Reimbursement Analyst I

Health Care Service Corporation

. Develop reports based on internal and external databases using common programming languages .

Posted 9/29/2026full-timeRemote • United StatesMid-LevelSenior💰 $63,300 - $114,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data analysis and reimbursement methodologies, with a strong focus on health care pricing models and financial modeling. Proficient in developing reports and utilizing reimbursement systems to support claims adjudication processes.

Highest-signal resume keywords

Data AnalysisReimbursement Analysis/ModelingHealth Care Data ExperienceMedicare Pricing MethodologiesMS Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReimbursement Analysis/ModelingFinancial ModelingReport DevelopmentBASIC ProgrammingPricing Model CreationClaims AdjudicationFACETS System ExperiencePricing Information ImplementationValidation of Report Results

Soft Skills

Verbal Communication SkillsWritten Communication SkillsInterpersonal SkillsAnalytical SkillsAbility to Work Independently

Tools & Technologies

PREMIER Pricer SystemMS OfficeSpreadsheet SoftwareWord Processing Software

Industry Keywords

Health CareMedicareRBRVSDRGASCProvider Contracts

About the role

Key responsibilities & impact

Develop reports based on internal and external databases using common programming languages
Create pricing models for network negotiations and fee schedule updates used for claims adjudication
Implement pricing information into the PREMIER Pricer system
Validate and research report results using original operating systems and reporting databases
Present reports to internal and external customers
Respond to follow-up questions

Requirements

What you’ll need

Bachelor Degree in Business Administration or Computer Science with 3 years' experience in data analysis and reimbursement OR 7 years' experience to include data analysis, reimbursement analysis/modeling, and college courses
Experience and basic understanding of reimbursement methods and financial modeling
Health Care data experience and knowledge of Medicare pricing methodologies (RBRVS, DRG, ASC)
Verbal and written communication skills and interpersonal skills necessary to work in a team environment
Analytical skills
Ability to work with minimal supervision to meet deadlines
PC proficiency including MS Office or other spreadsheet and word processing software for Windows
Sponsorship will not be provided for this role
Preferred: technical background in BASIC programming languages
Preferred: 1 year or more in FACETS or other Reimbursement Systems
Preferred: 1 year experience with provider contracts
Preferred: 1 year healthcare claims adjudication experience

Benefits

Comp & perks

Curated development plans and professional development
Health and wellness benefits
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan