budget support.
- Prepare, analyze, and present reimbursement metrics, financial reports, forecasts, and key performance indicators for leadership to support operational decision-making and financial planning.
- Coordinate and support financial, reimbursement, and compliance audits by gathering documentation, responding to inquiries, preparing schedules, and explaining reimbursement methodologies and financial results.
- Monitor and interpret federal and state reimbursement regulations and payer guidance to ensure organizational compliance and alignment with current reimbursement requirements.
- Provide guidance, training, and subject matter expertise to analysts, finance partners, and operational leaders on reimbursement-related issues; participate in reimbursement-related special projects and other duties as assigned.
What you will need:
- Education: Required: Bachelor's degree in finance, Accounting, Healthcare Administration, Business Administration, or a closely related field from an accredited college or university. Preferred: Master's degree in finance, Accounting, Healthcare Administration, Business Administration, or a related discipline.
- Certification: Certified Net Revenue Analyst (CNRA)
- Experience: Required: Five or more years of progressively responsible experience in healthcare reimbursement, reimbursement analysis, financial analysis, revenue cycle, accounting, or a related field, including at least two years in a senior-level, lead, or advanced analytical capacity. Strong knowledge of reimbursement principles, financial analysis, data management, reporting, and financial systems/spreadsheet applications required. Preferred: Experience in a hospital or integrated healthcare delivery system environment, payer reimbursement analysis, audit support, budgeting, and AR Reserve methodology analysis.
- Unique or Preferred Skills:
- Knowledge of healthcare reimbursement methodologies and payment structures, including Medicare, Medicaid, and commercial payers
- Knowledge of hospital reimbursement regulations and compliance standards
- Knowledge of financial analysis, accounting principles, and reimbursement-related reporting practices
- Skill in analyzing complex reimbursement and financial data to identify trends, discrepancies, and opportunities
- Skill in preparing financial reports, reimbursement models, forecasts, and key performance indicators
- Skill in using spreadsheets, financial systems, and data management tools to support analysis and reporting
- Ability to support month-end close activities, journal entries, AR reserve analysis, balance sheet reconciliations, and budget-related work
- Ability to interpret and apply federal, state, and payer requirements to ensure compliance and sound decision-making
- Ability to communicate complex financial and reimbursement information clearly to leaders and business partners
- Ability to manage multiple priorities, maintain accuracy, and provide guidance on reimbursement-related matters
Benefits (For full time or part time positions):
- Opportunity for annual increases based on performance
- Career Pathways to Promote Professional Growth and Development
- Various Medical, Dental, Pet and Vision options
- Tuition Reimbursement
- Free Parking
- Wellness Program Savings Plan
- Health Savings Account Options
- Retirement Options with Company Match
- Paid Time Off and Holiday Pay
- Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) all recognized as Magnet hospitals for nursing excellence.
When you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
At Endeavor Health, we are united by a shared commitment to working together to create a culture of connection and belongingeach of us bringing different skills and experiences as we deliver safe, seamless, and personal care. Every person, every time. We are committed to fostering an environment where all team members can be their best, learn, and pursue excellence together.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disability/Vets, VEVRRA Federal Contractor.
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