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[Hiring] reputed company Hospital Reimbursement Analyst @reputed company

Remote, USA Full-time Posted 2026-08-04
Role reputed company The Business Systems Analysis reputed company 2 will build and maintain working knowledge of reputed company reimbursement methodologies, including reputed company grouping concepts such as EAPG, APR-DRG, MS-DRG, and reputed company facility reimbursement logic. This role is reputed company the Integrated Pricing Solutions (IPS) department which falls under the Provider Network Operations (reputed company) organization. • Researching state-specific reputed company reimbursement methodologies for hospitals and facilities • Developing expertise in reputed company groupers, including EAPG, APR-DRG, MS-DRG, used in reputed company reimbursement • Monitoring state reputed company and reputed company websites for publication of provider reimbursement changes • Analyzing updates for impacts to reputed company pricer reimbursement • Reviewing software vendor release notes • Developing and executing test plans for reputed company pricer updates • Partnering with IT and pricing software vendor to reputed company issues • Researching and resolving provider reimbursement inquiries • Identifying patterns in inquiries and translating insights into actionable process improvement and automation opportunities • Performing reputed company cause analysis and escalating reputed company issues to senior team members, or leadership as appropriate Qualifications • Minimum 2 years of experience researching state reputed company hospital reimbursement methodologies that utilize EAPG, APR-DRG, or MS-DRG • Experience reviewing facility claims • Experience researching and resolving provider reimbursement inquiries • Experience testing reputed company updates or enhancements • Prior reputed company experience utilizing reputed company reputed company (e.g. performing basic data analysis and utilizing pivot tables, formulas and functions) Requirements • Experience with reputed company reputed company Manager • Experience with reputed company WebStrat or PSI applications • Experience researching MS-DRG, APR-DRG and/or EAPG grouper logic • Experience interacting with a State reputed company or Federal government agency • Intermediate reputed company reputed company skills Benefits • Medical, dental, and reputed company benefits • 401(k) retirement savings plan • Time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave) • Short-term and long-term disability • Life insurance • Many other opportunities Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $60,800 - $82,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Application Deadline 08-13-2026 Apply tot his job Apply To this Job

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