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Reimbursement Analyst Iii

United States, Sacramento 50.00 - 57.00 USD / Hour · Job Posted May 04, 2026
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Job Description

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

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