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The Reimbursement Analyst III supports complex reimbursement and cost reporting functions for a large healthcare system in a fully remote capacity. This role is focused on true reimbursement work including Medicare and Medi-Cal cost report preparation, HCAI filings, and reconciliation to general ledger and financial statements. Responsibilities include ownership of cost report worksheets, cost allocations, audit support, and management of audit adjustments and appeals. The analyst serves as a subject matter expert in reimbursement methodologies and provides financial impact modeling based on regulatory changes. This role partners closely with accounting and finance teams to ensure accurate cost reporting, compliance, and timely regulatory submissions, distinctly separate from revenue cycle, billing, or AR functions.
Job Responsibility:
Supports complex reimbursement and cost reporting functions for a large healthcare system in a fully remote capacity
Focused on true reimbursement work including Medicare and Medi-Cal cost report preparation, HCAI filings, and reconciliation to general ledger and financial statements
Ownership of cost report worksheets, cost allocations, audit support, and management of audit adjustments and appeals
Serves as a subject matter expert in reimbursement methodologies and provides financial impact modeling based on regulatory changes
Partners closely with accounting and finance teams to ensure accurate cost reporting, compliance, and timely regulatory submissions
Requirements:
2+ years of experience in healthcare reimbursement with direct cost reporting and general ledger integration
Experience preparing Medicare cost reports (CMS-2552-10) with ownership of worksheets, allocations, and audit support
Experience with HCAI (OSHPD) reporting in large or multi-facility health systems
Strong experience working with general ledger data, cost allocations, and reconciliation to financial statements
Proven experience in cost report preparation, not revenue cycle, billing, or AR functions
Strong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologies
Experience reviewing audit adjustments and managing appeals with regulatory agencies
Ability to analyze regulatory guidance and build reimbursement impact models
Experience supporting audits, regulatory filings, and compliance documentation
Nice to have:
Experience supporting managed care modeling tied to reimbursement and cost structures
Experience collaborating with finance, accounting, and GL teams
Ability to produce multi-year reimbursement projections and variance analyses
Experience contributing to budgeting and forecasting with reimbursement inputs
Familiarity with regulatory disclosures and supplemental filings
Experience working in large, complex healthcare systems
What we offer:
Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
401k plan with company match fully vested after eligibility
Paid time off
Sick time
Paid company holidays
Employee Assistance Program (EAP) with virtual counseling, financial services, legal services, life coaching