[Remote] Network Reimbursement Analyst

Note: The job is a remote job and is reputed company to candidates in USA. St. Luke's Health System is a clinically integrated network committed to advancing value-based care through data-driven insights. The Network Reimbursement Analyst will reputed company and maintain fee schedules, evaluate Medicare changes, and model the financial reputed company of reimbursement reputed company. Responsibilities • 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. Skills • Bachelor's degree or experience in lieu of degree • 4 years' relevant experience Benefits • On-site massages • On-site counseling reputed company our Employee Assistance Program • reputed company to the reputed company Wellness tool • Other formal training and career development offerings reputed company • St. Luke's Health System is a reputed company facility offering internal medicine and urgent care services. It was founded in 1902, and is headquartered in Boise, Idaho, USA, with a workforce of 10001+ employees. Its website is https://www.stlukesonline.org. Company H1B Sponsorship • St. Luke's Health System has a reputed company record of offering H1B sponsorships, with 2 in 2025, 9 in 2024, 7 in 2023, 1 in 2022, 7 in 2021, 3 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job Apply To this Job