Reimbursement Analyst

Location: Remote, MN | Job ID: R-0278269

About the role

This position offers a unique opportunity to lead and contribute to strategic Provider Network Economics initiatives that directly influence reimbursement strategy, provider partnerships, operational performance, and organizational financial results. The role provides significant exposure to senior leadership, extensive cross-functional collaboration, and the opportunity to shape innovative payment models that support high-quality, affordable healthcare. Beyond the strategic impact of the work, you will join a high-performing and highly collaborative team that values initiative, intellectual curiosity, and a growth mindset. We seek individuals who are energized by solving complex problems, building strong partnerships, challenging conventional thinking, and identifying opportunities to improve processes and outcomes. Candidates who thrive in an environment that emphasizes teamwork, accountability, continuous learning, and innovation will find this role both challenging and rewarding. This position also offers the flexibility of working remotely, enabling team members to collaborate effectively while maintaining a healthy work-life balance.

Responsibilities

• Provides analytical and reimbursement related support to operating segments across the Sanford Enterprise
• Assists in analyzing and implementing new payment methodologies to establish optimal reimbursement and payment levels
• Participates in the implementation and monitoring of reimbursement functions, including Medicare, Medicaid, or other third-party cost reports, related audits, appeals, disproportionate share hospital (DSH) programs, drug discount programs (340B), and CPT/HCPCS code changes
• Prepares impact analysis of payor proposed and final Medicare and Medicaid regulation changes
• Assists with impact analysis of payor contract changes during negotiations and finalization of contracts
• Prepares third-party payor contracts in Experian and Contract Maintenance (hospital and clinic payment integrity tools)
• Researches third-party payor issues
• Supports annual pricing and fee schedule updates, including impacts on physician compensation
• Assists with annual budgeting and audit processes such as monthly discounts, year-end discounts, and third-party reserves
• Provides ongoing support to operations and CDM team in maintaining chargemasters, particularly setting up new codes and establishing prices
• Assists in ongoing pricing initiatives across the enterprise
• Produces reports, analyzes and integrates data, and completes other projects accurately and efficiently
• Exercises strong attention