CrawlJobs Logo

Reimbursement Analyst III

medasource.com Logo

Medasource

Location Icon

Location:
United States , Sacramento

Category Icon
Category:
Finance

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

40.00 USD / Hour
Save Job
Save Icon
Apply Position

Job Description:

The Reimbursement Analyst III is responsible for preparing, reviewing, and analyzing complex regulatory reports and cost filings required by Medicare, Medicaid/Medi‑Cal, and other federal and state agencies. This role supports the organization’s largest and most complex affiliates and requires demonstrated, hands‑on experience with HCAI (formerly OSHPD) reporting and Medicare cost report preparation.

Job Responsibility:

  • Preparing, analyzing, and validating cost reports, supplemental filings, and regulatory disclosures in accordance with CMS, Medicare, Medicaid/Medi‑Cal, and state agency requirements
  • Performing detailed review of Medicare and Medicaid/Medi‑Cal audit adjustments
  • managing the appeals process including preparation of supporting documentation and coordination with CMS/HCFA, HCAI, and the Department of Health Services
  • Serving as a subject matter expert on HCAI annual reporting, Medicare/Medicaid reimbursement methodologies, program regulations, and cost report implications
  • Providing financial impact analyses on regulatory changes, newly enacted or proposed legislation, and reimbursement updates
  • producing multi‑year projections for system and affiliate leaders
  • Supporting managed care negotiations by supplying reimbursement modeling, trending analyses, and regulatory insights that influence payer strategy
  • Collaborating with affiliate finance teams during contractual reviews and audits, and with external auditors or third‑party consultants on reimbursement‑related evaluations
  • Contributing to annual budget development and forecast cycles by supplying government‑payer revenue projections grounded in cost report and HCAI data
  • Ensuring accuracy, timeliness, and compliance across all submissions, internal workpapers, and supporting documentation

Requirements:

  • Direct, recent experience preparing and filing HCAI (OSHPD) reports for large or multi‑facility healthcare organizations
  • Demonstrated experience preparing Medicare cost reports (e.g., Form CMS‑2552‑10) including worksheets, supporting schedules, audit follow‑up, and appeals
  • Strong knowledge of CMS reimbursement principles, Medi‑Cal reimbursement methodologies, and regulatory reporting standards
  • Advanced analytical skills with the ability to interpret complex regulatory guidance and translate it into financial impact models
What we offer:
  • Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs
  • 401k plan that includes a company match and is fully vested after you become eligible
  • Paid time off, sick time, and paid company holidays
  • Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching

Additional Information:

Job Posted:
February 16, 2026

Work Type:
Remote work
Icon
Medasource - All Job Offers
Job Link Share:
Copy Link Icon
Facebook Icon Twitter Icon LinkedIn Icon

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Reimbursement Analyst III

Reimbursement Analyst Iii

The Reimbursement Analyst III supports complex reimbursement and cost reporting ...
Location
Location
United States , Sacramento
Salary
Salary:
50.00 - 57.00 USD / Hour
medasource.com Logo
Medasource
Expiration Date
Until further notice
Flip Icon
Requirements
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
Job Responsibility
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
What we offer
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
  • Fulltime
Read More
Arrow Right

