Sanford Health

Reimbursement Analyst

Sanford Health
Posted 10/19/2026full-timeRemote • United StatesJuniorMid-Level💰 $24 - $39 per hourWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in healthcare reimbursement methodologies, including Medicare and Medicaid regulations, while effectively analyzing and implementing payment strategies. Proficient in preparing financial analyses and managing third-party payor contracts to support organizational financial health.

Highest-signal resume keywords
Healthcare Reimbursement MethodologiesMedicare And Medicaid RegulationsThird-Party Payor Contract ManagementData Analysis And ReportingAttention To Detail

About the role

Key responsibilities & impact
  • Analyze and implement new payment methodologies to establish optimal reimbursement and payment levels
  • Participate in implementation and monitoring of reimbursement functions, including Medicare, Medicaid, third-party cost reports, audits, appeals, DSH programs, 340B drug discount programs, and CPT/HCPCS code changes
  • Prepare impact analyses of proposed and final Medicare and Medicaid regulation changes
  • Analyze payor contract changes during negotiations and finalizations
  • Prepare third-party payor contracts in Experian and Contract Maintenance
  • Research third-party payor issues
  • Support annual pricing and fee schedule updates, including physician compensation impacts
  • Assist with annual budgeting and audit processes
  • Support operations and CDM teams in maintaining chargemasters and setting up new codes and prices
  • Produce, analyze, and integrate data for projects and reports
  • Support finance and accounting relationships across the enterprise
  • Provide reimbursement and accounting support and serve as a resource
  • Review and assist in revising policies and procedures

Requirements

What you’ll need
  • Bachelor degree required in business administration, finance, healthcare management, information technology (IT) or related field
  • Minimum two years of related work experience, preferably in hospital, clinic or insurance finance and/or managed care reimbursement
  • Minimum one year of related work experience, preferably in hospital, clinic or insurance finance and/or managed care reimbursement
  • Demonstrated knowledge and experience in health care reimbursement related to claim editing, groupers, provider reimbursement and methodologies (MS/APR DRG; APC, EAPG, CPT/HCPCS)
  • Knowledge of industry standard coding and payment rules
  • Strong attention to detail
  • Ability to promote integrity and confidentiality of data
  • Ability to prepare data in a useful and understandable format

Benefits

Comp & perks
  • Flexible remote work
  • Work-life balance
  • Exposure to senior leadership
  • Extensive cross-functional collaboration
  • Growth and continuous learning opportunities

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claim EditingProvider ReimbursementCPT/HCPCS CodingMS/APR DRGAPCEAPGImpact AnalysisBudgetingFinancial ReportingData Integration
Soft Skills
Attention To DetailIntegrityConfidentialityData Presentation
Tools & Technologies
ExperianContract Maintenance
Industry Keywords
Healthcare ManagementManaged Care ReimbursementCost ReportsAuditsDSH Programs340B Drug Discount Programs