Purpose:
The UPMC Health Plan is seeking a Reimbursement Analyst to fill an opening in our Hospital Reimbursement department. This role offers a flexible work arrangement and is required to be in office in downtown Pittsburgh 3 days per week; however; the remaining days can be worked remotely.

The Reimbursement Analyst is a middle level analytical position responsible for all aspects of provider reimbursement. This includes establishing and maintaining compensation rates for hospitals, physicians, and ancillary services. Knowledge of fee schedules, case rates, per-diems, PDPM, as well as any other reimbursement methodology is required.

This role is Hybrid and will require 3 days onsite in Downtown Pittsburgh

Responsibilities:

+ Work with Reimbursement Specialist in developing / negotiating reimbursement rates for new providers. Including accurate, easy to understand analysis of the negotiated rates.
+ Monitor and review new pricing configuratio...