Reimbursement Analyst I - Work From Home

National Remote, US🌐 Remote💼 Full-time💰 $63,300–$63,300🗓 2026-09-29 → 2026-09-30

Core

Develops reports using internal/external databases and creates pricing models for network negotiations and fee schedule updates used for claims adjudication.

Role type

Reimbursement Analyst

Builds

Pricing models, fee schedules, and reports for claims adjudication

Domain

Health Care / Reimbursement & Financial Modeling

Required skills

Data analysis, Reimbursement analysis/modeling, Health Care data knowledge, Medicare pricing methodologies (RBRVS, DRG, ASC), Financial modeling, Programming languages, MS Office/Spreadsheet software

Preferred skills

BASIC programming languages, FACETS or similar Reimbursement Systems experience, Provider contract operations experience, Healthcare claims adjudication experience

Responsibilities

Develop reports based on internal/external databases, Create pricing models for network negotiations, Implement pricing information into the PREMIER Pricer system, Validate and research report results, Present reports to internal/external customers

Seniority

Mid-level, individual contributor

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About hcsc

HCSC is recruiting for a leader in our Data Science Engineering function. The team is responsible for the engineering practices that bring AI and machine learning solutions to production at scale, including model deployment, MLOps, monitoring, and reliability. The Senior Director will lead a team of machine learning engineers who partner closely with data scientists, product managers, and IT to operationalize AI/ML solutions that deliver tangible business value.