Contract Compliance Analyst III

The Contract Compliance Analyst III will facilitate contract implementation and ...
Location
Location
United States , Madison
Salary
Salary:
51000.00 - 84000.00 USD / Year
exactsciences.com Logo
Exact Sciences
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3+ years of experience in billing/reimbursement, coverage, claims, and appeals
  • Demonstrated understanding of public and private Managed Care payers and reimbursement process
  • Demonstrated understanding of market-related issues, contract basics, product coverage, and pull through rationale
  • Proficient with Excel and Epic or similar database
  • demonstrated ability to maintain competency levels
  • Demonstrated ability to perform the Essential Duties of the position with or without accommodation
  • Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis. We are unable to sponsor or take over sponsorship of employment visas at this time.
Job Responsibility
Job Responsibility
  • Develop communication for contracts, amendments, and notifications for the internal Revenue Cycle Team (RCT) customers and collaborate with the Field Managed Care team in negotiations with payers for operational optimization
  • Play a role in the development and maintenance of a contract database and contract management system, working with the credentialing and legal teams
  • Collaborate with finance and analytics to identify, analyze, and determine next steps to address negative revenue pull-through scenarios specific to payers and across payer segments
  • including Medicare Advantage, Blues, Medicaid, etc.
  • Collaborate with RCT Managers and specialists to develop and leverage relationships with billing operations staff and payers when resolving claim adjudication issues, both contractual and non-contractual
  • Support execution of pull-through plans to meet quarterly/annual revenue recovery goals
  • Identify broad revenue opportunities that span a particular customer segment
  • including utilizing Content Management Systems (CMS) for noncontracted Managed Medicare non-payments and the Employer Coalition initiative
  • Consistently identify opportunities to recover revenue
  • Collaborate with the Managed Care team to identify and prioritize plan(s) utilizing key payers for targeted efforts to impact coverage policy decisions
What we offer
What we offer
  • paid time off (including days for vacation, holidays, volunteering, and personal time)
  • paid leave for parents and caregivers
  • a retirement savings plan
  • wellness support
  • health benefits including medical, prescription drug, dental, and vision coverage
  • bonus eligible.
  • Fulltime
Read More
Arrow Right

Policy & Planning Analyst III

The Wyoming Department of Transportation is seeking a Policy & Planning Analyst ...
Location
Location
United States , Cheyenne
Salary
Salary:
32.52 - 36.13 USD / Hour
dot.state.wy.us Logo
Wyoming Department of Transportation
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree (typically in Business)
  • 0-3 years of progressive work experience (typically in Business) with acquired knowledge at the level of a Policy & Planning Analyst I
  • OR 4-6 years of progressive work experience (typically in Business) with acquired knowledge at the level of a Policy & Planning Analyst I
  • Ability to distill complex federal-aid program requirements into clear, actionable guidance for diverse stakeholders and local partners
  • A foundational mastery of contract requirements, including the ability to interpret, draft, and oversee legal and cooperative agreements
  • Comprehensive knowledge of legislative, executive, and federal government processes, coupled with a strong command of complex financial transactions and compliance frameworks
  • Travel is required in this position
Job Responsibility
Job Responsibility
  • Serves as a liaison to Local Public Agencies (LPAs), providing expert guidance on funding availability, application processes, and program requirements at public meetings and outreach events
  • Manages the solicitation and vetting of project proposals and draft formal Cooperative Agreements that define roles, responsibilities, and legal adherence between WYDOT and local partners
  • Coordinates with the FHWA and internal WYDOT programs to interpret and apply federal (CFR) and state regulations, ensuring all local projects meet strict compliance, environmental, and engineering standards
  • Reviews and approves contract documents, bid processes, and project awards to verify transparency, completeness, and adherence to procurement laws
  • Audits reimbursement requests for compliance and monitors project budgets and progression to ensure fiscal accountability and timely delivery
  • Performs construction monitoring and lead final acceptance processes to certify that projects are completed according to specifications and safety standards
  • Develops standardized compliance tools (checklists/manuals) and lead certification training programs designed to eliminate deficiency trends and improve LPA performance
  • Facilitates selection committees, manages the nomination process, and presents formal project recommendations to the Transportation Commission
  • Supports participants in programs that are under-performing, and assists the LPA in successfully executing their project
  • Advertises and gathers proposals from the LPAs for projects, working with LPAs to ensure proposals are proper
What we offer
What we offer
  • $2,000 Hiring Bonus
  • Comprehensive health, dental, and vision insurance
  • Paid vacation, sick leave, FMLA, and holidays
  • Retirement - Pension and 457B plans
  • Flexible schedules and work-life balance options
  • Fulltime
Read More
Arrow Right

