OPT Reimbursement Analyst Jobs
Reimbursement Analyst roles sit at the intersection of healthcare billing, insurance claims, and regulatory compliance, making them a strong fit for F-1 OPT students with degrees in health administration, finance, or business. Most positions qualify as specialty occupations, supporting both standard 12-month OPT and the 24-month STEM extension.
Find OPT Reimbursement Analyst JobsOverview
Showing 5 of 56+ Reimbursement Analyst jobs
See all 56+ Reimbursement Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new Reimbursement Analyst roles.
Get Access To All JobsSUMMARY
Under general direction, the Senior Contracting and Reimbursement Analyst supports the negotiation, analysis, administration, and financial evaluation of hospital and physician value-based payor agreements. The role combines value-based contracting expertise and net revenue analysis. The role ensures value-based contracts are financially sound, operationally executable, compliant with governmental requirements, and aligned with the system’s strategy. The incumbent evaluates new and existing arrangements, including value-based and alternative payment models; prepares reimbursement analyses, cost report support, net revenue estimates, and financial forecasts; coordinates contract implementation and audit activities. Serves as a liaison among affiliates, finance, analytics, operations, and clinical stakeholders.
Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
- Instill Trust and Value Differences
- Patient and Community Focus and Collaborate
PRINCIPAL DUTIES AND RESPONSIBILITIES
Value-based Contract Negotiation and Administration
- Assists with payor relations and contracting leadership with hospital and physician negotiations.
- Evaluates new and existing value-based arrangements, bundled payment models, shared savings agreements, and other alternative payment models.
- Assists in coordination of timely contract execution, renewal, renegotiation, amendment, implementation, and distribution of relevant contract materials.
- Prepares and distributes value-based variance analyses, rate matrices, executive summaries, contract abstracts, and other documentation required to communicate financial and operational terms to affected parties.
- Acts as a liaison to health plans, system affiliates, physician organizations, finance, operations, legal, analytics, and other stakeholders regarding contract terms, implementation, and issue resolution.
Reimbursement, Net Revenue, and Financial Analysis
- Prepares and analyzes financial and statistical data required for governmental and third-party reimbursement reporting, affiliate and consolidated cost reports, net revenue schedules, month-end close, budgeting, forecasting, and settlement estimates.
- Analyzes reimbursement methodologies, contract rates, payment terms, rate calculations, final settlements, pass-through payments, advance payments, and payer remittances to identify underpayments, overpayments, financial risk, and opportunities for improvement.
- Quantifies estimated reimbursement from governmental and commercial payors and supports balance sheet and income statement adjustments for liabilities and receivables related to third-party settlements.
- Works closely with analytics and finance leadership to evaluate contract profitability, model financial impacts, monitor performance against contract terms, and develop methodologies to measure reimbursement changes.
- Prices governmental and third-party reimbursement for new or expanded clinical programs and coordinates financial studies related to new programs, product lines, service expansion, and contracting opportunities.
- Participates in development of the annual net revenue operating budget and related forecasts.
Regulatory, Audit, and Compliance Support
- Maintains current knowledge of commercial payor requirements and governmental reimbursement regulations and analyzes their financial, contractual, reporting, and operational impact.
- Prepares and assembles financial and statistical reports required by governmental agencies, third-party payors, auditors, and external advisors.
- Coordinates and supports third-party reimbursement and contract audits, responds to inquiries, assesses proposed audit adjustments, and communicates material issues to leadership.
- Recommends and develops analyses and action plans for appeals, disputes, payment variances, or other matters involving third-party and governmental payors.
- Supports contract and reimbursement quality assurance, audit readiness, internal controls, and compliance with established policies and procedures.
Performs other duties as assigned.
Education
Bachelor's degree in accounting, finance, business, health care administration, or a related field, or equivalent education and experience.
Comprehensive knowledge of health care finance, reimbursement, managed care contracting, contract administration, accounting principles, net revenue, cost reporting, and financial analysis.
Knowledge of hospital and physician payment methodologies, capitation, risk arrangements, value-based contracting, alternative payment models, and governmental reimbursement principles.
Strong analytical, financial modeling, negotiation, communication, project management, and problem-solving skills.
Ability to interpret complex contractual, financial, regulatory, and operational information and communicate conclusions clearly to varied audiences.
