Financial Analyst

CHS Career Site; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

CHS Career Site is seeking a data-focused analyst to support Director-level teams in reimbursement and financial modeling. The role centers on retrieving data, building models, and evaluating contracting proposals to drive informed decisions.

The candidate will communicate findings clearly in writing and verbally, collaborate with health care professionals, and manage multiple projects independently in a dynamic environment.

Qualifications

• 2-5 years’ experience in hospital, physician, or health plan financial analysis.
• Proficiency with reimbursement terminology (DRG, APC, HCPCS, CPT).
• Experience with hospital/physician billing and coding terminology.
• Strong written and verbal communication skills.
• Ability to work independently and manage multiple projects.

Responsibilities

• Retrieves reimbursement data from hospital and physician systems.
• Builds financial models to analyze reimbursement proposals.
• Interprets contracts with contracting directors to ensure model accuracy.
• Produces concise written reports of payment modeling analysis.
• QA monthly data loads.
• Completes special projects as needed.

Skills

Reimbursement knowledge

Written and verbal communication

Multi-project management

Education

Bachelor’s degree in Accounting or Data Analytics

Tools

Excel

FinThrive

Access

SQL

Job description

Job Summary Provides data retrieval / contract modeling / financial analysis support to Director, VP, and Managed Care Regional Contracting Directors.

Essential Duties and Responsibilities

• Retrieves reimbursement data from hospital and physician accounting systems.
• Builds financial models to analyze and evaluate the reimbursement impact of hospital and physician payer reimbursement methodology proposals
• Works with Managed Care Regional Contracting Directors on contract interpretation issues to ensure accuracy of contract models and financial analysis.
• Produces clear and concise written reports summarizing payment modeling analysis.
• QA monthly data loads.
• Completes special projects/reports as needed

Qualifications

• Well versed in reimbursement methodology including DRG, APC, COPPS, OPPS, Case Rates, Per Diems, HCPCS and CPT Code Fee Schedules (2-5 years’ experience).
• Familiar with hospital and physician billing and coding terminology including diagnostic codes, revenue codes, procedure codes, and HCPCS codes.
• Well versed in healthcare product lines including HMO, PPO, HIX, Medicare, Medicaid, Tricare, Workers Comp.
• Must be able to clearly communicate complex and technical issues in writing and verbally.
• Must have the ability to work independently and manage multiple projects simultaneously

Computer Skills

To perform this job successfully, an individual should have knowledge of

• Word Processing software
• Exceptional skills in Excel.
• Knowledge of contract modeling systems such as FinThrive preferred.
• Knowledge of Access or SQL preferred.

Education/Experience

• Bachelor’s degree required; emphasis in Accounting or Data Analytics preferred
• 2-5 years’ work experience required
• Prior experience in hospital, physician or health plan financial analysis, or equivalent experience preferred
• Knows/has modeled/worked with health plan/hospital and physician managed care commercial and Medicare reimbursement methodologies and terminology