Medicare/Medicaid Cost Reporting Analyst

Cincinnati Children's; Cincinnati (OH); On-site; USD 67,537 - 86,112; Full time

Benefits offered by this job

Medical coverage starting day one

Competitive retirement plans

Tuition reimbursement

Employee discount programs

Job summary

A leading children's healthcare provider in Cincinnati is seeking a Reimbursement Analyst III. The successful candidate will manage Medicare/Medicaid cost reporting and collaborate with various departments. Ideal candidates have at least 7 years of relevant experience and a Bachelor's degree, with familiarity in Microsoft Excel and cost reports. This full-time role is integral to ensuring compliance in cost reporting and reimbursement methodologies.

Qualifications

• 7+ years of work experience in a related job discipline.
• 4+ years of Medicare cost reporting experience.
• Familiar with CMS Medicare/Medicaid cost reports.

Responsibilities

• Prepare Medicare/Medicaid Cost reports and supporting schedules.
• Classify new cost centers and analyze matching labor to revenue.
• Extract compliant data using business intelligence software.
• Stay current with CMS and State Medicaid regulations.

Skills

Cost Reporting

Data Analysis

Compliance knowledge

Collaboration

MS Excel

Business Intelligence

Education

Bachelor's degree in a related field

Master's degree in a related field

CPA (preferred)

Tools

MS Access

Job description

Reimbursement Analyst III

Apply for the Reimbursement Analyst III role at Cincinnati Children’s.

Job Responsibilities

• Cost Reporting – Prepare the Medicare/Medicaid Cost reports by developing supporting schedules. Develop supporting work papers in accordance with government cost reporting principles for management's review. Enter data into Medicare/Medicaid Cost Report Software. Demonstrate progressive knowledge of Center for Medicare & Medicaid Services (CMS) cost reporting, DSH exam log files, IME/GME, Medicare Wage Index, Medicaid cost reporting, and HCAP/Uncompensated Care. Responsible for 340B Trial Balance, registration, and recertification.
• Cost Accounting – Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated and, if not, whether revenue or expense should be directly reclassified or indirectly allocated as overhead and which overhead category is appropriate. Develop and organize detailed work papers to support quarterly costing data. Recommend and implement improvement activities, new processes, and collect and measure data, develop processes based on performance, and communicate results.
• Data Analysis – Strong working knowledge of state & federal cost reporting requirements in order to extract compliant data using existing business intelligence software. Compare data to prior year to identify large variances that need further analysis, explanation, and documentation.
• Compliance – Stay current with latest CMS and State Medicaid regulations related to cost reporting, reimbursement, and payment methodologies. Understand and communicate the implication that changes to regulations will have on the institution and proactively work to support changes to comply with new regulations. Ability to model regulatory changes to engage and educate leadership.
• Collaboration – Establish working relationships with cross‑functional teams, such as IS, reimbursement/billing, and hospital/clinical services to obtain data for cost reporting needs. Assist external parties (auditors, regulatory agencies) during audits, collaborate with other departments across the hospital to manage requests, provide reimbursement and regulatory updates to leadership, and assist department leadership with training needs, review of work, and setting daily priorities.

Job Qualifications

• Bachelor's degree in a related field
• Preferred: Master's degree in a related field
• 7+ years of work experience in a related job discipline
• 4+ years of Medicare cost reporting experience
• MS Excel, Access, and Business Intelligence experience
• Familiar with CMS Medicare/Medicaid cost reports including worksheets C, D, G, H, I and B‑1 statistics
• Preferred: CPA

Primary Location: South Campus

Schedule: Full time

Shift: Day (United States of America)

Department: Accounting - General

Employee Status: Regular

FTE: 1

Weekly Hours: 40

Expected Starting Pay Range

• $67,537.60 – $86,112.00 (annualized, may vary based on FTE status)

Market Leading Benefits

• Medical coverage starting day one of employment
• Competitive retirement plans
• Tuition reimbursement for continuing education
• Extensive employee discount programs with community partners
• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL – LGBTQA Resource Group, Juntos – Hispanic/Latino Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
• Physical and mental health wellness programs
• Relocation assistance available for qualified positions
• Benefits may vary based on FTE status and position type

About Us

At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.

Recognized by U.S. News & World Report as one of the top 10 Children’s Hospitals in the nation for more than 15 years, consistently among the top 3 Children’s Hospitals for National Institutes of Health® Funding, identified as one of America’s Best Large Employers (2025), one of America’s Best Employers for New Graduates (2025), one of America’s Most Innovative Companies as noted by Fortune, consistently certified as a great place to work, a leading disability employer, and Magnet® designated for the fourth consecutive time by the ANCC.

We embrace innovation—together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.

Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability