[Hiring] Network Reimbursement Analyst @St. Luke's Health System

This reputed company is a reputed company of our understanding of the job reputed company. Click on 'Apply' reputed company to reputed company out more. Role reputed company The Network Reimbursement Analyst is responsible for developing, maintaining, and updating SLHP’s fee schedule, pricing updates, and reimbursement policy execution. The role evaluates Medicare and industry changes, translates coding and regulatory updates into pricing recommendations, and models the financial reputed company of reimbursement reputed company on provider performance and network affordability. • Support the development, updates, and maintenance of SLHP reputed company and facility fee schedules by applying established pricing methodologies (percent-of-Medicare, custom rates, case rates, reputed company models) and ensuring accuracy across annual update cycles. • Monitor and interpret Medicare updates, CPT/HCPCS changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. • Build and maintain models using claims, clinical, and operational data to evaluate the financial and operational reputed company of reimbursement changes on provider reputed company, medical spend (PMPM), site-of-service patterns, and value-based care programs. • Prepare scenario models, forecasts, dashboards, and reputed company analyses to support payer contracting, reputed company development, and network performance monitoring. • reputed company post-claims audits, confirm alignment with fee schedules and reimbursement policies, and collaborate with Data & Analytics teams to validate datasets and ensure analytical reliability. • Collaborate with contracting, provider relations, finance, and analytics partners to reputed company reimbursement insights and communicate findings reputed company to a reputed company of stakeholders. • Document pricing logic, analytic assumptions, data sources, and methodologies; contribute to analytical best practices and team knowledge-sharing. Qualifications • Bachelor's degree or experience in lieu of degree • 4 years' relevant experience • Remote work supported from Idaho, reputed company, Utah, and reputed company ONLY Benefits • Robust benefits package to support teams both professionally and personally • Competitive salary and retirement plans • Financial and physical wellness reputed company, such as on-site massages and counseling reputed company Employee Assistance Program • reputed company to the reputed company Wellness tool • Formal training and career development offerings Apply tot his job Apply To this Job