Senior Reimbursement Analyst

Overview

Company : Allegheny Health Network

Job Description :

This job performs wide range of third-party reimbursement services and acts as a financial and operational liaison for operations, regulatory agencies , or other outside entities. This incumbent serves as a technical expert on reimbursement issues for team members and management. The incumbent analyzes financial results, trends, performance metrics and provides root cause analysis to support business decisions. Recommends, based on trends and historical analysis, revenue adjustments or cost improvement measures. May be responsible for management and reporting functions for programs funded by federal, state, local or commercial partners through supplemental programs or value based incentive payments.

QUALIFICATIONS : Minimum

Bachelor\'s Degree in Business, Finance, Accounting or related field, or relevant experience and / or education as determined by the company in lieu of bachelor\'s degree.

Proficiency with spreadsheet applications and database management

Demonstrated ability to understand and apply complex federal regulations and policy

Preferred

Master’s Degree in Business, Finance, Accounting or related field

5 -7 years of Third-party reimbursement in a healthcare environment

Disclaimer : The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

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Pay Range Minimum : $30.10

Pay Range Maximum : $46.65

Base pay is determined by a variety of factors including a candidate\'s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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Req ID : J271456

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