Reimbursement Analyst, Sr. (Hybrid Remote)
Job title: Reimbursement Analyst, Sr. (Hybrid Remote) in Pittsburgh, PA at UPMC
Company: UPMC
Job description: Are you a strategic thinker with a passion for healthcare finance and regulatory compliance? Do you thrive in a fast-paced environment where your analytical skills can drive impactful decisions? UPMC Corporate Finance is seeking a Senior Reimbursement Analyst to join our dynamic team and play a pivotal role in shaping the financial future of one of the nation's leading healthcare providers.Purpose:As a Senior Reimbursement Analyst, you'll lead complex financial analysis projects, mentor junior analysts, and serve as a subject matter expert in healthcare reimbursement. Your work will directly influence UPMC's financial strategy and compliance with government regulations.This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week.Responsibilities:
- Lead Financial & Government Audits: Manage and respond to third-party and government audits with confidence and accuracy.
- Stay Ahead of Regulations: Monitor and interpret evolving government reimbursement regulations, applying insights to cost reporting and compliance documentation.
- Drive Strategic Analysis: Conduct sensitivity studies and evaluate reimbursement potential for new services-delivering actionable recommendations to leadership.
- Champion Revenue Enhancement: Spearhead initiatives like Disproportionate Share, IME, GME, Wage Index, Transplants, and Physician programs-key drivers of UPMC's financial success.
- Master Cost Report Software: Ensure efficient, accurate use of cost report tools and maintain version backups for audit and appeal readiness.
- Ensure Financial Integrity: Analyze CRA accounts and interim payment rates, identifying discrepancies and submitting updates to third-party payers.
- Lead & Mentor: Supervise multiple projects and staff, while training and supporting Associate and Intermediate Analysts.
- Support System-Wide Reporting: Prepare third-party cost reports and assist reimbursement teams across UPMC facilities.
- Audit Defense & Appeals: Review audit adjustments, prepare appeals, and craft persuasive position papers to protect UPMC's financial interests.
- Be part of a nationally recognized healthcare leader
- Work in a collaborative, mission-driven environment
- Enjoy competitive pay, exceptional benefits, and career growth opportunities
- Make a real impact on the future of healthcare finance
- Bachelor's degree in accounting or related business field required.
- Minimum of three years of related work experience required.
- OR High School Diploma/GED and five years of related work experience.
- Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred.