Sr. Reimbursement Analyst

Job Summary

Develops and maintains systems for valuing Patient Accounts Receivable and Third-party settlements and explains Net Revenue variances to budget and historical trends. Ensures complete data is collected for the accurate and complete filing of government cost reports. Tracks and manages adjustments by government auditors and ensures appeals are filed of any adjustments considered inappropriate.

Job Requirements

• Education and Work Experience: Bachelor's Degree or equivalent combination of education/related experience
• Five years' relevant experience

Essential Functions

• Reviews, analyzes and interprets executed insurance contracts, government regulations and other noncontracted business reimbursement methods.
• Sets up and maintains a Patient Account Receivable valuation system using historical payment averages with logic and judgment.
• Reviews, analyzes and interprets government regulations, applicable contract terms and cost accounting principles to set up and maintain monthly Settlement estimates.
• Analyzes revenue and contractual adjustment variances against both budget and historical trend, by both payer and business segment.
• Presents variances to management in standardized categories such as volume, payer mix, service mix, acuity mix, prior period adjustments and yield.
• Works with local markets, system shared services units and, as appropriate, with external consultants to collect and evaluate all information necessary for the accurate and complete preparation of both interim cost reports, and the filing of annual governmental cost reports.
• Works with all appropriate internal parties to defend filed cost reports to government auditors.
• Tracks and manages the settlements of Prior Year cost reports and any appropriate appeals of adjustments included by the auditors in their final Notice of Program Reimbursement reports.

Organizational Requirements

• Receives all required vaccinations as a condition of employment and annually thereafter, where applicable.
• Medical and religious exemptions may apply.
• Participates in E-Verify.

About Us

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

JOB INFO

• Job Identification : 59122
• Job Category : Analyst
• Posting Date : 2026-04-06T22:29:13+00:00
• Job Schedule : Full time
• Job Shift : Day Shift
• Locations : Roseville, CA, United States
• Assignment Category : Full-time regular
• Pay Range : The estimated base pay for this position is $78,000 to $116,104. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.