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Reimbursement Fee Schedule Analyst Jobs (NOW HIRING)

CareFirst

Reimbursement Analyst (Remote)

Baltimore, MD · Remote

Will be responsible for reviewing and analyzing information for various provider reimbursement and ... fee schedule. * Respond to ad hoc requests such as auditing of contracts, responses to RFI/RFPs ...

UPMC Health Plan

Reimbursement Analyst

Pittsburgh, PA · Hybrid

Knowledge of fee schedules, case rates, per-diems, PDPM, as well as any other reimbursement ... Including accurate, easy to understand analysis of the negotiated rates. * Monitor and review new ...

Addison Group

Fee Schedule Specialist

Grand Island, NY · Remote

$23 - $28/hr

The Fee Schedule Specialist will review, analyze, and process complex medical bills to ensure compliance with applicable fee schedules and insurance requirements. Key Responsibilities: * Review and ...

Dental Care Alliance

Remote Fees Analyst

Sarasota, FL · Remote

Responsibilities Build, update, and assign high-volume fee schedules in Denticon by payer, provider ... Stay current on reimbursement models, leased networks, and compliance requirements Systems ...

Dental Care Alliance

Remote Fees Analyst

Sarasota, FL · Remote

Responsibilities Build, update, and assign high-volume fee schedules in Denticon by payer, provider ... Stay current on reimbursement models, leased networks, and compliance requirements Systems ...

Dental Care Alliance

Remote Fees Analyst

Sarasota, FL · On-site +1

Responsibilities Build, update, and assign high-volume fee schedules in Denticon by payer, provider ... Stay current on reimbursement models, leased networks, and compliance requirements Systems ...

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How much do reimbursement fee schedule analyst jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for reimbursement fee schedule analyst in the United States is $32.54, according to ZipRecruiter salary data. Most workers in this role earn between $25.72 and $37.74 per hour, depending on experience, location, and employer.

What is the difference between Reimbursement Fee Schedule Analyst vs Reimbursement Specialist?

AspectReimbursement Fee Schedule AnalystReimbursement Specialist
CredentialsTypically requires a degree in healthcare administration, finance, or related field; certifications like CPC or CCS may be preferredOften requires similar credentials; certifications like CPC or CCS are common
Work EnvironmentPrimarily office-based, analyzing fee schedules, data, and reimbursement policiesOffice or hospital-based, handling claims, billing, and reimbursement issues
Employer & Industry UsageUsed by insurance companies, healthcare providers, and government agencies to develop and analyze fee schedulesEmployed by hospitals, clinics, and insurance companies to process claims and ensure proper reimbursement

Both roles involve understanding healthcare reimbursement processes, but the Reimbursement Fee Schedule Analyst focuses on analyzing and developing fee schedules, while the Reimbursement Specialist handles claims and billing. They often work together within healthcare finance teams, sharing similar credentials and work environments.

What are the key skills and qualifications needed to thrive as a reimbursement fee schedule analyst?

To thrive as a Reimbursement Fee Schedule Analyst, you need strong analytical skills, proficiency in healthcare reimbursement methodologies, and a background in finance, accounting, or healthcare administration. Familiarity with claims processing systems, Excel, and healthcare coding systems (such as CPT, HCPCS, and ICD-10) is typically required. Attention to detail, problem-solving ability, and effective communication are important soft skills for interpreting data and working with cross-functional teams. These competencies ensure accurate reimbursement rates, compliance with regulations, and optimized financial performance for healthcare organizations.

What is a reimbursement fee schedule analyst?

A Reimbursement Fee Schedule Analyst is a professional who develops, maintains, and analyzes fee schedules for healthcare reimbursements. They work with insurance companies, healthcare providers, and government agencies to ensure that payments for medical services are accurate and comply with regulations. Their role involves interpreting complex reimbursement policies, analyzing data, and making recommendations to optimize payment processes. This position is crucial for maintaining financial accuracy and efficiency in healthcare organizations.

