Reimbursement Analyst

Reimbursement Analyst III

Location: 100% Remote (PST hours) - MUST BE IN THE SACRAMENTO AREA

Schedule: Full Time | Monday–Friday | 8:00 AM – 5:00 PM PST

Industry: Healthcare | Hospital / Health System

Non‑Patient Facing

We are seeking an experienced Reimbursement Analyst III to support true provider reimbursement and cost reporting for a large, complex healthcare system. This role is focused on Medicare and Medi‑Cal cost report preparation, HCAI (OSHPD) reporting, and reconciliation to the General Ledger and financial statements.

This is not a revenue cycle, billing, claims, or AR role. Candidates must have direct experience preparing Medicare Cost Reports (CMS‑2552‑10) and working within a finance/accounting reimbursement function.

• Prepare and support Medicare Cost Reports (CMS‑2552‑10), with direct ownership of worksheets, allocations, and supporting schedules
• Perform cost allocations, step‑down methodologies, and reconciliation of cost report data to the General Ledger and financial statements
• Prepare and submit HCAI (OSHPD) reports, including supplemental filings, for California health systems
• Analyze Medicare, Medi‑Cal, and CMS reimbursement methodologies and assess financial impact to the organization
• Support desk reviews, audits, and field audits, including review of audit adjustments and management of appeals
• Develop reimbursement analyses, financial impact models, and variance explanations based on regulatory changes
• Partner closely with Accounting, Finance, GL, and Budgeting teams to ensure accurate and compliant cost reporting
• Maintain documentation to support regulatory filings, audits, and compliance requirements

• 2+ years of direct healthcare reimbursement experience focused on cost reporting
• Hands‑on experience preparing Medicare Cost Reports (CMS‑2552‑10) with worksheet ownership
• Strong experience with General Ledger data, cost allocations, and reconciliation to financial statements
• Experience with HCAI (OSHPD) reporting for California health systems
• Knowledge of CMS, Medicare, and Medi‑Cal reimbursement methodologies
• Experience supporting audits, regulatory reviews, and reimbursement appeals
• Advanced Excel skills (data reconciliation, modeling, complex formulas)

• Experience in large, multi‑facility or complex health systems
• Exposure to managed care modeling tied to reimbursement and cost structures
• Experience supporting budgeting, forecasting, and multi‑year reimbursement projections
• Strong collaboration skills with accounting and finance stakeholders

Job Type & Location

This is a Contract position based out of Sacramento, CA.

The pay range for this position is $35.00 - $45.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Sacramento,CA.

This position is anticipated to close on May 11, 2026.

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com for other accommodation options.