Remote Reimbursement Analyst Jobs
Remote reimbursement analyst jobs are open across the U.S. at remote-first insurers, distributed healthcare billing firms, and managed care organizations that have fully decentralized their revenue cycle teams. Employers hiring remotely right now include Humana, giftHEALTH, and Essentia Health. See the openings below and apply to the ones that match your experience.
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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 facilities
Developing expertise in complex groupers, including EAPG, APR-DRG, MS-DRG, used in Medicaid reimbursement
Monitoring state Medicaid and Solventum websites for publication of provider reimbursement changes
Analyzing updates for impacts to Medicaid pricer reimbursement
Reviewing software vendor release notes
Developing and executing test plans for Medicaid pricer updates
Partnering with IT and pricing software vendor to resolve issues
Researching and resolving provider reimbursement inquiries
Identifying patterns in inquiries and translating insights into actionable process improvement and automation opportunities
Performing root cause analysis and escalating complex issues to senior team members, or leadership as appropriate
Use your skills to make an impact
Required Qualifications
Minimum 2 years of experience researching state Medicaid hospital reimbursement methodologies that utilize EAPG, APR-DRG, or MS-DRG
Experience reviewing facility claims
Experience researching and resolving provider reimbursement inquiries
Experience testing system updates or enhancements
Prior professional experience utilizing Microsoft Excel (e.g. performing basic data analysis and utilizing pivot tables, formulas and functions)
Preferred Qualifications
Experience with Optum Rate Manager
Experience with Optum WebStrat or PSI applications
Experience researching MS-DRG, APR-DRG and/or EAPG grouper logic
Experience interacting with a State Medicaid or Federal government agency
Intermediate Microsoft Access skills
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$60,800 - $82,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 08-13-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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 facilities
Developing expertise in complex groupers, including EAPG, APR-DRG, MS-DRG, used in Medicaid reimbursement
Monitoring state Medicaid and Solventum websites for publication of provider reimbursement changes
Analyzing updates for impacts to Medicaid pricer reimbursement
Reviewing software vendor release notes
Developing and executing test plans for Medicaid pricer updates
Partnering with IT and pricing software vendor to resolve issues
Researching and resolving provider reimbursement inquiries
Identifying patterns in inquiries and translating insights into actionable process improvement and automation opportunities
Performing root cause analysis and escalating complex issues to senior team members, or leadership as appropriate
Use your skills to make an impact
Required Qualifications
Minimum 2 years of experience researching state Medicaid hospital reimbursement methodologies that utilize EAPG, APR-DRG, or MS-DRG
Experience reviewing facility claims
Experience researching and resolving provider reimbursement inquiries
Experience testing system updates or enhancements
Prior professional experience utilizing Microsoft Excel (e.g. performing basic data analysis and utilizing pivot tables, formulas and functions)
Preferred Qualifications
Experience with Optum Rate Manager
Experience with Optum WebStrat or PSI applications
Experience researching MS-DRG, APR-DRG and/or EAPG grouper logic
Experience interacting with a State Medicaid or Federal government agency
Intermediate Microsoft Access skills
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$60,800 - $82,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 08-13-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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Find JobsRemote Reimbursement Analyst Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in remote reimbursement analyst jobs.
- Bachelor's degree in health information management, business, finance, or a related field
- Experience with medical billing software such as Epic, Meditech, or Cerner
- Knowledge of ICD-10, CPT, and HCPCS coding systems
- Familiarity with Medicare, Medicaid, and commercial payer reimbursement guidelines
- Strong analytical skills with proficiency in Excel for claims data review
- CPC, CCS, or similar coding or billing certification preferred
Tips for Your Remote Reimbursement Analyst Job Search
Apply early to remote roles that fit
Migrate Mate lists remote reimbursement analyst openings from across the U.S. in one place. Search by role and apply directly to the ones that match your payer experience and claims specialty before postings close.
Prove you can work without supervision
Remote hiring managers want evidence of self-directed claims resolution. Quantify denial overturn rates, reimbursement recovery amounts, or accuracy improvements you achieved without in-person oversight. Concrete results signal you'll perform without daily check-ins.
Sharpen your async written communication
Remote reimbursement analysts escalate payer disputes, coordinate with coding teams, and document appeal rationale entirely in writing. Practice writing clear, precise denial appeal letters and internal memos. Strong written communication is screened in remote interviews through take-home exercises.
Demonstrate fluency with remote billing tools
Distributed revenue cycle teams run on cloud-based practice management systems, payer portals, and ticketing tools like Jira or ServiceNow for denial tracking. Name the specific platforms you've used in your resume and be ready to walk through your workflow in a remote interview.
Remote Reimbursement Analyst Jobs: Frequently Asked Questions
How do I get a remote reimbursement analyst job?
Target remote-first insurers, third-party billing companies, and distributed managed care organizations that have built workflows around async collaboration. Remote employers screen for self-directed claims review, clear written communication, and fluency with denial management and payer contract interpretation without in-person guidance. Candidates who can document productivity working independently and who know payer-specific adjudication rules stand out in remote hiring.
Which companies hire remote reimbursement analysts?
Employers currently hiring remote reimbursement analysts include Humana, giftHEALTH, and Essentia Health, per current remote listings on Migrate Mate as of August 2026. Remote hiring for this role concentrates at distributed revenue cycle firms, remote-first insurers, and multi-state managed care organizations that process claims across regions without requiring on-site staff.
Can you get a remote reimbursement analyst job with no experience?
Yes, but remote entry-level reimbursement analyst roles are harder to land because you'll need to troubleshoot claims and payer disputes independently from day one. Entry paths include remote billing support roles at smaller distributed practices and virtual internships at revenue cycle companies. Showing familiarity with ICD-10 coding, EOB interpretation, or payer portal navigation can substitute for direct experience.
Do you need a degree for remote reimbursement analyst jobs?
Not always. Many remote employers weigh demonstrated claims processing skills, medical billing certifications, and proven accuracy over a four-year degree. Credentials from organizations like AAPC or AHIMA, combined with a portfolio showing denial reduction results or reimbursement accuracy improvements, carry real weight with distributed hiring teams evaluating candidates remotely.
Which industries hire the most remote reimbursement analysts?
Most remote reimbursement analyst openings sit in Insurance and Healthcare & Medical Services, per current remote listings on Migrate Mate as of August 2026. These sectors hire reimbursement analysts remotely because their billing and claims operations are built around distributed teams processing high volumes across multiple payers and regions.
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