[Remote] Network Reimbursement Analyst

Note:The job is a remote job and is open to candidates in USA. St. Luke's Health System is a clinically integrated network committed to advancing value-based care through data-driven insights. The Network Reimbursement Analyst will develop and maintain fee schedules, evaluate Medicare changes, and model the financial impact of reimbursement decisions. Responsibilities• Support the development, updates, and maintenance of SLHP professional and facility fee schedules by applying established pricing methodologies (percent-of-Medicare, custom rates, case rates, blended models) and ensuring accuracy across annual update cycles.• Monitor and interpret Medicare updates, CPT/HCPCS changes, RVU shifts, APC/DRG refinements, modifier rules, NCCI edits, and payer policy changes; prepare analytical summaries and recommended pricing adjustments. • Build and maintain models using claims, clinical, and operational data to evaluate the financial and operational impact of reimbursement changes on provider revenue, medical spend (PMPM), site-of-service patterns, and value-based care programs. • Prepare scenario models, forecasts, dashboards, and ad-hoc analyses to support payer contracting, strategy development, and network performance monitoring.• Perform post-claims audits, confirm alignment with fee schedules and reimbursement policies, and collaborate with Data & Analytics teams to validate datasets and ensure analytical reliability. • Collaborate with contracting, provider relations, finance, and analytics partners to provide reimbursement insights and communicate findings clearly to a variety of stakeholders. • Document pricing logic, analytic assumptions, data sources, and methodologies; contribute to analytical best practices and team knowledge-sharing.Skills• Bachelor's degree or experience in lieu of degree• 4 years' relevant experienceBenefits• On-site massages• On-site counseling via our Employee Assistance Program• Access to the Personify Health Wellness tool• Other formal training and career development offeringsCompany Overview• St. Luke's Health System is a healthcare facility offering internal medicine and urgent care services. It was founded in 1902, and is headquartered in Boise, Idaho, USA, with a workforce of 10001+ employees.Its website isCompany H1B Sponsorship• St. Luke's Health System has a track record of offering H1B sponsorships, with 2 in 2025, 9 in 2024, 7 in 2023, 1 in 2022, 7 in 2021, 3 in 2020. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job