Consultant

Accede Solutions Inc

Sacramento, CA(remote)

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JOB DETAILS

SKILLS

Analysis Skills, Auditing, Budgeting, Centers for Medicare and Medicaid Services (CMS), Consulting, Cost Reporting, Data Modeling, External Audit, Finance, Financial Analysis, Financial Modeling, Financial Projections, Financial Trend Analysis, Forecasting, Healthcare, Healthcare Reimbursement, Maintain Compliance, Managed Care, Medi-Cal, Medicare, Medicare Cost Reports, Negotiation Skills, Office of Statewide Health Planning and Development, Process Management, Regulations, Regulatory Submissions, Reimbursement, Trend Analysis

LOCATION

Sacramento, CA

POSTED

30+ days ago

Shift: Day 5x8-Hour (08:00 - 17:00)

Description:

Job Title: Reimbursement Analyst III
Location: 100% Remote
Schedule: 5x8 Days (08:00 17:00) PST | Non-patient-facing

Requirements:

2+ years of experience in healthcare reimbursement or financial analysis
Experience with HCAI (OSHPD) reporting for large or multi-facility health systems
Experience preparing Medicare Cost Reports (CMS-2552-10) including worksheets and audit support
Strong knowledge of CMS, Medicare, and Medi-Cal reimbursement methodologies
Experience reviewing audit adjustments and managing appeals with regulatory agencies
Ability to analyze complex regulatory guidance and produce financial impact models
Experience supporting audits, regulatory filings, and compliance documentation
Proficiency in financial analysis, reporting, and reimbursement modeling

Preferred Requirements:

Experience supporting managed care negotiations with reimbursement modeling
Experience collaborating with finance teams and external auditors
Ability to produce multi-year financial projections and trend analyses
Experience contributing to budgeting and forecasting cycles
Familiarity with regulatory disclosures and supplemental filings
Experience working in large, complex healthcare systems

Summary / Duties:
The Reimbursement Analyst III supports complex reimbursement functions for a large healthcare system in a fully remote capacity. This role focuses on preparing, analyzing, and validating Medicare and Medi-Cal cost reports, HCAI filings, and regulatory disclosures while ensuring compliance with federal and state requirements. Responsibilities include reviewing audit adjustments, managing appeals processes, and serving as a subject matter expert on reimbursement methodologies and reporting standards. The analyst provides financial impact analyses on regulatory changes, supports managed care negotiations with modeling and trend data, and contributes to budgeting and forecasting cycles. This position collaborates closely with finance teams, auditors, and external stakeholders to ensure accuracy, compliance, and timely submission of all reimbursement-related deliverables.

About the Company

Accede Solutions Inc

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