• Reimbursement Analyst, Sr. (Hybrid Remote)

    UPMC (Pittsburgh, PA)


    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.

     

    This position will have the potential to work from home with a hybrid schedule which includes some days in office per week and some days at home per week.

    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

    + 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