Remote Healthcare Payer Payment & Reimbursement Analyst

Signature Performance; Des Moines (IA); Remote; USD 84,650 - 113,850; Full time

Benefits offered by this job

Health Insurance

Fully Paid Life Insurance

Fully Paid Short- & Long-Term Disabi l

Paid Vacation

Paid Sick Leave

Paid Holidays

Professional Development and Tuition

401(k) Program with Employer Match

Job summary

Signature Performance is seeking a Payer Payment and Reimbursement Analyst for a remote national position. You will work with the team on reimbursement methodologies, regulatory updates, and data analysis to ensure accurate claims adjudication.

The role requires 3-4 years in healthcare payer reimbursement, strong analytical skills, and ability to translate policy updates into clear business requirements for software configuration.

Qualifications

• 3-4 years of professional experience in healthcare provider payment and reimbursement.
• Working knowledge of healthcare billing, compliance, and payer regulations.
• Experience with professional and institutional payment fee schedules, including PPS (DRG, OPPS, SNF, HH, Hospice, ASC).
• Knowledge of provider types and their reimbursement methodologies.
• Ability to translate complex information into clear business requirements.

Responsibilities

• Configure and maintain payment, pricing, and contract logic to ensure accurate claims adjudication.
• Analyze regulatory updates and system changes for impact on processes and data.
• Review large healthcare data sets to identify trends and required changes.
• Interpret Medicare, VA, CHAMPVA, and TRICARE policies and fee schedules.
• Collaborate with government agencies to clarify policies.
• Translate policy updates into actionable business requirements for software design.
• Develop complex Excel models to support payment methodologies.
• Identify data characteristics for testing pricing logic and configuration accuracy.
• Partner with Developers, QA, Data, and Client Services to implement requirements on schedule.
• Create and execute test claims for development, UAT, QA, configuration.
• Perform configuration testing and troubleshoot discrepancies.
• Maintain knowledge of company products, data, and reimbursement features.
• Independently resolve complex pricing and reimbursement issues while prioritizing multiple tasks.

Skills

Healthcare reimbursement

Data analysis

Regulatory interpretation

Cross-functional collaboration

Excel modeling

SQL reporting

Tools

SQL

Job description

Signature Performance is seeking a Payer Payment and Reimbursement Analyst for a remote national position. You will work with the team on reimbursement methodologies, regulatory updates, and data analysis to ensure accurate claims adjudication.

The role requires 3-4 years in healthcare payer reimbursement, strong analytical skills, and ability to translate policy updates into clear business requirements for software configuration.