Trilyon, Inc. · 5 hours ago
Reimbursement Analyst
United States
Contract
Remote
Mid Level
$50/hr - $59/hrTrilyon, Inc. has been a leader in global workforce solutions for over 16 years, specializing in Cloud Technology, AI/ML, Software Development, Technical Writing, and Digital Transformation. They are seeking a Reimbursement Analyst III who will be responsible for preparing, reviewing, and analyzing regulatory reports and cost filings required by Medicare and Medicaid, supporting complex affiliates, and providing financial impact analyses on regulatory changes.
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Hiring Manager
Divyanshi Dwivedi
Responsibilities
Preparing, analyzing, and validating cost reports, supplemental filings, and regulatory disclosures in accordance with CMS, Medicare, Medicaid/Medi-Cal, and state agency requirements
Performing detailed review of Medicare and Medicaid/Medi-Cal audit adjustments; managing the appeals process including preparation of supporting documentation and coordination with CMS/HCFA, HCAI, and the Department of Health Services
Serving as a subject matter expert on HCAI annual reporting, Medicare/Medicaid reimbursement methodologies, program regulations, and cost report implications
Providing financial impact analyses on regulatory changes, newly enacted or proposed legislation, and reimbursement updates; producing multi-year projections for system and affiliate leaders
Supporting Managed Care negotiations by supplying reimbursement modeling, trending analyses, and regulatory insights that influence payer strategy
Collaborating with affiliate finance teams during contractual reviews and audits, and with external auditors or third-party consultants on reimbursement-related evaluations
Contributing to annual budget development and forecast cycles by supplying government-payer revenue projections grounded in cost report and HCAI data
Ensuring accuracy, timeliness, and compliance across all submissions, internal workpapers, and supporting documentation
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., Form 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
Company
Trilyon, Inc.
Trilyon, Inc.
Founded in 2009
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Carolyn Joshua
President & CEO
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