Senior Reimbursement Analyst
Job ID: 490243 Posted 1 day ago
San Diego, California
Contract
Clinical
40-55
Job Details
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IDR is seeking a Senior Reimbursement Analyst to join one of our top clients for an opportunity in San Diego, CA. This role offers the chance to work within a leading healthcare organization in a highly regulated environment, focusing on complex reimbursement and regulatory reporting processes.
Position Overview for the Senior Reimbursement Analyst:
- Prepare, analyze, and validate complex regulatory reports and cost filings required by Medicare, Medicaid/Medi-Cal, and other federal and state agencies.
- Manage and review Medicare Cost Reports (CMS-2552-10), including handling audit follow-ups and appeals.
- Serve as a subject matter expert on HCAI (formerly OSHPD) annual reporting, Medicare/Medicaid reimbursement methodologies, and program regulations.
- Provide financial impact analyses on regulatory changes, legislation, and reimbursement updates with multi-year projections for system and affiliate leaders.
- Support managed care negotiations by supplying reimbursement modeling, trending analyses, and regulatory insights to influence payer strategies.
Requirements for the Senior Reimbursement Analyst:
- Direct, recent experience preparing and filing HCAI (OSHPD) reports for large or multi-facility healthcare organizations.
- Demonstrated experience preparing Medicare Cost Reports (e.g., CMS-2552-10), including worksheets, supporting schedules, audit follow-up, and appeals.
- Strong knowledge of CMS reimbursement principles, Medi-Cal reimbursement methodologies, and regulatory reporting standards.
- Advanced analytical skills with the ability to interpret complex regulatory guidance and translate it into financial impact models.
- Excellent collaboration skills to work effectively with finance teams, external auditors, and third-party consultants during contractual reviews and audits.
What's in it for you?
- Competitive compensation package
- Full Benefits; Medical, Vision, Dental, and more!
- Opportunity to get in with an industry leading organization.
Why IDR?
- 25+ Years of Proven Industry Experience in 4 major markets
- Employee Stock Ownership Program
- Dedicated Engagement Manager who is committed to you and your success.
- Medical, Dental, Vision, and Life Insurance
- ClearlyRated's Best of Staffing® Client and Talent Award winner 12 years in a row.
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Why Us?
IDR has been in business for over 25 years and offers access to hundreds of companies across the country to work for. For many of the contractors that work for us, there are some unique benefits to being a part of the IDR team. One specific benefit is that we believe our contractors are part of something bigger than yourself. We are an employee-owned company and in an ESOP (Employee Stock Ownership Plan), as the share price of our company grows, so does your equity in our company. Our contractors, as well as our internal employees, can participate in this plan after one year of service. In addition to joining our ESOP program, you will also receive weekly pay, 401k access, and access to three different benefit plans that cover 50% of the individual premiums along with access to unlimited behavioral health sessions with a licensed counselor.
About Us
IDR, Inc. is an award-winning, employee-owned staffing firm with headquarters in Alpharetta, GA and offices in the Nashville, Dallas, and Denver markets. Founded in 1998, IDR has grown to serve businesses and professionals across industries including IT, healthcare, accounting and finance, government services, and professional services. Recognized for our expertise and the high-touch approach of our Engagement Management Program, IDR continues to build rewarding partnerships with companies and consultants. Our best-in-class service has earned IDR ClearlyRated’s Best of Staffing Client and Talent awards for ten consecutive years, in addition to awards from Staffing Industry Analysts and Best and Brightest Companies to Work For. With our commitment to empowering talent and developing leaders, we’re passionate about what we do and how we do it, and we look forward to working with you.