Reimbursement Analyst

Job Title : Finance – Reimbursement Analyst

Location : Troy, MI 48083

Work Model : Hybrid — in-office on Wednesdays. Fully remote available for exceptional candidates.

Job Category : Direct Hire

Job Summary

Under minimal supervision, the Reimbursement Analyst independently leads complex financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This role proactively identifies areas for improvement in methodologies, processes, and rates, and implements solutions to optimize reimbursement across the health system.

Key Responsibilities

• Lead financial and data analysis to assess contracted rates and reimbursement methodologies.
• Analyze rate proposals and contract terms; evaluate financial impacts and ensure reimbursement terms are accurate and complete.
• Develop financial reporting and analytics using tools including EPSi, SQL, Epic Clarity, and Power BI .
• Monitor payer reporting trends and provide actionable recommendations to Contracting leadership.
• Create and maintain metrics to compare organization reimbursement against industry benchmarks.
• Manage the rate review process for both existing and proposed contracts.
• Coordinate with the contract modeling team to maintain contract management / pricing systems.
• Ensure data integrity through continuous monitoring of financial systems.
• Stay current with reimbursement methodologies, payer policies, and regulatory changes.
• Participate in special projects and attend committee meetings as assigned.
• Support financial projects across the health system.

Required Skills & Abilities

Education