Provider-Based Finance & Reimbursement Analyst

WVU Medicine; Core (WV); On-site; USD 70,000 - 90,000; Full time

Job summary

WVU Medicine is looking for a health-system finance analyst to perform financial and compliance analyses supporting outpatient services across the network. You will generate reports, advise leadership, and influence reimbursement optimization while aligning with CMS provider-based rules.

The role emphasizes collaboration with clinical and administrative leaders, development of reporting packages, and ongoing data-driven decision support across WVU Medicine facilities.

Qualifications

• Bachelor’s degree in Business Administration, Finance, Accounting or related field.
• 1-2 years experience in a healthcare setting.
• Experience with Tableau and Microsoft Office (Excel, Word, PowerPoint).

Responsibilities

• Perform analysis of information related to new department creation as it relates to CMS provider based & RHC regulation.
• Provide ad hoc financial analysis on clinic reimbursement impact for all hospitals across the health system.
• Responds to requests; explores and resolves problems as presented by Department Leadership, IT, clinical departments, and support staff.
• Interprets and advises key stakeholders on CMS provider based compliance per 42 CFR 413.65 and alerts leadership to any pertinent changes
• Identify and interpret potential changes or new legislation impacting provider based billing
• Coordinate and perform onsite gap assessments for provider based clinics and RHC’s across the health system as needed
• Understand and educate various hospital and/or system personnel on WVU Medicine best practices related to provider based requirements
• Conducts and participates in business meetings with clinical leadership. Includes creating and improving reporting packages, ongoing support, and project tracking
• Uses analytical methods to ensure reported data is meaningful and accurate.
• Develops technical ability in data analytics using various systems and tools.
• Provides support in problem identification, resolution, and solution design for a variety of business needs. 12. Serves as first point of contact for department. Interfaces with hospital leadership and staff of various levels, with an ability to translate and communicate business concepts into actionable and meaningful terms.

Skills

Analytical skills

Regulatory compliance knowledge

Stakeholder communication

Education

Bachelor's degree in Business Administration, Finance, Accounting or related field

Tools

Tableau

Excel

Word

PowerPoint

Job description

WVU Medicine is looking for a health-system finance analyst to perform financial and compliance analyses supporting outpatient services across the network. You will generate reports, advise leadership, and influence reimbursement optimization while aligning with CMS provider-based rules.

The role emphasizes collaboration with clinical and administrative leaders, development of reporting packages, and ongoing data-driven decision support across WVU Medicine facilities.