Reimbursement Senior Analyst Job at Memorial Healthcare System (Hollywood)

Senior Reimbursement Analyst

Senior Reimbursement Analyst role focusing on government payor programs, revenue...

Location

United States , Milwaukee

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Finance or related field
Typically requires 5 years of experience in reimbursement that includes experiences in preparation of Medicare/Medicaid cost reports, regulations and the analysis, modeling and reporting of third party payers
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting
Knowledge and understanding of third party regulations and the interrelationship of financial statements
Strong accounting background with experience in preparing and/or reviewing health care financial statements
Strong proficiency in the use of the Microsoft Office (Excel, PowerPoint, Word, Access), software systems, data management tools or similar products
Proficiency in data mining and analysis
Excellent written and verbal communication skills

Job Responsibility

Plans and prepares revenue analysis for system wide programs, projects and services, and monitors revenue budgets and benchmarking activities
Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs
Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes
Serves as one of the Aurora representatives on the state Medicaid Hospital Rate Advisory Group, Health Care Quality Coalition, and Wisconsin Hospital Association Medicaid Advisory Group
Provides support as needed to Finance and Operations on reimbursement related matters
Prepares and/or provides necessary information required for the completion of the annual Medicare and Medicaid interim and year-end cost reports
Develops and provides coordination for the system-wide monthly closing process with respect to Medicare/Medicaid liabilities
Monitors processes to ensure accurate payment for Medicare/Medicaid and monitors interim payments
Works with Graduate Medical Education programs to ensure proper Medicare and Medicaid reimbursement

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Senior Reimbursement Analyst

Senior Reimbursement Analyst role focusing on government payor programs, revenue...

Location

United States , Milwaukee

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's Degree in Finance or related field
Typically requires 5 years of experience in reimbursement that includes experiences in preparation of Medicare/Medicaid cost reports, regulations and the analysis, modeling and reporting of third party payers
Demonstrated expertise with Medicare and Medicaid regulations in a health care or federal intermediary setting
Knowledge and understanding of third party regulations and the interrelationship of financial statements
Strong accounting background with experience in preparing and/or reviewing health care financial statements
Strong proficiency in the use of the Microsoft Office (Excel, PowerPoint, Word, Access), software systems, data management tools or similar products
Proficiency in data mining and analysis
Excellent written and verbal communication skills

Job Responsibility

Plans and prepares revenue analysis for system wide programs, projects and services, and monitors revenue budgets and benchmarking activities
Identifies and researches opportunities to enhance revenue and improve administrative efficiency of governmental payor programs
Reviews government agency bulletins, publications, and the Federal Register to understand proposed and actual state and federal government statutory and regulatory changes
Serves as one of the Aurora representatives on the state Medicaid Hospital Rate Advisory Group, Health Care Quality Coalition, and Wisconsin Hospital Association Medicaid Advisory Group
Provides support as needed to Finance and Operations on reimbursement related matters
Prepares and/or provides necessary information required for the completion of the annual Medicare and Medicaid interim and year-end cost reports
Develops and provides coordination for the system-wide monthly closing process with respect to Medicare/Medicaid liabilities
Monitors processes to ensure accurate payment for Medicare/Medicaid and monitors interim payments
Works with Graduate Medical Education programs to ensure proper Medicare and Medicaid reimbursement

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Senior Analyst of Strategic Analytics

The Senior Analyst of Strategic Analytics is responsible for supporting the orga...

Location

United States , Phoenix

Salary:

109000.00 - 128000.00 USD / Year

Atlas Healthcare Partners

Expiration Date

Until further notice

Requirements

Requires a Bachelor’s degree in Business, Finance or related field
Requires a proficiency level typically attained with 4 or more years’ experience in Managed Care or Healthcare analytics preferred
Requires strong interpersonal, leadership and communication/presentation skills

Job Responsibility

Ability to assess and evaluate the financial impact results of managed care contract reimbursement rates and terms while being able to clearly articulate the results to leadership
Ability to prepare, clean and manipulate large datasets to prepare for evaluating volume, revenue/reimbursement across multiple payors
Analyzes, evaluates, and prepares contract rates and terms when needed through various payer proposals and counter proposals during negotiations
Supports JV health systems managed care contracting teams through developing financial models and rates to assist in the strategy and negotiations
Conducts adhoc analyses to address emergent issues and in support of stakeholder
Perform analyses to assist in developing the story to explain how ASC’s are performing while being able to identify trends and opportunities
Assists in developing new processes and tools to support our growing organization
Assists in business development analytics to forecast volume and revenue projections related to acquisitions, de novo’s across our health system partners
Develop statistical, economic, and financial analyses from data to evaluate performance and drive relevant business or clinical initiatives. Analyze data for trends, observations, improvements and make recommendations
Monitors, analyze, trends, reports and implements actions to improve operational KPI metrics

What we offer

industry-leading health and dental benefits
matching retirement package

Fulltime

Financial Analyst Senior

Lead advanced financial analysis and reporting to support strategic initiatives,...

