Medicaid Hospital Reimbursement Analyst
Summary
Analyzes Medicaid hospital reimbursement methodologies like EAPG, APR-DRG, and MS-DRG to ensure accurate provider payments and compliance with state-specific rules.
Become a part of our caring community The Business Systems Analysis Professional 2 will build and maintain working knowledge of Medicaid reimbursement methodologies, including complex grouping concepts such as EAPG, APR-DRG, MS-DRG, and related facility reimbursement logic. This role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Network Operations (PNO) organization. Researching state-specific Medicaid reimbursement methodologies for hospitals and f…