Reimbursement Analyst

Reimbursement Analyst III Location: 100% Remote (PST hours) - MUST BE IN THE SACRAMENTO AREA Schedule: Full Time Mondayu2013Friday 8:00 AM u2013 5:00 PM PST Industry: Healthcare Hospital / Health System Nonu2011Patient Facing About the Role 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 Mediu2011Cal 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 (CMSu20112552u201110) and working within a finance/accounting reimbursement function. Key Responsibilities + Prepare and support Medicare Cost Reports (CMSu20112552u201110), with direct ownership of worksheets, allocations, and supporting schedules + Perform cost allocations, stepu2011down 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, Mediu2011Cal, 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 Required Qualifications (Must Have) + 2+ years of direct healthcare reimbursement experience focused on cost reporting + Handsu2011on experience preparing Medicare Cost Reports (CMSu20112552u201110) 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 Mediu2011Cal reimbursement methodologies + Experience supporting audits, regulatory reviews, and reimbursement appeals + Advanced Excel skills (data reconciliation, modeling, complex formulas) Preferred Qualifications + Experience in large, multiu2011facility or complex health systems + Exposure to managed care modeling tied to reimbursement and cost structures + Experience supporting budgeting, forecasting, and multiu2011year reimbursement projections + Strong collaboration skills with accounting and finance stakeholders Job Type & Location This is a Contract position based out of Sacramento, CA. Pay and Benefits 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: u2022 Medical, dental & vision u2022 Critical Illness, Accident, and Hospital u2022 401(k) Retirement Plan u2013 Pre-tax and Roth post-tax contributions available u2022 Life Insurance (Voluntary Life & AD&D for the employee and dependents) u2022 Short and long-term disability u2022 Health Spending Account (HSA) u2022 Transportation benefits u2022 Employee Assistance Program u2022 Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Sacramento,CA. Application Deadline This position is anticipated to close on May 11, 2026. About Aston Carter: 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 Staffingu00ae 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 ( ) for other accommodation options.

Created: 2026-04-29