Reimbursement Analyst I - Work From Home
Quick Summary
Bachelor Degree in Business Administration or Computer Science with 3 years' experience in data analysis and reimbursement OR 7 years' experience to include data analysis,
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
This position is responsible for developing reports based on a number of internal/external databases using common programming languages. This person will create pricing models for network negotiations and fee schedule updates used for claims adjudication and implement pricing information into the PREMIER Pricer system. Will also be responsible for validating and researching report results using the original operation systems and reporting databases as well as presenting reports to internal/external customers and responding to follow-up questions.
Required Job Qualifications:
- Bachelor Degree in Business Administration or Computer Science with 3 years' experience in data analysis and reimbursement OR 7 years' experience to include data analysis, reimbursement analysis/modeling, and college courses.
- Experience and basic understanding of reimbursement methods and financial modeling.
- Health Care data experience and knowledge of Medicare pricing methodologies (RBRVS, DRG, ASC).
- Verbal and written communication skills as well as interpersonal skills necessary to work in a team environment.
- Analytical skills.
- Self-starter with ability to work with minimal supervision to meet deadlines.
- PC proficiency to include MS Office or other spreadsheet and word processing software for Windows
Preferred Job Qualifications:
- Technical background in BASIC programming languages.
- 1 year experience or more in FACETS or other Reimbursement Systems.
- 1 year experience with Provider contract (operations, fee schedules, rate sheets, contract lifecycle support, etc.)
- 1 year healthcare claims adjudication experience.
Sponsorship will not be provided for this role.
This is a Telecommute (Remote) role.
#LI-LI1
#LI-Remote
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.
Exact compensation may vary based on skills, experience, and location.
Location & Eligibility
Listing Details
- Posted
- September 29, 2026
- First seen
- September 30, 2026
- Last seen
- September 30, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 59%
- Scored at
- September 30, 2026
Signal breakdown
Stay ahead of the market
Get the latest job openings, salary trends, and hiring insights delivered to your inbox every week.
No spam. Unsubscribe at any time.