Reimbursement Analyst

Job Summary

A company is looking for a Reimbursement Analyst - REMOTE.

Key Responsibilities

• Administer complex provider reimbursement methodologies and support implementation of new pricers
• Research and analyze state-specific Medicaid and Medicare reimbursement methodologies
• Develop and execute testing scenarios for new configurations and maintain compliance with reimbursement rules

Required Qualifications

• Associates Degree or equivalent combination of education and experience
• 1 - 2 years' experience in Managed Care
• Background in provider contracts, pricing configuration, and reimbursement processes
• Experience processing or reviewing facility claims
• Proficient in Microsoft Excel for data analysis