Location

United States , Oak Brook

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree in finance, Accounting, Business, or related field
Minimum of 5 years of progressive experience in financial analysis or accounting, with demonstrated leadership or project management experience
Advanced analytical, problem-solving, and organizational skills
Strong communication and presentation abilities
Proficiency in Microsoft Office and financial systems
Ability to work independently and as part of a team in a fast-paced environment
Detail-oriented, able to manage multiple priorities, and meet deadlines
Ability to handle confidential information and work under pressure

Job Responsibility

Lead advanced financial analysis and reporting to support strategic initiatives, capital planning, and organizational goals
Develop and maintain sophisticated financial models for cash forecasting, capital planning, treasury management, and scenario analysis
Conduct benchmarking, KPI analysis, and variance reporting to identify trends, risks, and opportunities
Oversee budgeting processes, cost accounting, and productivity standards
provide recommendations for process improvements
Apply government reimbursement rules (e.g., Medicare/Medicaid) and ensure compliance with GAAP, company policies, and regulatory requirements
Lead or coordinate complex financial projects, including business development assessments, program reviews, and reconciliation variances
Research and document technical accounting issues serve as a resource for interpreting new accounting standards and regulatory changes
Mentor accounting staff, provide financial systems training, and support professional development within the finance team
Present complex financial information and recommendations to senior leadership

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Grants Administrator Analyst Senior

Under administrative review, facilitate the acquisition of extramural funding in...

Location

United States , Winston Salem

Salary:

35.50 - 53.25 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Bachelor's degree in a related field with five years' experience in grants and contracts coordination or management
or, an equivalent combination education and experience
Excellent oral and written communication skills
Strong organization skills
Proven ability to manage multiple tasks
Must be a team player with focus on customer satisfaction
Ability to work independently and be self-motivated
Ability to maintain confidentiality

Job Responsibility

Facilitate the acquisition of extramural funding in Neurology in the preparation and submission of a high volume of proposals
Coordinate a variety of administrative research activities including pre-award efforts, proposal submission, and post-award management
Perform management level work directed toward the planning, development and evaluation of original and assigned projects
Key administrative leader for the Department of Neurology's Grants Program, industry trials, and other related extramurally funded activities
Provides leadership and overall administrative direction for planning, organizing, and directing all functions related to financial management, budgeting, accounting, reimbursement, payroll, purchasing, pre- and post- award grant budget management and financial planning/reporting for the Department of Neurology
Fosters effective relationships with all levels of administration, faculty and departments throughout the WFBMC as well as external organizations to coordinate business, accomplish directives, and facilitate the resolution of problems
Advises and represents the Department of Neurology in internal, institutional and external meetings and conferences involving matters of significance and strategic priority in areas of financial, administrative and operational initiatives
Serves as liaison to the research faculty, Chair, and Administrative Director to promote Department of Neurology research initiatives
Prepare, edit, and proofread final proposals
Provides expertise in developing budgets and preparing forms for the appropriate funding agencies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Clinician Service Analyst Senior

Senior role within Clinician Services for Medical Specialties, focusing on codin...

Location

United States , Milwaukee

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) certification, or Coding Specialist (CCS) certification, or Coding Specialist – Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
Specialty credential required
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge
High school diploma or GED required
5 years of experience in expert-level professional and/or facility coding, and experience in collaborating with other teams within an organization, and/or educating/training licensed clinicians
Advanced level of ICD-10- CM/PCS and/or ICD-10-CM/CPT/HCPCS for a large complex health care system or medical group
Extensive knowledge of third-party reimbursement programs, state and federal regulatory issues, national and local coverage determinants, research-related restrictions, ICD-10 CM/PCS, and CPT/HCPCS coding classifications
Proficiency in statistical analysis
Demonstrated proficiency in the Microsoft Office Suite (Word, Excel, PowerPoint, Teams, etc.) or similar products and in patient accounting and billing systems
Ability to deal and work effectively with multiple departments and in matrix organizational structures

