Reimbursement Analyst

Job Summary

A company is looking for a Reimbursement Analyst for a 24-month contract position.

Key Responsibilities

• Prepare, analyze, and validate cost reports and regulatory disclosures in compliance with CMS and state agency requirements
• Manage the appeals process for Medicare and Medicaid audit adjustments, including documentation preparation and coordination with relevant agencies
• Provide financial impact analyses on regulatory changes and support Managed Care negotiations with reimbursement modeling and insights

Required Qualifications

• Direct experience preparing and filing HCAI (OSHPD) reports for large healthcare organizations
• Experience preparing Medicare Cost Reports, including audit follow-up and appeals
• Strong knowledge of CMS reimbursement principles and Medi-Cal reimbursement methodologies
• Advanced analytical skills for interpreting complex regulatory guidance