Healthcare Data Analyst III

Bright Vision Technologies is a forward-thinking software development company de...
Location
Location
United States
Salary
Salary:
Not provided
bvteck.com Logo
Bright Vision Technologies
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or equivalent experience
  • 4+ years experience
  • Medicare, Medicaid, and Marketplace analytics
  • Strong SQL (complex queries, joins)
  • Advanced Excel (Pivot Tables, Power Query, VLOOKUP/XLOOKUP)
  • Power BI (DAX, Power Pivot)
  • Knowledge of DRG, APC, EAPG payment methodologies
  • Managed Care / Medical Economics experience
Job Responsibility
Job Responsibility
  • Analyse healthcare data to support cost-of-care, reimbursement, and medical economics decisions
  • Partner with business and clinical teams to deliver insights that improve financial and clinical outcomes
  • Analyse claims, provider, member, and encounter data
  • Develop and maintain reports using SQL, Excel, and Power BI
  • Identify trends, anomalies, and cost drivers
  • perform root-cause analysis
  • Support medical economics initiatives (MLR, QAI, ROI, pricing)
  • Present insights to non-technical stakeholders
  • Collaborate cross-functionally and guide junior analysts
What we offer
What we offer
  • medical
  • 401(k)
  • PTO
  • tuition reimbursement
  • 8% bonus
  • Fulltime
Read More
Arrow Right

Help Desk Analyst III

In this hands-on role, you will provide technical support and troubleshooting se...
Location
Location
United States , Norman
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 5-7 years of experience in IT support, including break/fix environments
  • Strong expertise in Microsoft Office 365, Active Directory, and configuration management
  • Familiarity with Android and Apple devices, as well as Mac and PC hardware
  • Proficiency in Cisco and Citrix technologies
  • Ability to troubleshoot complex technical problems independently and think critically
  • Excellent communication skills to interact effectively with clients and team members
  • Hands-on experience with deployments, server maintenance, and network configurations
  • Must possess a valid driver’s license and ability to travel to client sites using a personal vehicle
Job Responsibility
Job Responsibility
  • Provide on-site and remote technical support for clients, ensuring timely resolution of hardware, software, and network issues
  • Install, configure, and troubleshoot internet systems for residential and commercial customers
  • Perform hands-on tasks such as cable troubleshooting and ladder work to maintain connectivity
  • Manage and support servers, networks, workstations, and Office 365 applications
  • Collaborate with vendors and clients to ensure seamless IT service delivery
  • Conduct system upgrades and migrations to improve infrastructure performance
  • Maintain detailed documentation of issues, solutions, and client interactions
  • Deliver exceptional customer service by communicating technical solutions in a clear and precise manner
  • Travel to client locations using personal vehicles and maintain accurate mileage records for reimbursement
  • Ensure compliance with background checks, mandatory pre-employment screenings for all candidates, and company policies
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
  • Fulltime
Read More
Arrow Right
New

Stagiaires audit

Coffra group is one of the first multidisciplinary firms in France deploying suc...
Location
Location
France , Paris
Salary
Salary:
Not provided
coffra-group.com Logo
Coffra Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • You are preparing a Master I / Master II, a gap year in Business School, are in a CCA / DSCG course or ideally looking for a final year internship
  • You have initial internships in Finance/Accounting/Management Control
  • You are looking for a 6-month internship in Audit from October 2026 to March 2027 or from January to June 2027
  • You are available for frequent travel in France
  • Student speaking English, ideally with knowledge of German.
Job Responsibility
Job Responsibility
  • Under the supervision of our seniors or managers, you will carry out statutory or contractual audit assignments for an international clientele
  • You will discover the audit profession quickly and completely: audit of simple cycles (fixed assets, purchases/suppliers, sales/customers, bank/financing), circularisations/inventories, analysis of legal documents, assistance in auditing complex cycles, verification of appendices and management reports, interviews with clients, etc.
  • Fulltime
Read More
Arrow Right
New