Job Responsibility

Monitor and analyze KPIs to identify trends and transform data into actionable reports and presentations that support strategic decision-making
May participate in Service Line leadership meetings to represent Clinician Services, share updates, propose improvements, and align departmental efforts with organizational strategy
Collaborate with leadership and cross-functional teams—including Coding, CDI, CMD, Integrity Operations, Optimization & Technology, and Clinical Informatics—to identify improvement opportunities and advance documentation practices
Provide operational and technical guidance to staff and stakeholders, ensuring clarity and consistency in documentation and coding processes
Demonstrate compliance with regulatory requirements, including CMS, QIOs, NCCI edits, and payer-specific guidelines, while adhering to AHIMA’s Standards of Ethical Coding
Utilize EHR systems and coding tools proficiently, maintaining data integrity and supporting efficient documentation workflows
Maintains confidentiality of patient records
Reports any perceived non-compliant practices to the Clinician Services leadership or compliance officer
Engage in continuous learning, staying current with evolving coding guidelines, practices, and terminology through training and professional development
Promote a collaborative, service-oriented culture, modeling professionalism and teamwork across Clinician Services and organizational stakeholders

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more
Incentive pay for select positions

Fulltime

Financial Analyst Senior

Lead advanced financial analysis and reporting to support strategic initiatives,...

Location

United States , Oak Brook

Salary:

41.10 - 61.65 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor’s degree in finance, Accounting, Business, or related field
Minimum of 5 years of progressive experience in financial analysis or accounting, with demonstrated leadership or project management experience
Advanced analytical, problem-solving, and organizational skills
Strong communication and presentation abilities
Proficiency in Microsoft Office and financial systems
Ability to work independently and as part of a team in a fast-paced environment
Detail-oriented, able to manage multiple priorities, and meet deadlines
Ability to handle confidential information and work under pressure

Job Responsibility

Lead advanced financial analysis and reporting to support strategic initiatives, capital planning, and organizational goals
Develop and maintain sophisticated financial models for cash forecasting, capital planning, treasury management, and scenario analysis
Conduct benchmarking, KPI analysis, and variance reporting to identify trends, risks, and opportunities
Oversee budgeting processes, cost accounting, and productivity standards
provide recommendations for process improvements
Apply government reimbursement rules (e.g., Medicare/Medicaid) and ensure compliance with GAAP, company policies, and regulatory requirements
Lead or coordinate complex financial projects, including business development assessments, program reviews, and reconciliation variances
Research and document technical accounting issues serve as a resource for interpreting new accounting standards and regulatory changes
Mentor accounting staff, provide financial systems training, and support professional development within the finance team
Present complex financial information and recommendations to senior leadership

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Grants Administrator Analyst Senior

Under administrative review, facilitate the acquisition of extramural funding in...

Location

United States , Winston Salem

Salary:

35.50 - 53.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Bachelor's degree in a related field with five years' experience in grants and contracts coordination or management
or, an equivalent combination education and experience
Excellent oral and written communication skills
Strong organization skills
Proven ability to manage multiple tasks
Must be a team player with focus on customer satisfaction
Ability to work independently and be self-motivated
Ability to maintain confidentiality

Job Responsibility

Facilitate the acquisition of extramural funding in Neurology in the preparation and submission of a high volume of proposals
Coordinate a variety of administrative research activities including pre-award efforts, proposal submission, and post-award management
Perform management level work directed toward the planning, development and evaluation of original and assigned projects
Key administrative leader for the Department of Neurology's Grants Program, industry trials, and other related extramurally funded activities
Provides leadership and overall administrative direction for planning, organizing, and directing all functions related to financial management, budgeting, accounting, reimbursement, payroll, purchasing, pre- and post- award grant budget management and financial planning/reporting for the Department of Neurology
Fosters effective relationships with all levels of administration, faculty and departments throughout the WFBMC as well as external organizations
Advises and represents the Department of Neurology in internal, institutional and external meetings and conferences
Serves as liaison to the research faculty, Chair, and Administrative Director to promote Department of Neurology research initiatives
Prepare, edit, and proofread final proposals
Provides expertise in developing budgets and preparing forms for the appropriate funding agencies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

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Reimbursement Senior Analyst

Job Description

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