Consultant

Reimbursement Analyst III

Shift: Day 5x8-Hour (08:00 - 17:00)

Location: 100% Remote

Schedule: 5x8 Days (08:00–17:00) PST | Non-patient-facing

Requirements:

• 2+ years of experience in healthcare reimbursement or financial analysis
• Experience with HCAI (OSHPD) reporting for large or multi-facility health systems
• Experience preparing Medicare Cost Reports (CMS-2552-10) including worksheets and audit support
• Strong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologies
• Experience reviewing audit adjustments and managing appeals with regulatory agencies
• Ability to analyze complex regulatory guidance and produce financial impact models
• Experience supporting audits, regulatory filings, and compliance documentation
• Proficiency in financial analysis, reporting, and reimbursement modeling

Preferred Requirements:

• Experience supporting managed care negotiations with reimbursement modeling
• Ability to collaborate with finance teams and external auditors
• Ability to produce multi-year financial projections and trend analyses
• Experience contributing to budgeting and forecasting cycles
• Familiarity with regulatory disclosures and supplemental filings
• Experience working in large, complex healthcare systems

Summary / Duties:

The Reimbursement Analyst III supports complex reimbursement functions for a large healthcare system in a fully remote capacity. This role focuses on preparing, analyzing, and validating Medicare and Medi-Cal cost reports, HCAI filings, and regulatory disclosures while ensuring compliance with federal and state requirements. Responsibilities include reviewing audit adjustments, managing appeals processes, and serving as a subject matter expert on reimbursement methodologies and reporting standards. The analyst provides financial impact analyses on regulatory changes, supports managed care negotiations with modeling and trend data, and contributes to budgeting and forecasting cycles. This position collaborates closely with finance teams, auditors, and external stakeholders to ensure accuracy, compliance, and timely submission of all reimbursement-related deliverables.