Reimbursement Analyst, Senior
Location: San Diego, CA
Job Type: Contract
Company: IDR
Category: Clinical
Job Description Apply Now
The role of Reimbursement Analyst, Senior is a critical position within the healthcare finance field, designed for professionals with advanced expertise in regulatory reporting, cost filings, and reimbursement processes. As a Reimbursement Analyst, Senior, you will play a key role in supporting healthcare organizations by ensuring compliance with complex federal and state reimbursement regulations, particularly focusing on Medicare and Medicaid cost reporting requirements. This full-time opportunity is based in San Diego, CA and provides a chance to advance your career in an industry-leading healthcare environment renowned for its regulatory excellence and commitment to best practices. Working as a Reimbursement Analyst, Senior offers the chance to influence financial outcomes, support managed care negotiations, and collaborate directly with executive leadership and external stakeholders.
In your position as a Reimbursement Analyst, Senior, you will be responsible for preparing, analyzing, and validating highly detailed regulatory reports and cost filings mandated by agencies such as Medicare, Medicaid/Medi-Cal, and other governmental bodies. Your expertise will be leveraged as you manage the preparation and review of Medicare Cost Reports (CMS-2552-10), oversee audit compliance and appeals, and provide subject matter expertise on annual HCAI (formerly OSHPD) reports. Through your advanced analytical skills, you will interpret regulatory changes and translate them into actionable financial models that drive strategic decisions for the broader organization.
This senior-level position calls for direct, recent experience with multi-facility healthcare reporting, as well as in-depth familiarity with CMS and Medi-Cal reimbursement methodologies. The Reimbursement Analyst, Senior will work closely with internal finance teams, external auditors, and consultants to ensure all reporting standards are met and to support effective payer negotiations through robust reimbursement modeling and trending analyses. Your contributions will directly impact organizational strategy and financial planning, making this role both challenging and rewarding for experienced reimbursement professionals.
Reimbursement Analyst, Senior - Summary- Serve as a subject matter expert in federal and state healthcare reimbursement regulations, focusing on Medicare, Medicaid/Medi-Cal, and HCAI requirements.
- Prepare, review, and validate regulatory reports and cost filings, including Medicare Cost Reports (CMS-2552-10).
- Influence financial decision-making through advanced analysis and modeling of regulatory impacts.
- Collaborate with internal and external stakeholders to ensure compliance and support successful audits and negotiations.
- Contribute to the organization's continued success in a highly regulated environment.
- Prepare, analyze, and validate complex regulatory reports and cost filings for Medicare, Medicaid/Medi-Cal, and other government agencies.
- Manage and review Medicare Cost Reports (CMS-2552-10), including audit follow-ups and appeals processes.
- Act as a subject matter expert on HCAI (formerly OSHPD) annual reporting, providing guidance on regulatory compliance and best practices.
- Conduct financial impact analyses on regulatory changes, legislative updates, and reimbursement modifications, projecting outcomes for both system and affiliate leadership.
- Support managed care negotiations by supplying comprehensive reimbursement modeling, trending analyses, and regulatory insights for payer strategies.
- Collaborate effectively with finance teams, external auditors, and third-party consultants during contractual reviews and audits.
- Competitive compensation package designed to attract top reimbursement talent.
- Comprehensive benefits including Medical, Dental, Vision, and Life Insurance.
- Employee Stock Ownership Program, providing long-term financial incentives.
- Engagement with a company recognized for excellence, including awards such as ClearlyRated's Best of Staffing® Client and Talent Award for multiple consecutive years.
- Direct, recent experience preparing and filing HCAI (OSHPD) reports for large or multi-facility healthcare organizations.
- Demonstrated expertise in preparing Medicare Cost Reports (CMS-2552-10), including all supporting schedules, audit follow-up, and appeals.
- Extensive knowledge of CMS and Medi-Cal reimbursement methodologies and regulatory reporting standards.
- Advanced analytical and financial modeling skills, with the ability to interpret and implement complex regulatory guidance.
- Strong collaboration and communication skills, enabling effective partnerships with finance teams, auditors, and consultants.
- Experienced in multi-facility healthcare finance and regulatory reporting.
- Expert in Medicare and Medicaid reimbursement processes.
- Analytical thinker with a proven track record in financial impact modeling.
- Proactive collaborator, capable of navigating highly regulated environments.
- Committed to continual professional development and organizational success.
- This full-time position is based in San Diego, CA, a vibrant city known for its thriving healthcare sector and professional opportunities.
- Join an organization with over 25 years of industry experience and a commitment to employee success through dedicated engagement management and professional growth opportunities.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
- IDR complies with all federal and state civil rights laws and regulations, inviting applicants to voluntarily self-identify demographic and veteran status as part of our commitment to diversity and inclusion.
If you are ready to leverage your reimbursement expertise in a dynamic and rewarding environment, apply today by clicking the job application button. Take the next step in your career as a Reimbursement Analyst, Senior and become part of an organization dedicated to excellence in healthcare finance and regulatory compliance.