Consultant

Shift: Day 5x8-Hour (08:00 - 17:00)Description:Job Title: Reimbursement Analyst IIILocation: 100% RemoteSchedule: 5x8 Days (08:00 17:00) PST | Non-patient-facingRequirements:2+ years of experience in healthcare reimbursement or financial analysisExperience with HCAI (OSHPD) reporting for large or multi-facility health systemsExperience preparing Medicare Cost Reports (CMS-2552-10) including worksheets and audit supportStrong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologiesExperience reviewing audit adjustments and managing appeals with regulatory agenciesAbility to analyze complex regulatory guidance and produce financial impact modelsExperience supporting audits, regulatory filings, and compliance documentationProficiency in financial analysis, reporting, and reimbursement modelingPreferred Requirements:Experience supporting managed care negotiations with reimbursement modelingExperience collaborating with finance teams and external auditorsAbility to produce multi-year financial projections and trend analysesExperience contributing to budgeting and forecasting cyclesFamiliarity with regulatory disclosures and supplemental filingsExperience working in large, complex healthcare systemsSummary / Duties:The Reimbursement Analyst III supports complex reimbursement functions for a large healthcare system in a fully remote capacity. This role focuses on preparing, analyzing, and validating Medicare and Medi-Cal cost reports, HCAI filings, and regulatory disclosures while ensuring compliance with federal and state requirements. Responsibilities include reviewing audit adjustments, managing appeals processes, and serving as a subject matter expert on reimbursement methodologies and reporting standards. The analyst provides financial impact analyses on regulatory changes, supports managed care negotiations with modeling and trend data, and contributes to budgeting and forecasting cycles. This position collaborates closely with finance teams, auditors, and external stakeholders to ensure accuracy, compliance, and timely submission of all reimbursement-related deliverables.