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Remote Reimbursement Analyst Jobs in Michigan (NOW HIRING)

Senior Financial Analyst, Remote

Novi, MI ยท On-site +1

$80K - $99K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Senior Financial Analyst will work with the FP&A team to provide support with the annual budget ... Reimbursement Program 401(k) with up to 4% match Stock options And much more! At Aledade PBC, we do ...

Senior Financial Analyst, GTM

Three Rivers, MI ยท On-site +1

$103K - $134K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Alteryx is looking for a Senior Financial Analyst, GTM to join our GTM Finance team, reporting to ... remote work-related expenses * An annual $200 home office reimbursement Alteryx offers a ...

Credit Analyst

Grand Rapids, MI ยท On-site +1

$150/day

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote work arrangements would be considered, depending on qualifications. In this role, you will ... Paid Parental leave * $150/year Logo Wear allowance * $400/year Wellness Subsidy/Reimbursement ...

Credit Analyst

East Lansing, MI ยท On-site +1

$150/day

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote work arrangements would be considered, depending on qualifications. In this role, you will ... Paid Parental leave * $150/year Logo Wear allowance * $400/year Wellness Subsidy/Reimbursement ...

Specialty Claims Analyst (Troy, MI)

Troy, MI ยท Remote

$21 - $24/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Applicants for this remote role will only be considered if they live in these locations: Illinois ... Tuition reimbursement program * Career development opportunities * Referral bonus for all ...

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Remote Reimbursement Analyst information

What does a remote reimbursement analyst do?

A Remote Reimbursement Analyst is responsible for reviewing, analyzing, and processing healthcare claims to ensure correct payment and compliance with insurance policies and regulations. They work from a remote location, often communicating with healthcare providers, payers, and patients to resolve billing issues and discrepancies. Their role involves interpreting billing codes, auditing claims, and ensuring that reimbursement practices follow federal and state guidelines. By doing so, they help healthcare organizations optimize revenue while minimizing errors and denials.

What is the difference between Remote Reimbursement Analyst vs Remote Claims Specialist?

AspectRemote Reimbursement AnalystRemote Claims Specialist
Required CredentialsHealthcare-related certifications, knowledge of insurance policiesInsurance or healthcare certifications, claims processing knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance companies or healthcare providers
Industry UsageHealthcare, insurance reimbursementInsurance, healthcare claims processing

The Remote Reimbursement Analyst and Remote Claims Specialist roles share similarities in credentials and work environment, often working remotely within healthcare or insurance sectors. The main difference lies in their focus: reimbursement analysts primarily handle reimbursement processes and policy compliance, while claims specialists focus on processing and adjudicating insurance claims. Both roles require strong knowledge of insurance policies and healthcare regulations, making them closely related but distinct in their daily responsibilities.

What are the key skills and qualifications needed to thrive as a remote reimbursement analyst, and why are they important?

To thrive as a Remote Reimbursement Analyst, you need strong analytical skills, a solid understanding of healthcare reimbursement processes, and typically a degree in health administration, finance, or a related field. Expertise with claims management systems, medical billing software, and knowledge of payer regulations such as Medicare and Medicaid is often required. Excellent attention to detail, problem-solving abilities, and clear communication are essential soft skills for success in this remote role. These competencies ensure accurate claims processing, compliance with regulations, and effective communication with stakeholders, ultimately supporting the financial health of the organization.

What are some typical challenges faced by remote reimbursement analysts, and how can they be addressed?

Remote Reimbursement Analysts often encounter challenges such as navigating complex insurance policies, keeping up with frequent changes in reimbursement regulations, and ensuring accuracy when processing claims without direct in-person collaboration. To address these, analysts can leverage robust communication tools to stay connected with their team, participate in ongoing training to keep up-to-date with policy changes, and utilize specialized software designed to streamline claims management. Proactive organization and regular check-ins with supervisors or colleagues can also help maintain accuracy and efficiency in a remote environment.

