About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Accounting & Finance.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

---

What You’ll Do

As a Healthcare Reimbursement Analyst (Associate, Analyst, or Senior level), you will join the Provider Reimbursement team supporting provider contract administration, claims payment logic, and reimbursement program maintenance. Responsibilities include:

• Support development, implementation, and maintenance of reimbursement programs, billing guidelines, and system requirements that govern hospital, physician and other provider billing and payments.
• Analyze claims, contract language, and reimbursement methodologies (including Medicare and Medicare Advantage) to support accurate payment execution.
• Produce ad-hoc and recurring financial and utilization analyses, reports, and pricing/fee disclosures.
• Develop or review system specifications and testing criteria to ensure claims payment aligns with contract terms.
• Create training documentation, billing/payment guidelines, and implementation notes for internal and external stakeholders.
• Respond to RFIs/RFPs, audit requests, and cross-functional questions from Network Administration, Network Operations, IT, Benefits Administration, and Provider Audit teams.
• Work with senior staff (or independently at senior level) to design and implement process improvements and system changes.
• Track, document, and communicate findings, assumptions, and recommendations clearly and accurately.

---

What We’re Looking For

Minimum requirements and skills vary by level:

• All levels:
  • Bachelor’s degree in statistics, accounting, finance, mathematics, health informatics, or related field.
  • Strong analytical, written, and verbal communication skills; attention to detail.
  • Advanced Microsoft Excel (PivotTables) proficiency.
  • Experience with query/reporting tools: Microsoft Access or SQL Server (SQL skills required).
• Associate / Entry:
  • 0–2 years relevant experience in financial analysis, reimbursement, or healthcare finance.
  • Demonstrated ability to learn medical coding and reimbursement concepts.
• Analyst / Intermediate:
  • 2+ years professional experience in reimbursement, financial analysis, or related healthcare roles.
  • Experience interpreting coding, billing, and payment rules; producing statistical analysis.
• Senior:
  • 4+ years experience in healthcare accounting, billing/coding, Medicare, or reimbursement program analysis.
  • Provider contract analysis and reimbursement program implementation experience preferred.
  • Proven ability to independently design system specifications and lead complex implementations.

---

Leveling & Career Progression

• Candidates may be considered for Associate, Analyst, or Senior placement depending on demonstrated skills and experience.
• Level decisions and promotional readiness consider SQL proficiency, analytical judgment, independence, healthcare domain knowledge, complexity of assignments, project leadership, and ability to work across business areas. Years of experience alone are not the sole determinant for level placement.

---

Additional Information & Legal Notices

• Employment type: Full-time.
• Location: Baton Rouge, LA. Residency in or relocation to Louisiana is preferred for many roles.
• Work authorization: Applicants must be authorized to work in the United States without employer-sponsored immigration support. Our client will not provide H-1B, L-1, O-1, H-1B1, E-3, TN, J-1, or F-1 OPT/CPT sponsorship.
• Background & drug screen: Offers are contingent upon successful background checks and pre-employment drug screening. Certain felony convictions may affect eligibility under state insurance laws.
• Health & workplace policies: The client maintains a smoke- and tobacco-free workplace and a drug-free workplace policy.
• Reasonable accommodation: If you are an individual with a disability and require a reasonable accommodation to complete an application, contact Careertakes through the platform so we can coordinate assistance.
• Internal applicants: internal application instructions (if any) are handled by the hiring organization; external applicants should apply via the Careertakes process.

---

Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.