Sr Reimbursement Analyst - Finance - Sharp Corporate - ...

Facility: Corporate Offices City San Diego Department Job Status Regular Shift Day FTE 1 Shift Start Time Shift End Time Bachelor's Degree Hours : Shift Start Time: Not Specified Shift End Time: Not Specified AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: 8 hr/day shifts, M-F, flexible start/end times Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $49.700 - $64.130 - $71.820 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicantu2019s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do To provide leadership in the coordination and accumulation of documentation relating to reimbursement issues (analysis, cost report preparation, review and recommendation, governmental physician reimbursement analysis, preparation and review of Medicare/Medi-Cal and OSHPD reports, analysis and recommended action on proposed regulations, and coordinating the appeals process) to enable Sharp HealthCare entities to obtain the highest possible reimbursement on governmental programs. To act as a liaison to fiscal intermediaries and coordinate the audit process. To assist in standardizing the financial reporting of third party reimbursement. Required Qualifications + 2 Years reimbursement experience with a Fiscal Intermediary or in an acute care setting. Preferred Qualifications + Bachelor's Degree in Business Administration with major in finance or accounting. + Additional experience in financial analysis. + Affiliation with HealthCare Financial Management (HFMA). Essential Functions + Customer serviceCustomer Service - Demonstrates effective customer relations by:Consistently communicating with Executives, Operations Senior Management, department members and other Sharp employees in a pleasant, professional and effective manner;Responding appropriately to need, preferences and dissatisfactions expressed by customers within a time period appropriate to the request;Maintaining confidentiality;Ensuring effective, customer-focused operations of responsible areas;Providing effective consultation and support services to Executives, Operations Senior Management, to assist in strategic and operational planning and facilitate achievement of organizational and departmental goals;Developing and coordinating the development of the System net revenue/third party reimbursement budgets;Assisting Senior Management with financial feasibility and other financial analyses for special projects, joint venture proposals, affiliations, operations, etc;Analyzing and interpreting trends and variances requiring Senior Management's attention;Providing effective financial consultation and training to Senior Management and other Sharp management personnel to assist in strategic and operational decision making for the System;Assisting Senior Management with other financial requests and analyses. + LeadershipAssessment Rating by Manager of Reimbursement and/or Director of Reimbursement/Peers Overall Score Meets/Exceeds.Provides effective leadership of the Reimbursement Department, including properly motivating staff, ensuring optimum levels of productivity, re-engineering workloads, etc.Assessment Rating by Vice President, Finance Overall Score Meets/Exceeds.Assessment Rating by Selected Customers Overall Score Meets/Exceeds. + QualityEffectiveness - Ensures optimum performance of the Senior Reimbursement Analyst function by:Recommending and implementing/assisting in the implementation of techniques to improve productivity, increase efficiencies, reduce costs, take advantage of opportunities and maintain state-of-the-art practices;Ensuring compliance with corporate policies, HCFA, DHS and other regulatory agencies;Ensuring that audit adjustments proposed by the external auditors have no net effect on net income for items within the responsibility of the Senior Reimbursement Analyst excluding items based on estimation and judgment when such items were discussed with and agreed by the Manager of Reimbursement and Director of Reimbursement;Coordinating with the Manager of Reimbursement external third party audit functions;Reviewing and coordinating with the Manager of Reimbursement external third party re-openings and appeals;Keeping abreast of current trends and practices in healthcare financial reporting, accounting regulations and management practices;Demonstrating ability to effectively manage third party reimbursement functions of the Systems by insuring that no

Created: 2026-03-30