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Senior Reimbursement Analyst

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Advocate Health Care

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Location:
United States , Milwaukee

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Category:

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Contract Type:
Not provided

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Salary:

41.10 - 61.65 USD / Hour

Job Description:

Senior Reimbursement Analyst role focusing on government payor programs, revenue analysis, regulatory compliance, and maximizing reimbursement for a major health system.

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

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
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

Additional Information:

Job Posted:
January 30, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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