What are the responsibilities and job description for the Reimbursement Policy Analyst (Healthcare) position at VanderHouwen?
Our client is seeking a detail-oriented healthcare analyst who thrives at the intersection of reimbursement policy, clinical decision-making, and systems implementation. This role is ideal for a collaborative problem-solver who can translate complex regulatory and coding requirements into actionable business processes while partnering across clinical, operational, and technical teams. The ideal candidate brings strong analytical judgment, clear communication, and a proactive approach to improving claims accuracy, policy administration, and medical cost outcomes.
This role is fully remote. Applicants must be located in Oregon, Washington, Utah, or Idaho.
Reimbursement Policy Analyst Responsibilities
As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.
Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
This role is fully remote. Applicants must be located in Oregon, Washington, Utah, or Idaho.
Reimbursement Policy Analyst Responsibilities
- Analyze, develop, and implement medical reimbursement policies, clinical edits, and claims processing configurations to support accurate adjudication and policy compliance.
- Partner with cross-functional stakeholders, including clinical, operational, and technical teams, to define business requirements, coordinate system changes, and support implementation efforts.
- Research coding, reimbursement, and policy issues while providing recommendations that align with regulatory standards, financial objectives, and clinical appropriateness.
- Develop reporting, testing, and documentation processes to support policy rollouts, measure effectiveness, and ensure successful system implementation.
- Respond to policy, coding, and claims-related inquiries while maintaining accurate reference materials, technical documentation, and stakeholder communications.
- 3 years of experience in a healthcare, reimbursement, claims, policy, or related analytical environment.
- Demonstrated knowledge of medical reimbursement methodologies, Medicare products, CMS guidelines, and procedural/diagnostic coding (CPT, HCPCS, ICD-10).
- Strong analytical and problem-solving skills with the ability to interpret data, identify process improvements, and support business decision-making.
- Experience working with healthcare systems, claims editing tools, reporting platforms, or business intelligence tools; SQL or related reporting experience is preferred.
- Bachelor’s degree in Business, Healthcare Administration, or a related field preferred; RN licensure or coding certification (e.g., CPC, CCS) is a plus.
As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.
Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
Salary : $30 - $34