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 mentor junior analysts. This role involves managing audits, interpreting regulations, and driving strategic analysis to enhance revenue and ensure compliance. Join a leading healthcare provider and make a significant impact on financial strategies.

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 government reimbursement regulations.
• Conduct sensitivity studies for new services.

Skills

Analytical Skills

Strategic Thinking

Healthcare Finance

Regulatory Compliance

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