Cincinnati Children's Hospital Medical Center
Reimbursement Analyst III
Cincinnati Children's Hospital Medical Center, San Jose, California, United States, 95199
JOB RESPONSIBILITIES
Cost Reporting-
Prepare the Medicare/Medicaid Cost reports by developing supporting schedules. Develop supporting work papers in accordance with government cost reporting principles for management's review. Enter data into Medicare/Medicaid Cost Report Software. Progressive knowledge of Center for Medicare & Medicaid Services (CMS) cost reporting, DSH exam log files, IME/GME, Medicare Wage Index, Medicaid cost reporting and HCAP/Uncompensated Care. Responsible for 340B Trial Balance, registration, and recertification.
Cost Accounting-
Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated and if not revenue whether or not the expense should directly reclassified or indirectly allocated as overhead and which overhead category is appropriate. Develop and organize detailed work papers to support quarterly costing data. Recommend approaches for improvement activities, recommend and perform new processes, collect and measure data, develop processes based on performance and communicate results.
Data Analysis-
Strong working knowledge of the state & federal cost reporting requirements in order to extract compliant data using our existing business intelligence software. Compare data to prior year to identify large variances that need further analysis, explanation, and documentation.
Compliance-
Stay current with the latest CMS and State Medicaid regulations related to cost reporting, reimbursement, and payment methodologies. Understand and communicate the implication that changes to regulations will have on the institution and proactively work to support changes to comply with new regulations. Ability to model the regulatory changes to engage and educate leadership.
Collaboration-
Establish working relationships with cross-functional teams, such as IS, reimbursement/billing and hospital/clinical services to obtain data for cost reporting needs. Assist external parties (auditors, regulatory agencies) during audits including collaborating with other departments across the hospital to manage these requests. Provide reimbursement and regulatory updates to varying levels of leadership. Assist department leadership with training needs, review of work, and setting daily priorities.
JOB QUALIFICATIONS
Bachelor's degree in a related field
Preferred: Master's degree in a related field
7+ years of work experience in a related job discipline
4+ years of Medicare cost reporting experience
MS Excel, Access, and Business Intelligence experience
Familiar with CMS Medicare/Medicate cost reports including various cost reporting worksheets included but not limited to Worksheet C, D, G, H, I and B-1 statistics.
Preferred: CPA
Primary Location
South Campus Schedule
Full time Shift
Day (United States of America) Department
Accounting - General Employee Status
Regular FTE
1 Weekly Hours
40 *Expected Starting Pay Range $67,537.60 - $86,112.00 Market Leading Benefits Including : Medical coverage starting day one of employment.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*Benefits may vary based on FTE Status and Position Type About Us
At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children’s Hospitals in the nation for more than 15 years
Consistently among the top 3 Children’s Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America’s Best Large Employers (2025)
One of the nation's America’s Most Innovative Companies as noted by Fortune
Consistently certified as a great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
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Cost Reporting-
Prepare the Medicare/Medicaid Cost reports by developing supporting schedules. Develop supporting work papers in accordance with government cost reporting principles for management's review. Enter data into Medicare/Medicaid Cost Report Software. Progressive knowledge of Center for Medicare & Medicaid Services (CMS) cost reporting, DSH exam log files, IME/GME, Medicare Wage Index, Medicaid cost reporting and HCAP/Uncompensated Care. Responsible for 340B Trial Balance, registration, and recertification.
Cost Accounting-
Responsible for classifying new cost centers by analyzing whether the labor matches the revenue generated and if not revenue whether or not the expense should directly reclassified or indirectly allocated as overhead and which overhead category is appropriate. Develop and organize detailed work papers to support quarterly costing data. Recommend approaches for improvement activities, recommend and perform new processes, collect and measure data, develop processes based on performance and communicate results.
Data Analysis-
Strong working knowledge of the state & federal cost reporting requirements in order to extract compliant data using our existing business intelligence software. Compare data to prior year to identify large variances that need further analysis, explanation, and documentation.
Compliance-
Stay current with the latest CMS and State Medicaid regulations related to cost reporting, reimbursement, and payment methodologies. Understand and communicate the implication that changes to regulations will have on the institution and proactively work to support changes to comply with new regulations. Ability to model the regulatory changes to engage and educate leadership.
Collaboration-
Establish working relationships with cross-functional teams, such as IS, reimbursement/billing and hospital/clinical services to obtain data for cost reporting needs. Assist external parties (auditors, regulatory agencies) during audits including collaborating with other departments across the hospital to manage these requests. Provide reimbursement and regulatory updates to varying levels of leadership. Assist department leadership with training needs, review of work, and setting daily priorities.
JOB QUALIFICATIONS
Bachelor's degree in a related field
Preferred: Master's degree in a related field
7+ years of work experience in a related job discipline
4+ years of Medicare cost reporting experience
MS Excel, Access, and Business Intelligence experience
Familiar with CMS Medicare/Medicate cost reports including various cost reporting worksheets included but not limited to Worksheet C, D, G, H, I and B-1 statistics.
Preferred: CPA
Primary Location
South Campus Schedule
Full time Shift
Day (United States of America) Department
Accounting - General Employee Status
Regular FTE
1 Weekly Hours
40 *Expected Starting Pay Range $67,537.60 - $86,112.00 Market Leading Benefits Including : Medical coverage starting day one of employment.
Competitive retirement plans
Tuition reimbursement for continuing education
Expansive employee discount programs through our many community partners
Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions
Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group
Physical and mental health wellness programs
Relocation assistance available for qualified positions
*Benefits may vary based on FTE Status and Position Type About Us
At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s. Cincinnati Children's is: Recognized by U.S. News & World Report as a top 10 best Children’s Hospitals in the nation for more than 15 years
Consistently among the top 3 Children’s Hospitals for National Institutes of Health (NIH) Funding
Recognized as one of America’s Best Large Employers (2025)
One of the nation's America’s Most Innovative Companies as noted by Fortune
Consistently certified as a great place to work
A Leading Disability Employer as noted by the National Organization on Disability
Magnet designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us. Comprehensive job description provided upon request. Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability
#J-18808-Ljbffr