Reimbursement Analyst, Sr.

UPMC; Pittsburgh (Allegheny County); On-site; USD 70,000 - 90,000; Full time

Job summary

UPMC Corporate Finance is looking for a Senior Reimbursement Analyst to lead financial analysis projects and ensure compliance with government regulations. This role requires strategic thinking and analytical skills to drive impactful decisions in healthcare finance.

Benefits

Competitive Pay

Exceptional Benefits

Career Growth Opportunities

Qualifications

• Lead complex financial analysis projects.
• Serve as a subject matter expert in healthcare reimbursement.

Responsibilities

• Manage and respond to third-party and government audits.
• Monitor and interpret evolving government reimbursement regulations.
• Conduct sensitivity studies and evaluate reimbursement potential.

Skills

Analytical Skills

Strategic Thinking

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.

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.

Why UPMC?

• 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