Provider Reimbursement Analyst Job
Spectrum Health - Grand Rapids, MI

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Provider Reimbursement Analyst

Job ID #: 4331
Bi-weekly Hours: 80
Entity: Corporate
Shift: Day
Employment Classification: Full-time with Benefits (A1)
Shift Length: 8 hours
Hours of Work: 8:00 a.m.-5 p.m.
Facility: Priority Health
Days Worked: Monday-Friday
Department: Ph-Provider Information Mgmt
Weekend Frequency: N/A

Company Description

Spectrum Health is a not-for-profit, award winning, integrated health system based in West Michigan. Our organization includes a medical center, regional community hospitals, a dedicated children's hospital, a multispecialty medical group and a nationally recognized health plan, Priority Health.

We invest in our people by supporting a dynamic, high-performing workplace. Our collaborative approach to patient care includes a commitment to provide an exceptional experience for patients and their families. Spectrum Health supports successful career growth, in an innovative environment.

Position Summary

The Provider Reimbursement Analyst gathers and analyzes financial data for the purpose of making decisions about various payment methodologies. Knowledge of facility and physician reimbursement methods will be combined with data analysis and business decision-making abilities to make recommendations regarding payment strategies.


Basic Qualifications:
5 years of financial analysis experience in a health care or health insurance environment
2 years of experience experience working with spreadsheet software (preferably MS Excel) and database software (preferably MS Access) or programming languages (SQL) for analysis and decision-support modeling.
Knowledge of health care delivery and financing arrangements and significant experience with medical/clinical data and analysis and provider reimbursement methods and concepts (Medicare, Medicaid, commercial).

About this company
218 reviews
Offering more health services than colors in the rainbow, Spectrum Health is a regional health system that serves western Michigan. The...