Advanced proficiency with Excel-based financial models and database tools. Experience with Epic, EPSi, PeopleSoft, or comparable integrated financial systems preferred.
Experience
Three to five years of progressively responsible experience in a complex health care environment, with significant experience in managed care contracting, contract analysis and negotiation, third-party reimbursement, net revenue, financial reporting and analysis, budgeting, forecasting, cost reporting, or related areas. Demonstrated ability to work independently and manage multiple complex analytical and contracting priorities is required.
SUPERVISORY RESPONSIBILITY
None.
Pay Range
$78,416.00-$129,355.20
Location
Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903
Work Type
M-F (8:00am-5:00pm)
Work Shift
Day
Daily Hours
8 hours
Driving Required
No
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
SUMMARY
Under general direction, the Senior Contracting and Reimbursement Analyst supports the negotiation, analysis, administration, and financial evaluation of hospital and physician value-based payor agreements. The role combines value-based contracting expertise and net revenue analysis. The role ensures value-based contracts are financially sound, operationally executable, compliant with governmental requirements, and aligned with the system’s strategy. The incumbent evaluates new and existing arrangements, including value-based and alternative payment models; prepares reimbursement analyses, cost report support, net revenue estimates, and financial forecasts; coordinates contract implementation and audit activities. Serves as a liaison among affiliates, finance, analytics, operations, and clinical stakeholders.
Brown University Health employees are expected to successfully role model the organization’s values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:
- Instill Trust and Value Differences
- Patient and Community Focus and Collaborate
PRINCIPAL DUTIES AND RESPONSIBILITIES
Value-based Contract Negotiation and Administration
- Assists with payor relations and contracting leadership with hospital and physician negotiations.
- Evaluates new and existing value-based arrangements, bundled payment models, shared savings agreements, and other alternative payment models.
- Assists in coordination of timely contract execution, renewal, renegotiation, amendment, implementation, and distribution of relevant contract materials.
- Prepares and distributes value-based variance analyses, rate matrices, executive summaries, contract abstracts, and other documentation required to communicate financial and operational terms to affected parties.
- Acts as a liaison to health plans, system affiliates, physician organizations, finance, operations, legal, analytics, and other stakeholders regarding contract terms, implementation, and issue resolution.
Reimbursement, Net Revenue, and Financial Analysis
- Prepares and analyzes financial and statistical data required for governmental and third-party reimbursement reporting, affiliate and consolidated cost reports, net revenue schedules, month-end close, budgeting, forecasting, and settlement estimates.
- Analyzes reimbursement methodologies, contract rates, payment terms, rate calculations, final settlements, pass-through payments, advance payments, and payer remittances to identify underpayments, overpayments, financial risk, and opportunities for improvement.
- Quantifies estimated reimbursement from governmental and commercial payors and supports balance sheet and income statement adjustments for liabilities and receivables related to third-party settlements.
- Works closely with analytics and finance leadership to evaluate contract profitability, model financial impacts, monitor performance against contract terms, and develop methodologies to measure reimbursement changes.
- Prices governmental and third-party reimbursement for new or expanded clinical programs and coordinates financial studies related to new programs, product lines, service expansion, and contracting opportunities.
- Participates in development of the annual net revenue operating budget and related forecasts.
Regulatory, Audit, and Compliance Support
- Maintains current knowledge of commercial payor requirements and governmental reimbursement regulations and analyzes their financial, contractual, reporting, and operational impact.
- Prepares and assembles financial and statistical reports required by governmental agencies, third-party payors, auditors, and external advisors.
- Coordinates and supports third-party reimbursement and contract audits, responds to inquiries, assesses proposed audit adjustments, and communicates material issues to leadership.
- Recommends and develops analyses and action plans for appeals, disputes, payment variances, or other matters involving third-party and governmental payors.
- Supports contract and reimbursement quality assurance, audit readiness, internal controls, and compliance with established policies and procedures.
Performs other duties as assigned.
Education
Bachelor's degree in accounting, finance, business, health care administration, or a related field, or equivalent education and experience.
Comprehensive knowledge of health care finance, reimbursement, managed care contracting, contract administration, accounting principles, net revenue, cost reporting, and financial analysis.
Knowledge of hospital and physician payment methodologies, capitation, risk arrangements, value-based contracting, alternative payment models, and governmental reimbursement principles.
