OPT Reimbursement Manager Jobs
Reimbursement Manager roles sit at the intersection of healthcare billing, insurance compliance, and revenue cycle operations, making them a strong fit for F-1 OPT students with backgrounds in health administration, finance, or business. Most positions qualify as specialty occupations under STEM or business-related OPT categories, supporting H-1B visa sponsorship pathways.
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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 Manager Jobs
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Get Access To All JobsTips for Finding OPT Sponsorship as a Reimbursement Manager
Frame your degree as a direct match
Reimbursement Manager roles typically require a degree in health administration, finance, or a related field. In every application, explicitly connect your specific degree to the role's billing and compliance requirements to strengthen your specialty occupation case for H-1B visa sponsorship.
Target revenue cycle-heavy employers
Large hospital systems, physician management groups, and insurance companies file H-1B petitions regularly for reimbursement roles. Prioritizing these employers over small private practices significantly increases your chances of finding a position with a realistic sponsorship pathway after OPT ends.
Highlight CPT coding and payer experience early
Familiarity with CPT codes, ICD-10 classifications, Medicare, and Medicaid billing signals technical depth. Lead with these skills in your resume summary so hiring managers immediately see you as a specialist, not a generalist, which matters when they evaluate sponsorship cost-benefit decisions.
Disclose your OPT timeline proactively
Bring up your OPT authorization early in conversations with employers. Explaining your exact end date and H-1B eligibility timeline helps decision-makers plan the petition process, reducing the uncertainty that often causes employers to pass on OPT candidates without discussing it.
Pursue STEM OPT extension if your degree qualifies
Health informatics, healthcare analytics, and similar STEM-designated programs qualify for a 24-month OPT extension. If your degree falls into a qualifying category, a STEM extension gives employers a longer runway before committing to H-1B sponsorship, making you a lower-risk hire.
Get certified in reimbursement to stand out
Credentials like the Certified Professional Biller or Certified Revenue Cycle Professional signal employer-recognized competency. These certifications directly address the specialty occupation threshold that USCIS applies to H-1B petitions for reimbursement roles, strengthening both your candidacy and future petition.
Reimbursement Manager OPT: Frequently Asked Questions
Can F-1 OPT students work as Reimbursement Managers in the United States?
Yes. F-1 students who have graduated can work as Reimbursement Managers on OPT for up to 12 months, provided the role is directly related to their field of study. Degrees in health administration, healthcare management, finance, or business typically satisfy this requirement. If your degree carries a STEM designation, you may qualify for a 24-month extension. Browse OPT-friendly openings on Migrate Mate.
Does a Reimbursement Manager role qualify as a specialty occupation for H-1B purposes?
Reimbursement Manager positions generally qualify as specialty occupations because they require at minimum a bachelor's degree in a specific field such as health administration, finance, or accounting. USCIS evaluates each petition individually, so the job description matters. Roles with clear degree requirements and technical billing responsibilities have a stronger specialty occupation argument than generalist management positions.
Which employers are most likely to sponsor OPT students in reimbursement roles?
Large hospital networks, academic medical centers, managed care organizations, and revenue cycle management firms are the most consistent sponsors for reimbursement roles. These employers have established immigration infrastructure and regularly file H-1B petitions. Smaller private practices rarely have the resources or volume to justify sponsorship. Migrate Mate filters job listings by sponsorship history so you can focus on realistic opportunities.
What should I do if my OPT end date falls before the H-1B cap lottery?
If your OPT expires before an H-1B approval can take effect, your employer may be able to file under cap-exempt status if they qualify, or you may need to explore bridge options such as a change of status through another visa category. Some employers also hold OPT extensions through a STEM designation to buy additional time. Discuss the timing explicitly with your employer's immigration counsel as early as possible.
How relevant is healthcare billing experience for OPT students applying to Reimbursement Manager roles?
Directly relevant. Employers filling Reimbursement Manager roles expect candidates to understand payer contracting, claims adjudication, denial management, and coding systems like CPT and ICD-10. OPT students who can demonstrate hands-on exposure through coursework, internships, or prior roles in medical billing have a measurable advantage. This technical depth also strengthens the specialty occupation argument employers need to make when sponsoring an H-1B petition.