Senior Reimbursement Analyst - REMOTE

Rutland Regional Medical Center; Rutland (VT); Remote; USD 75,000 - 110,000; Full time

Job summary

Rutland Regional Medical Center is seeking a Senior Reimbursement Analyst to provide analytical and reporting support for Medicare, Medicaid, and other third-party cost reports, audits, and 340B programs. The role includes budget forecasting of net patient service revenue and staying current with regulatory changes affecting reimbursement.

The position oversees ACO and payment reform data and collaborates with finance to drive strategic decisions for the organization.

Qualifications

• Bachelor’s degree or higher in Finance, Accounting, or related field.
• 5+ years of health care reimbursement experience.
• Advanced report-writing experience using BI tools like Business Objects or Tableau.

Responsibilities

• Lead reimbursement modeling for Medicare, Medicaid, and third-party cost reports.
• Monitor and forecast net patient service revenue aligned with regulatory processes.
• Coordinate adjustments to third-party reserves based on regulatory changes.
• Oversee data related to ACOs and payment reform to inform strategic decisions.

Skills

Advanced report writing

Analytical skills

Excellent written and verbal comms

Excellent presentation skills

Organizational skills

Education

Bachelor’s degree in Finance or Accounting

Tools

Business Objects

Tableau

Job description

• Facility Rutland Regional Medical Center
• Department Revenue Integrity
• Job Category Professional

The Senior Reimbursement Analyst is key organizational resource responsible for providing critical analytical, review and reimbursement support for reimbursement functions including Medicare, Medicaid, or other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH) logs, and drug discount program (340B) support. The responsibility includes budget analysis and forecasting of net patient service revenue in alignment with state regulatory processes.

This position is responsible for both governmental and commercial payer reimbursement modeling for financial statement cycle thus requiring analyst to stay current with all government regulatory changes and Federal and State proposals to changes in reimbursement methodologies and payment systems. Based on these changes, coordinate adjustments to third-party reserves and summarize the reimbursement impact on the organization.

This Analyst is also responsible for overseeing, organizing, and optimizing accountable care organizations (ACO) and other payment reform proposal data that will drive strategic decisions for the organization.

• Bachelor’s Degree in Finance or Accounting or a related area or equivalent combination of education and experience.
• 5 or more years of experience in health care reimbursement is required.
• Advanced report writing experience such as Business Objects or Tableau

Required Skills, Knowledge, and Abilities

• Advanced report writing and analytical skills.
• Experience using reporting platforms, including Business Objects and Tableau preferred.
• Experience with Medicare Cost Report filings and audits.
• Demonstrated strong understanding of healthcare reimbursement and industry standard metrics.
• Excellent attention to detail.
• Excellent written and verbal communication and presentation skills.
• Demonstrated strong organizational skills .
• Demonstrates the ability to set goals and adhere to strict deadlines.