Reimbursement & Payer Relations Analyst at Boulder Community Health – Boulder, Colorado

Reimbursement and Payer Relations Analyst
Boulder Community Health, Boulder, CO 80303
$45.32 - $67.99 per hour (Salaried) Full-Time

The Reimbursement & Payer Relations Analyst plays a key role in supporting Boulder Community Health’s financial sustainability and payer partnerships. This position is responsible for coordinating Medicare and Medicaid cost reporting, supporting managed care contract analysis, and assisting with reimbursement modeling and payer relations strategies.

This role works closely with finance, contracting, and operational teams to ensure regulatory compliance, optimize reimbursement performance, and support data-driven decision making. The ideal candidate brings strong healthcare finance knowledge, analytical skills, and the ability to collaborate across departments in a fast-paced healthcare environment.

What Makes You a Great Fit:
• You are curious and analytical, using data and critical thinking to evaluate reimbursement performance, payer trends, and regulatory requirements.
• You bring energy and a proactive mindset to projects, supporting reimbursement strategies, contract analysis, and process improvements that impact organizational success.
• You take ownership of your work, ensuring accuracy, compliance, and continuous improvement in reimbursement and payer-related activities.
• You build strong, collaborative relationships with internal teams, leadership, and external payer partners.
• You are highly organized and detail-oriented, managing multiple priorities while keeping projects on track and stakeholders informed.
• You are adaptable and solutions-focused, comfortable navigating changing regulations, contract updates, and evolving business needs.
• You communicate clearly and effectively, translating complex reimbursement and financial information into actionable insights.

Benefits:
•Health insurance, including a FREE employee only option
•Dental and Vision insurance
•BCH paid Life Insurance; Spouse and Dependent Life Insurance plans
•Short-term and Long-term disability coverage
•Health and Dependent Care Flexible Spending Accounts
•Retirement plan with BCH matching contributions, and discretionary lump sum contribution
•Paid Time Off
•Education assistance program
•Voluntary Wellness programs, to include biometrics, wellness team challenges, and much more
•Staff Support Initiatives such as Sound Baths, Meditation, Massages, and Reiki
•Free one-on-one retirement planning sessions
•Employee Assistance Program offering 8 free, confidential counseling sessions for you and your family

Qualifications & Experience
•Baccalaureate in accounting/finance required
•Three to five years reimbursement, payer relations, budget, and data management experience in a general acute care setting required

Essential Duties and Responsibilities
1. Lead the preparation, analysis, and submission of Medicare and Medicaid Cost Reports and ensure compliance with federal and state reimbursement regulations.
2. Serve as the primary liaison for cost report audits, payer inquiries, appeals, and reimbursement dispute resolution.
3. Monitor regulatory and payer reimbursement changes and coordinate implementation to maintain compliance and optimize reimbursement outcomes.
4. Perform financial analysis, contract modeling, and variance reporting to support payer negotiations, budgeting, and organizational decision-making.
5. Collaborate with managed care organizations and internal stakeholders to resolve reimbursement issues, support contract compliance, and improve payment performance.
6. Support managed care contracting strategy, credentialing requirements, and maintenance of contract management and reimbursement software systems.

About Boulder Community Health
Boulder Community Health (BCH) is a not-for-profit healthcare organization based in Boulder, Colorado, serving the Boulder County community. Our flagship facility, Boulder Community Hospital, along with several other locations, provides comprehensive care, including acute care, emergency services, psychiatric care, and outpatient services. BCH offers a wide range of specialties, including cardiology, oncology, orthopedics, maternity, and mental health care, with a strong emphasis on patient-centered, high-quality care.
We are dedicated to improving community health through advanced medical technology, evidence-based practices, wellness programs, and community outreach initiatives. BCH maintains strong partnerships with local physicians and supports public health efforts to promote healthy lifestyles and address health disparities.

As a Certified Level II Trauma Center, Boulder Community Hospital provides expert emergency care for serious and complex injuries while delivering comprehensive services across the full continuum of care.

EOE/Affirmative Action/Drug-free workplace.

BCH will never conduct interviews or ask for employment documents via text.

This position has no close date. Applications will be accepted until the position is filled.