Trinity Health · 2 hours ago
Sr Reimbursement Analyst
Clive, IA
Full-time
Hybrid
Senior Level
5+ years expTrinity Health is a healthcare organization committed to delivering compassionate, person-centered care. The Sr Reimbursement Analyst will conduct financial analyses related to Medicare and Medicaid policies, prepare cost reports, and provide analytical support to ensure compliance with reimbursement regulations.
DeliveryHealth Care
Responsibilities
Knows, understands, incorporates and demonstrates the mission, vision and values of Trinity Health in leadership behaviors, practices and decisions
Conducts prospective analysis of the potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such regulatory changes
Monitors policies and procedures to ensure reimbursement practices adhere to federal, state and other third-party reimbursement regulations
Prepares Annual Medicare, Medicaid, Blue Cross and Tricare cost reporting for the Trinity Health Corporate Office and Trinity Information Systems
Prepares quarterly Medicaid reporting schedules
Prepares Rolling Forecasts and Annual Budgets
Participates in the Medicare, Medicaid and Blue Cross audits of Trinity Health Corporate Office, Trinity Information Systems, and the various insurance programs with focus on Graduate Medical Education, Disproportionate Share, Bad Debt and the S-10
Analyzes tentative and final settlements. Coordinates, researches and analyzes prior year reopening and appeals
Prepares financial month end close reporting for Net Revenue. Responsibilities include, but are not limited to, accessing databases, and utilizing reporting tools to extract data, generate reports, perform data analysis, and draft system/process improvement recommendations
Prepares analyses and interprets highly complex reimbursement issues. Prepares complex financial models and analyses to assure proper reimbursement
Participates in third-party payer preparing impact analysis and recommendations
Participates in developing and monitoring appeals with third party payers
Provides analytical reimbursement support, consulting, and education to the corporate office and member organizations
Reviews and analyzes member organization third party reserves and net revenue/contractual calculations
Conducts analysis related to revenue improvement initiatives
Prepares project analysis regarding operational issues, new programs, service lines, expansions, etc
Serves as a subject matter expert and resource by providing guidance and problem resolution to internal associates on matters impacting projects and day-to-day assignments
Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior
Performs other duties as assigned
Qualification
Required
Bachelor's degree in Business Administration, Finance, Accounting, Informatics or related field or an equivalent combination of education and related experience
Five (5) to seven (7) years of progressively responsible operational or consulting experience in revenue management (e.g., reimbursement, cost reporting, forecasting, decision support, health information management)
Some knowledge and experience of the healthcare industry or hospital financial operations
Advanced proficiency with Microsoft product suite (MS Word, Excel, Power Point), financial systems/software, relational database management and business intelligence reporting tools
Ability to utilize PC-based financial tools (i.e., spreadsheets, databases, graphics, etc.)
Must possess a high degree of analytical, quantitative, evaluative and problem-solving skills
Considerable knowledge and experience supporting and developing reporting and analytics for research, process improvement support and specific revenue management function
Ability to develop appropriate methods to collect, analyze and report data
Strong attention to detail and organizational skills
Demonstrated ability to manage multiple, concurrently running projects and adapt to changing deadlines, competing priorities and unexpected assignments
Ability to work independently and with minimal supervision
Ability to work in a team environment providing support to multiple positions
Ability to resolve problems and complete assignments accurately and promptly
Excellent oral and written communication skills
Flexibility to work with a multitude of customers and issues and willingness to take on new responsibilities
Ability to manage/lead small projects or portions of projects
Demonstrated ability to respect confidential and sensitive information, understanding and honoring lines of accountability and communication is essential
Some knowledge of organization policies, procedures, and processes
Ability to operate in an ambiguous and matrix organizational structure
Ability to operate in a highly autonomous self-directed manner under frequently changing structures, requirements, and priorities
Must be comfortable operating in a collaborative, shared leadership environment
Must possess a personal presence that is characterized by a sense of honesty, Integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health
Company
Trinity Health
Trinity Health is one of the largest multi-institutional Catholic health care delivery systems in the nation.
10001+ employees
H1B Sponsorship
Trinity Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (12)
2023 (10)
2022 (9)
2021 (7)
2020 (14)
Funding
Current Stage
Late StageTotal Funding
$0.02MKey Investors
Centers for Disease Control and Prevention
2025-10-17Grant· $0.02M
Leadership Team
Dan Drake
Trinity Health PACE President and CEO
Eileen Coogan
Pres/CEO Allegany Franciscan Ministries
Recent News
HealthCareIT News
2026-02-05
2026-01-16
Company data provided by crunchbase