Onsite Endoscopic Specialist

At KARL STORZ, we are driven by a mission to enhance global health through innov...
Location
Location
United States , Arlington
Salary
Salary:
Not provided
karlstorz.com Logo
KARL STORZ
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • A minimum of high school diploma or equivalent
  • Experience in Sterile Processing, Sales, or other Surgical Technology/Medical role
  • Our successful candidate will have excellent written and spoken English language business communication skills. They will also have demonstrated success working in a collaborative, service-oriented team environment.
  • Effective communicator, collaborative, and effective time management
  • Possess exceptional organizational skills and the ability to multi-task
  • MS Office - proficient user as the role will need to work with Excel spreadsheets and reporting
  • Role requires the completion of a drug screening for safety-sensitive positions
  • Must be able to lift/push/pull up to 25lbs
Job Responsibility
Job Responsibility
  • Face-to-face customer support, including OR, SPD and Biomed
  • Video tower/system set-up and support
  • Inspection, repair, troubleshooting and replacement of KARL STORZ devices
  • Monitoring, reporting, and facilitating repair/ exchange transactions
  • Transporting, cleaning/sterilization and packaging of instruments after use
  • Trouble shoot video and instrument issues in the O.R.
  • Instrument/equipment repair management
What we offer
What we offer
  • Relocation Support
  • Professional Growth & Development
  • Collaborative & Dynamic Work Environment
  • Access to Cutting-Edge Medical Technologies
  • Medical / Dental / Vision including a state-of-the-art wellness program and pet insurance, too
  • 3 weeks vacation, 11 holidays plus paid sick time
  • Up to 8 weeks of 100% paid company parental leave
  • 401(k) retirement savings plan providing a match of 60% of the employee’s first 6% contribution (up to IRS limits)
  • Section 125 Flexible Spending Accounts
  • Life, STD, LTD & LTC Insurance
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Columbus
Salary
Salary:
17.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
July 11, 2026
Flip Icon
Requirements
Requirements
  • Must comply with any state board of pharmacy requirements or laws governing the practice of pharmacy, which includes but is not limited to, age, education, and licensure/certification
  • If the state board of pharmacy does not address or mandate a minimum age requirement, must be at least 16 years of age
  • If the state board of pharmacy does not address or mandate a minimum educational requirement, must have a high school diploma or equivalent, or be actively enrolled in high school or high school equivalency program
Job Responsibility
Job Responsibility
  • Living our purpose by following all company SOPs at each workstation to help our Pharmacists manage and improve patient health
  • Following pharmacy workflow procedures at each pharmacy workstation (i.e., production, pick-up, drive-thru, and drop-off) for safe and accurate prescription fulfillment
  • Contributing to positive patient experiences by showing empathy and genuine care: creating heartfelt and personalized moments while serving patients at pick-up, drive-thru, and over the phone
  • keeping patients healthy by offering immunizations and other services at the register and over the phone
  • and demonstrating compassionate care by solving or escalating patient problems
  • Completing basic inventory activities, as permitted by law, and as directed by the pharmacy leadership team, such as accurately putting away medication deliveries and completing cycle counts, returns-to-stocks, waiting bin inventories, etc.
  • Contributing to a high-performing team, embracing a growth mindset, and being receptive to feedback
  • actively seeking opportunities to expand clinical and technical knowledge needed to better assist patients
  • Remaining flexible for both scheduling and business needs, while contributing to a safe, inclusive, and engaging team dynamic
  • voluntarily traveling to stores in the market to work shifts as needed by the business
What we offer
What we offer
  • dental
  • vision
  • wellness resources
  • employee discounts
  • access to certain voluntary benefits
  • other programs
  • Parttime
Read More
Arrow Right