• Reimbursement Analyst

    Insight Global (Clearwater, FL)


    Job Description

    A client in the Clearwater, FL area is looking for a Senior Reimbursement Analyst to join their Finance Reimbursement team for a direct hire opportunity. This person will be responsible for preparing and filing Medicare Cost Reports annually (5-month process post fiscal year-end). Additionally, they’ll analyze and interpret CMS regulatory updates, including proposed and final rules, model Medicare settlements and forecast reimbursement impacts, support reporting for additional areas such as DSH and GME. Lastly, they will be responsible for collaborating with internal teams to assess financial implications of federal policy changes while ensuring compliance with MAC (Medicare Administrative Contractor) requirements and calculating the impacts on NPRs (Notice of Program Reimbursement).

     

    We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

    Skills and Requirements

    • 5 years of proven experience with Medicare Cost Reporting

    • Expertise in one of the following Governmental Reimbursement Areas:

     

    o GME (Graduate Medical Education)

     

    o DSH (Disproportionate Share)

    o Medicare Bad Debt

    • Ability to interpret and apply CMS regulations to financial operations.

    • Experience with financial modeling and accrual-based forecasting. • Wage Index experience

    • Transplant reimbursement experience