Analytical Financial Analyst - Healthcare Reimbursement

Join a dynamic healthcare finance team as an Analytical Financial Analyst specializing in reimbursement services. This full-time, day-shift role supports the development, administration, and monitoring of reimbursement strategies and ensures compliance with evolving regulatory requirements.

Key Responsibilities

• Assist with reimbursement functions across multiple healthcare entities, including Medicare, Medicaid, and Tricare programs.
• Support preparation of annual Medicare and Medicaid cost reports by coordinating program logs, financial and statistical data, and physician time studies.
• Help manage periodic rate changes initiated by fiscal intermediaries and regulatory agencies.
• Review and interpret changes in government reimbursement regulations to maintain compliance.
• Develop and improve record-keeping procedures in response to new reimbursement regulations or payment methods.
• Participate in audits, reviews, and certifications conducted by fiscal intermediaries and assist with communication between auditors and management.
• Analyze and coordinate changes based on healthcare government regulations, transmittals, and bulletins.
• Assist with reserve analysis to measure adequacy of Medicare / Medicaid reserves.
• Contribute to special projects such as feasibility studies, financial analyses, contract negotiations, and operational reviews.
• Perform other related duties as assigned.

Education

Associate's degree in Accounting, Finance, or a related field is required.

Experience

Minimum of three years in a hospital reimbursement environment or with a Medicare Administrative Contractor (MAC). Experience with multi-facility billing and financial reporting is preferred.

Skills and Requirements

Audit and Technical Competencies

This position is based in a regional healthcare setting serving the Southeastern United States.