Strong analytical, financial modeling, negotiation, communication, project management, and problem-solving skills.
Ability to interpret complex contractual, financial, regulatory, and operational information and communicate conclusions clearly to varied audiences.
Advanced proficiency with Excel-based financial models and database tools. Experience with Epic, EPSi, PeopleSoft, or comparable integrated financial systems preferred.
Experience
Three to five years of progressively responsible experience in a complex health care environment, with significant experience in managed care contracting, contract analysis and negotiation, third-party reimbursement, net revenue, financial reporting and analysis, budgeting, forecasting, cost reporting, or related areas. Demonstrated ability to work independently and manage multiple complex analytical and contracting priorities is required.
SUPERVISORY RESPONSIBILITY
None.
Pay Range
$78,416.00-$129,355.20
Location
Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903
Work Type
M-F (8:00am-5:00pm)
Work Shift
Day
Daily Hours
8 hours
Driving Required
No
Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.
See all 56+ OPT Reimbursement Analyst Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Reimbursement Analyst Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Reimbursement Analyst
Confirm your degree supports the specialty occupation standard
Reimbursement Analyst roles typically require a degree in health administration, finance, accounting, or business. Before applying, verify your degree field aligns with the job description to support both your OPT authorization and a future H-1B visa petition.
Target employers with established healthcare billing departments
Large hospital systems, insurance carriers, and revenue cycle management firms file H-1B petitions regularly. These employers have immigration infrastructure in place, making the transition from OPT to sponsored status significantly more straightforward than smaller healthcare practices.
Highlight coding certifications and software proficiency
Employers hiring on OPT want candidates who can contribute immediately. Certifications in CPT or ICD-10 coding, and proficiency with tools like Epic or Meditech, signal readiness and reduce the perceived risk of sponsoring an international candidate.
Apply before your OPT start date to account for processing time
OPT authorization can take 90 days or more to process. Apply for positions two to three months before your program end date so your EAD arrives before you need to start, avoiding gaps that could complicate your employment timeline.
Address your OPT timeline directly in interviews
Proactively explaining that you have 12 months of OPT, with a potential 24-month STEM extension, gives employers a clear picture of your work authorization window and reduces hesitation about offering you a full-time reimbursement role.
Understand which STEM CIP codes apply to your degree
STEM OPT extension eligibility depends on your degree's Classification of Instructional Programs code. Finance and information systems degrees often qualify. Confirm your degree's CIP code with your DSO before targeting roles that assume a 36-month total OPT window.
Reimbursement Analyst OPT: Frequently Asked Questions
Can I work as a Reimbursement Analyst on F-1 OPT?
Yes. Reimbursement Analyst positions generally qualify as specialty occupations under OPT rules because they require at least a bachelor's degree in a specific field such as health administration, finance, or business. Your EAD card authorizes full-time employment in a role directly related to your degree, which Reimbursement Analyst work typically satisfies.
Do Reimbursement Analyst jobs qualify for the 24-month STEM OPT extension?
They can, depending on your degree. If your bachelor's or master's degree is in a STEM-designated field such as health informatics, information systems, or finance and your employer is enrolled in E-Verify, you may qualify for the 24-month extension. Confirm your degree's CIP code with your designated school official before assuming eligibility.
Where can I find Reimbursement Analyst jobs that offer OPT sponsorship?
Migrate Mate is built specifically for F-1 OPT students and filters jobs by visa sponsorship willingness, so you can browse Reimbursement Analyst openings without manually screening each employer. Large hospital networks, revenue cycle management companies, and national insurance carriers are the most consistent sources of sponsored roles in this field.
Will employers sponsor me for an H-1B after my OPT ends?
Many large healthcare employers and revenue cycle firms do sponsor H-1B petitions for Reimbursement Analysts, particularly after seeing performance during the OPT period. The role's alignment with the specialty occupation standard makes it a defensible H-1B petition. Smaller practices are less likely to have the legal infrastructure to support sponsorship.
What degree is required for a Reimbursement Analyst role on OPT?
Most employers expect a bachelor's degree in health administration, health information management, finance, accounting, or business administration. Your degree field must be directly related to the position to satisfy OPT's requirement that employment align with your program of study. A mismatch between your degree and the job description can jeopardize both your OPT status and a future H-1B petition.