Reimbursement Analyst III

Job Title: Reimbursement Analyst III

Length: 1.5 years

Location: 100% Remote

Schedule: 5×8 Days (08:00-17:00) PST | Non-patient-facing

Requirements:

2+ years of experience in healthcare reimbursement with direct cost reporting and general ledger integration

Experience preparing Medicare Cost Reports (CMS-2552-10) with ownership of worksheets, allocations, and audit support

Experience with HCAI (OSHPD) reporting in large or multi-facility health systems

Strong experience working with general ledger data, cost allocations, and reconciliation to financial statements

Proven experience in cost report preparation, not revenue cycle, billing, or AR functions

Strong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologies

Experience reviewing audit adjustments and managing appeals with regulatory agencies

Ability to analyze regulatory guidance and build reimbursement impact models

Experience supporting audits, regulatory filings, and compliance documentation

Preferred Requirements:

Experience supporting managed care modeling tied to reimbursement and cost structures

Experience collaborating with finance, accounting, and GL teams

Ability to produce multi-year reimbursement projections and variance analyses

Experience contributing to budgeting and forecasting with reimbursement inputs

Familiarity with regulatory disclosures and supplemental filings

Experience working in large, complex healthcare systems

Summary / Duties:

The Reimbursement Analyst III supports complex reimbursement and cost reporting functions for a large healthcare system in a fully remote capacity. This role is focused on true reimbursement work including Medicare and Medi-Cal cost report preparation, HCAI filings, and reconciliation to general ledger and financial statements. Responsibilities include ownership of cost report worksheets, cost allocations, audit support, and management of audit adjustments and appeals. The analyst serves as a subject matter expert in reimbursement methodologies and provides financial impact modeling based on regulatory changes. This role partners closely with accounting and finance teams to ensure accurate cost reporting, compliance, and timely regulatory submissions, distinctly separate from revenue cycle, billing, or AR functions.