Utah Licensed Reimbursement Analyst

Job Summary

A company is looking for a Reimbursement Policy Analyst (Healthcare).

Key Responsibilities

• Analyze, develop, and implement medical reimbursement policies and claims processing configurations
• Partner with cross-functional stakeholders to define business requirements and support system changes
• Research coding and reimbursement issues, providing recommendations aligned with regulatory standards

Required Qualifications

• 3+ years of experience in a healthcare, reimbursement, claims, policy, or related analytical environment
• Knowledge of medical reimbursement methodologies, Medicare products, and coding (CPT, HCPCS, ICD-10)
• Experience with healthcare systems, claims editing tools, and reporting platforms; SQL experience preferred
• Bachelor's degree in Business, Healthcare Administration, or a related field preferred
• RN licensure or coding certification (e.g., CPC, CCS) is a plus