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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