Reimbursement Consultant (Managed Care)

Henry Ford Health; Troy (MI); On-site; USD 70,000 - 90,000; Full time

Job summary

A prominent healthcare institution in Troy, Michigan is seeking a Financial Analyst to independently lead financial analysis and data evaluation. This role will focus on identifying and improving reimbursement methodologies and will require strong analytical and communication skills. Ideal candidates should have a bachelor's degree in finance or a related field and at least 5 years of experience in healthcare finance.

Qualifications

• 5-7 years of experience in healthcare finance or managed care contracting.
• Proficient in data extraction and reporting tools.
• Strong understanding of managed care reimbursement methodologies.

Responsibilities

• Lead financial analysis to evaluate rate proposals and contract terms.
• Identify and implement process improvements for reimbursement.
• Develop solutions to optimize reimbursement.

Skills

Analytical skills

Communication skills

Detail oriented

Organizational skills

Interpersonal skills

Education

Bachelor's degree in related field

Master's Degree

Tools

Microsoft Excel

SQL

EPSi

Clarity

Job description

Direct message the job poster from Henry Ford Health

Under minimal supervision of the Manager, independently leads financial and data analysis to evaluate rate proposals, contract terms, and health plan reimbursement. This position will proactively identify rates, methodologies, and processes that need improvement and will develop and implement solutions to optimize reimbursement.

Education/Experience Required

• Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field.
• Master's Degree preferred.
• Five to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a professional capacity including experience with various reimbursement methodologies (DRGs, per diems, fee schedules, case rates, etc.).
• Report writing capabilities or ability / willingness to learn.
• Strong Analytical and Critically Thinking skills (via curiosity, creativity, skepticism, and adept in use of logic) relative to accomplishing business objective and problem solving.
• Detail oriented.
• Proficient in Microsoft Excel (queries, reports, pivots, What If scenarios and database mgmt. a plus).
• Proficient in Data extraction & reporting tools (EPSi, SQL, Clarity, etc.).
• Excellent oral and written communication skills.
• Strong organizational and interpersonal skills.
• Strong Understanding of Managed Care Reimbursement methodologies, coding, and terminology.

Seniority Level

• Mid‑Senior level

Employment Type

• Full‑time

Job Function

• Hospitals and Health Care