University of Pittsburgh Medical Center

Reimbursement Analyst, Sr.

Pittsburgh, PA, US

Hybrid
Full-time
7 days ago
Save Job

Summary

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. 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 Qualifications: * 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

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