How to become a reimbursement fee schedule analyst?

To become a reimbursement fee schedule analyst, candidates typically need a bachelor's degree in healthcare administration, finance, or a related field. Relevant skills include knowledge of healthcare billing, coding, and reimbursement policies, along with proficiency in data analysis tools like Excel or specialized software. Gaining experience through internships or entry-level positions in healthcare finance can also be beneficial.

What are some typical challenges a reimbursement fee schedule analyst faces when maintaining accurate fee schedules?

One common challenge for Reimbursement Fee Schedule Analysts is keeping up with frequent changes in payer contracts, government regulations, and coding updates, which require regular review and adjustment of fee schedules. Analysts must also ensure data accuracy across multiple systems and collaborate closely with billing, coding, and compliance teams to address discrepancies or questions. Effective communication and strong attention to detail are essential for managing these complexities and avoiding costly billing errors.
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Reimbursement Fee Schedule Analyst jobs near you
Infographic showing various Reimbursement Fee Schedule Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 64% Full Time, 32% Part Time, and 3% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $67,679 per year, or $32.5 per hour.

Reimbursement Analyst (Remote)

CareFirst

Baltimore, MD • Remote

Full-time

Retirement

Re-posted 26 days ago

CareFirst BlueCross BlueShield rating

7.3

Company rating: 7.3 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

235th of 303 rated insurance

Job description

Resp & Qualifications

PURPOSE: 
This position is responsible for preparing analyses associated with the development of reimbursement policy, strategies, cost of care impacts and work flows for healthcare providers' reimbursement fee levels.  The incumbent will develop recommendations and prepare competitive analyses to include industry, regional, and internal benchmarks.  Will be responsible for reviewing and analyzing information for various provider reimbursement and network strategy projects, preparing routine reports, claims resolve and fee disclosure related documents.  May apply across Commercial and Government Program methodologies.

We are looking for an experienced professional to live and work remotely from within the greater Baltimore/Washington metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities. 
ESSENTIAL FUNCTIONS:

  • Construct Excel spreadsheets and Access databases of claims data retrieved from a variety of sources.  Perform competitive financial analyses of the data, providing various scenarios and recommendations using negotiation strategies by various departments. 
  • Perform detailed financial analyses of the claims utilization data to determine the competitiveness of CareFirst's various reimbursement rates, provide scenarios for reimbursement alternatives and make recommendations to management. Assist in developing pricing recommendations for services on the Professional Physician fee schedule.
  • Respond to ad hoc requests such as auditing of contracts, responses to RFI/RFPs, researching industry policies and reimbursement methodologies.  Compile fee disclosure requests and pricing of daily claim inquiries from various sources.


QUALIFICATIONS:
Education Level: Bachelor's Degree in HealthCare Administration, Business Administration, Finance or related field OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Experience: 3 years doing financial analysis/modeling in the field of health insurance or health care.

Preferred Qualifications:
Understanding of national or local reimbursement mechanisms and methodologies for Commercial and Government Programs, such as Medicare or Medicaid.

Knowledge, Skills and Abilities (KSAs)

  • Excellent verbal and written communication skills.
  • Excellent PC skills including intermediate to advanced level knowledge of Microsoft Access and advanced level knowledge of Microsoft Excel, and Microsoft Word.
  • Analytical and mathematical aptitude and have the ability to manage multiple tasks at the same time while prioritizing projects in order to accomplish departmental and corporate goals and objectives.
  • The ability to develop financial models/impact analyses and recommend action to management based on the results of those models.


Salary Range: 53,928 - 107,107

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Provider Payment and Regulator

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer.  It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Federal Disc/Physical Demand

Note:  The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position.  Occasional walking or standing is required.  The hands are regularly used to write, type, key and handle or feel small controls and objects.  The associate must frequently talk and hear.  Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship.

#LI-NH2 

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