What are the most commonly searched types of Reimbursement Analyst jobs in Michigan?

The most popular types of Reimbursement Analyst jobs in Michigan are:

What cities in Michigan are hiring for Remote Reimbursement Analyst jobs?

Cities in Michigan with the most Remote Reimbursement Analyst job openings:

AVP Corporate Reimbursement & Net Revenue Optimization

Corporate Services

Detroit, MI โ€ข Remote

Full-time

Re-posted 11 days ago


Job description

The Associate Vice President (AVP), Reimbursement & Net Revenue Optimization provides strategic leadership and oversight of reimbursement and net revenue functions across Henry Ford Health. This role will lead two directors over Net Revenue Reporting and Cost Reporting who will be responsible for driving accuracy, transparency, and performance in net revenue results for all acute care hospitals, behavioral services, and employed providers. This role has the potential of being a remote/hybrid position for the selected candidate.ย 

In addition to overseeing traditional reimbursement functions, this role will lead a systemwide transformation of Reimbursement and Net Revenue operations. The AVP will redesign team structures, improve upstream processes in collaboration with Revenue Cycle, Finance, Managed Care, System Analytics, and the Mosaic CIN. This leader plays a central role in telling the "story" of revenue performance while building durable processes that protect and optimize system revenue.

Principal Duties & Responsibilities

Net Revenue Leadership

  • Lead monthly net revenue modeling, forecasting, and variance analysis, ensuring accuracy and timely delivery of systemwide results.

  • Optimize net revenue reporting tools, methodologies, and analytic capabilities.

  • Direct the development of annual net revenue budgets in partnership with operational, financial, and contracting teams.

  • Coordinate with Value-Based Enterprise (VBE) leadership to ensure value-based revenues are accurately modeled and recorded.

  • Partner with Managed Care Contracting to ensure contract terms, reimbursement methodologies, and modeling tools align with net revenue assumptions.

  • Oversee balance sheet contractual reserve analyses and communicate financial drivers and trends to Finance leadership.

  • Direct third-party cost report filings, audit responses, and settlement calculations.

Reimbursement Transformation

  • Lead systemwide redesign of Reimbursement and Net Revenue operations, establishing integrated team structures that support accuracy, efficiency, and proactive revenue management.

Regulatory, Technology & Policy Strategy

  • Monitor regulatory and payer policy changes, assessing financial and operational impacts in coordination with Revenue Cycle, Managed Care, Government Affairs, and Policy.

  • Lead the development and execution of a comprehensive Reimbursement Playbook aligned with system priorities.

  • Evaluate and implement technologies and automation that improve efficiency, increase accuracy, and support scalable reimbursement operations.

Leadership & Organizational Culture

  • Foster a collaborative, high-performing work environment focused on accountability, service excellence, and staff development.
  • Provide education and consultation to internal stakeholders on reimbursement methodologies, regulatory changes, and revenue impacts.
  • Manage multiple projects and priorities in a fast-paced environment while driving execution and measurable improvement.

Education & Experience Required

  • Bachelor's degree required; master's degree in business, health administration, finance, or related field preferred.

  • Certified Public Accountant (CPA) preferred.

  • Minimum 7 years of leadership experience in a healthcare organization, preferably within a large integrated health system.

  • Minimum 10 years of experience in reimbursement, net revenue modeling, or revenue integrity.

  • Extensive knowledge of reimbursement methodologies, payer requirements, and regulatory frameworks.

  • Demonstrated experience with net revenue modeling, cost reporting tools, and reimbursement technologies.

  • Strong understanding of revenue cycle operations, denial prevention strategies, and financial impacts to net revenue.

  • Excellent analytical, communication, and interpersonal skills; ability to effectively present complex financial concepts to leadership.

  • Proven ability to lead teams, develop talent, and manage multiple high-impact initiatives.

Additional Information
  • Organization: Corporate Services
  • Department: Revenue Cycle Administration
  • Shift: Day Job
  • Union Code: Not Applicable