IDR, Inc. · 1 day ago
Senior Reimbursement Analyst
United States
Full-time
Remote
Senior LevelIDR, Inc. is seeking a Senior Reimbursement Analyst to join one of their top clients in San Diego, CA, within a leading healthcare organization. This role focuses on managing complex reimbursement and regulatory reporting processes, including preparing and analyzing regulatory reports and cost filings for Medicare and Medicaid.
SoftwareRoboticsInformation Technology
Responsibilities
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
Qualification
Required
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
Benefits
Full Benefits; Medical, Vision, Dental, and more!
Employee Stock Ownership Program
Medical, Dental, Vision, and Life Insurance
Company
IDR, Inc.
IDR, Inc.
Founded in 1998
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Ashley Holahan
President and CEO
Recent News
2025-11-19
SeekingAlpha
2023-11-24
Company data provided by crunchbase