**Careers With Purpose** **Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.** **Facility:** Annex Building **Location:** Fargo, ND **Address:** 415 3rd Ave N, Fargo, ND 58102, USA **Shift:** 8 Hours - Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Salary Range:** $31.00 - $49.50 **Department Details** This position can be flexible and be either remote or located in our Fargo or Sioux Falls or Marshfield locations with Fargo preferrable if the person is not remote. We have a solid group of people in our department and have relatively little turnover except for retirements. **Job Summary** The Lead Reimbursement Analyst provides critical analytical and reimbursement related direction, guidance and support to operating segments across the Sanford Health enterprise. Strategically leads the reimbursement team in analyzing and implementing new payment methodologies in order to establish optimal reimbursement and payment levels. Creates policies and procedures for reimbursement functions including estimating, modeling and reporting provider reimbursement/payment levels. Coaches others in the organization regarding reimbursement functions. Directs the implementation and monitoring of reimbursement functions, which includes Medicare, Medicaid or other third party cost reports, related audits, appeals, disproportionate share hospital (DSH) programs, drug discount programs (340B) and CPT/HCPS code changes. Leads the review and impact analysis of payor proposed and final Medicare and Medicaid regulation changes. Reviews and provides expertise in the impact analysis of payor contract changes during negotiations and finalizations of contracts. Consults and reviews third party payor contracts in Experian and Contract Maintenance (i.e. hospital and clinic payment integrity tools). Acts as a resource while coaches others regarding third party payor issues. Directs reports for the annual pricing and fee schedule updates including impacts on physician compensation. Consults in the annual budgeting and audit process such as monthly discounts, year-end discounts and third party reserves. Contributes and monitors on-going support of operations and CDM team in maintaining and charging masters particularly as it relates to setting up new codes and establishing prices. Assists in on-going pricing initiatives across the enterprise. Reviews and produces reports, analyzes and integrates data alongside completing other projects accurately and efficiently. Possesses strong attention to detail. Promotes integrity and confidentiality of data when sharing with others. Develops, summarizes, presents and explains data in useful and understandable formats. Accepts and responds to questions and challenges regarding information provided. Develops and maintains relationships with finance and accounting staff across the enterprise. Coaches individuals and provides reimbursement and accounting support. Develops, reviews and updates policies and procedures when directed. **Qualifications** Bachelor's degree in Accounting, Business, or healthcare related field with strong financial focus. Minimum of seven years experience related to reimbursement with Medicare and other third party payers. **Benefits** Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits . Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org . Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment. **Req Number:** R-0231763 **Job Function:** Finance **Featured:** No