Reimbursement Program Jobs

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Reimbursement Program jobs are at the heart of healthcare finance, and the demand is soaring. As Medicare Advantage plans adopt value‑based payment models and CMS pushes new quality metrics, employers need specialists who can navigate complex claim adjudication, negotiate payer contracts, and keep revenue cycles running smoothly. With 7,270 openings, the market is crowded, making it essential to stand out with clear skillsets and proven results.

Typical roles include Reimbursement Analyst, Claims Processor, Revenue Cycle Manager, Payer Relations Specialist, Data Analyst, and Policy Analyst. These positions require hands‑on experience with ICD‑10, CPT, and HCPCS coding, proficiency in claims platforms such as Trizetto, Cerner, and Meditech, and the ability to build SQL queries or Tableau dashboards that surface reimbursement inefficiencies. Strong knowledge of CMS guidelines, bundled payment programs, and data‑driven negotiation tactics is also essential.

Salary transparency matters because reimbursement work sits at the intersection of finance, regulation, and patient outcomes. When pay is clearly disclosed, professionals can benchmark their value against industry standards, negotiate better compensation, and reduce turnover in a field where expertise is scarce. Transparent listings also signal a company’s commitment to fair pay, which attracts top talent eager to thrive in a data‑rich, compliance‑heavy environment.

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Frequently Asked Questions

What are typical salary ranges by seniority for Reimbursement Program roles?

Entry‑level Reimbursement Analyst: $55k‑$70k annually. Mid‑level Analyst or Junior Revenue Cycle Manager: $70k‑$90k. Senior Analyst, Revenue Cycle Manager, or Claims Supervisor: $90k‑$120k. Director or VP of Reimbursement: $120k‑$160k+. These ranges vary by region and payer size.

What skills and certifications are required in Reimbursement Program positions?

Key skills include ICD‑10, CPT, HCPCS coding, claims adjudication, SQL, Tableau/Power BI, and knowledge of CMS regulations. Certifications such as AAPC CPC, CCS, or CCA, and payer‑specific credentials (e.g., Optum Claims Specialist) are highly valued. Proficiency in claims platforms (Trizetto, Cerner, Meditech) and data‑analytics tools is often required.

Is remote work available for Reimbursement Program roles?

Remote reimbursement roles are common, especially for analysts and data scientists. Companies rely on secure cloud‑based platforms—Epic Cloud, Cerner Open Developer Experience, and VPN access—to process claims and monitor dashboards. Most remote positions still require occasional on‑site visits for audit or compliance training, but daily work can be performed from any location with a reliable internet connection.

What are the career progression paths in Reimbursement Program?

Typical ladder: Claims Processor → Reimbursement Analyst → Senior Analyst → Revenue Cycle Manager → Director of Reimbursement → VP of Finance or Operations. Advancement often requires mastering data‑visualization, negotiation skills, and cross‑functional collaboration with IT, compliance, and clinical teams.

What are the current industry trends affecting Reimbursement Program roles?

The reimbursement landscape is shifting toward value‑based care, bundled payments, and real‑time analytics. AI and machine learning are increasingly used for fraud detection and predictive modeling. Interoperability standards like FHIR and HL7 are driving deeper data exchange between payers and providers, creating demand for specialists who can translate clinical data into reimbursement strategies.

Reimbursement Program Jobs

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