Reimbursement Analyst, Sr. (Hybrid Remote)

UPMC; Pittsburgh (Allegheny County); Hybrid; USD 85,000 - 110,000; Full time

Job summary

A leading healthcare provider seeks a Senior Reimbursement Analyst for a hybrid role in Pittsburgh, PA. This position involves managing financial analyses, mentoring team members, and ensuring compliance with healthcare reimbursement regulations. Ideal candidates will have a bachelor's degree in accounting and strong analytical skills.

Benefits

Competitive pay

Exceptional benefits

Career growth opportunities

Qualifications

• Minimum of three years of related work experience required.
• High School Diploma/GED and five years of related work experience accepted.
• Proficiency in Microsoft Office spreadsheet application is essential.

Responsibilities

• Lead financial analysis projects and mentor junior analysts.
• Manage and respond to third-party and government audits.
• Prepare third-party cost reports and assist reimbursement teams.

Skills

Analytical skills

Strategic thinking

Healthcare finance knowledge

Education

Bachelor's degree in accounting or related business field

Tools

Microsoft Office

PeopleSoft General Ledger

Job description

Reimbursement Analyst, Sr. (Hybrid Remote)

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Reimbursement Analyst, Sr. (Hybrid Remote)

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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.

This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week.

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
• Bachelor's degree in accounting or related business field required.
• Minimum of three years of related work experience required.
• OR High School Diploma/GED and five years of related work experience.
• Microsoft Office spreadsheet application required, and PeopleSoft General Ledger proficiency preferred.
  
  

Licensure, Certifications, and Clearances:

• Act 34
  
  

UPMC is an Equal Opportunity Employer/Disability/Veteran

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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Reimbursement Analyst, Sr. (Hybrid Remote)

Pittsburgh, PA $85,000.00-$110,000.00 12 hours ago

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