Skip Navigation

Senior Reimbursement Analyst (Fee Schedule)

Rego Park, New York Apply Now Job ID 1145741 Category Health Insurance Operations Organization Fidelis Care Schedule Full-time
Position Purpose: Develop and recommend provider reimbursement standards, policies, and guidelines that align with industry standards and state requirements. Serve as the key liaison between health plan network management, finance and contract implementation and configuration for reimbursement processes.

Research and analyze provider reimbursement methodologies and regulatory medical coding requirements to ensure alignment with state requirements.
Develop and maintain fee schedules as required by the state.
In collaboration with Finance, conduct impact analysis related to fee schedules or payment policy changes.
Serve as primary contact to the state for all provider reimbursement methodology issues.
Identify technological solutions to implement alternative payment solutions to improve cost and contract performance.
Develop standardized reimbursement payment solutions to improve, manage and predict unit cost performance
Oversee entire project life cycle, including deliverables, resource allocations, and implementation.
Develop improvement processes and methods used to implement new provider reimbursement for the business unit.

Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, or related field or equivalent experience. 5+ years of provider reimbursement and analysis experience. Experience with Medicare and Medicaid reimbursement methodology. Managed care experience and provider billing experience preferred.


Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Apply Now

Check out this location

See what's near our New York location.

View Map

Our Hiring Process

Learn more about our hiring process and discover other helpful information for applicants.

Learn More

Sign up for Job Alerts

Join our Talent Network and get Centene news and job alerts delivered to your inbox.

Areas of InterestSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

  • Health Insurance Operations, New York, New York, United StatesRemove

Match Your Skills

Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile.

Start Matching