Reimbursement Analyst I

Health Care Service Corporation

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

Posted 9/23/2026full-timeRemote • Tennessee • United StatesMid-LevelSenior💰 $55,900 - $123,500 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 healthcare data and financial modeling. Proficient in developing reports and pricing models, utilizing programming languages and reimbursement systems to support claims adjudication.

Highest-signal resume keywords

Data AnalysisReimbursement Analysis/ModelingHealthcare Data ExperienceMedicare Pricing MethodologiesPC Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReimbursement AnalysisFinancial ModelingReport DevelopmentPricing ModelsBASIC ProgrammingFACETSClaims AdjudicationPricing Information ImplementationValidation and Research

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal SkillsAnalytical SkillsTeam Collaboration

Tools & Technologies

PREMIER PricerMS OfficeSpreadsheet SoftwareWord Processing Software

Industry Keywords

HealthcareMedicareRBRVSDRGASCProvider ContractsFee SchedulesRate SheetsContract Lifecycle Support

About the role

Key responsibilities & impact

Develop reports using internal and external databases and 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's degree in Business Administration or Computer Science with 3 years' experience in data analysis and reimbursement, OR 7 years' experience including data analysis, reimbursement analysis/modeling, and college courses
Experience and basic understanding of reimbursement methods and financial modeling
Healthcare data experience
Knowledge of Medicare pricing methodologies (RBRVS, DRG, ASC)
Verbal and written communication skills and interpersonal skills to work in a team environment
Analytical skills
Ability to work with minimal supervision and 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 experience in FACETS or other reimbursement systems
Preferred: 1+ year experience with provider contracts, including operations, fee schedules, rate sheets, and contract lifecycle support
Preferred: 1+ year healthcare claims adjudication experience

Benefits

Comp & perks

Curated development plans and professional development opportunities
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
Annual incentive bonus plan
Other incentives