Reimbursement Solutions Analyst at Cardinal Health

About Cardinal Health

Headquartered in Dublin, Ohio, Cardinal Health, Inc. (NYSE: CAH) stands as a global leader in integrated healthcare services and products. Connecting patients, providers, payers, pharmacists, and manufacturers, Cardinal Health drives coordinated care and superior patient management. With nearly 100 years of experience, over 40,000 employees across nearly 60 countries, and a ranking among the top 20 on the Fortune 500, Cardinal Health offers unparalleled stability and innovation in the healthcare sector.

Cardinal Health's commitment to excellence spans the entire healthcare supply chain, from pharmaceuticals to clinical operations. As a Reimbursement Solutions Analyst, you'll contribute to this mission by ensuring seamless reimbursement processes in outpatient hospital settings, supporting better access to critical medications and treatments.

Role Overview

The Reimbursement Solutions Analyst plays a pivotal role in Clinical Operations at Cardinal Health, focusing on the evaluation and clearance procedures for treatment orders in contracted outpatient hospital environments. Reporting to the Reimbursement Solutions Supervisor in Individualized Care, this position provides detailed clearance criteria, prior authorization support, and advocacy identification for scheduled procedures and medications.

This entry-level role is ideal for motivated professionals with 0-2 years of experience or fresh graduates eager to launch a career in healthcare reimbursement. You'll handle data evaluation, insurance interactions, patient counseling, and workflow optimization, all while maintaining the highest standards of confidentiality and compliance.

Key Responsibilities

In this dynamic position, your responsibilities will include:

• Evaluating data input schedules from facilities to load work items efficiently.
• Collaborating with facility Electronic Health Records (EHRs) to gather supporting data for diagnoses and medical clearances.
• Identifying patient-specific advocacy opportunities based on insurance status and unique situations.
• Applying appropriate clearance criteria for medication regimens as dictated by insurance guidelines.
• Discussing medication options with pharmacy teams, physicians, and patients considering accessibility in outpatient settings.
• Initiating and processing advocacy applications for eligible patients.
• Engaging extensively with insurance representatives for benefit investigations, prior authorizations, and medical necessity determinations.
• Providing comprehensive patient education and counseling to assess advocacy eligibility.
• Resolving rejected applications by identifying comparable drug regimens.
• Referring non-qualifying patients to external resources like local charities.
• Managing the drug recovery application process and assigning billing levels per Reimbursement Solutions guidelines.
• Communicating effectively with team leads to meet facility needs and maintaining meticulous documentation.

Additionally, you'll demonstrate deep knowledge of clinical operations, influence product adoption, lead post-sales implementations, develop training programs, and mentor staff in complex environments.

Qualifications & Requirements

Cardinal Health seeks candidates who embody precision, initiative, and adaptability. Key qualifications include:

• 0-2 years of experience in a related field (open to fresh graduates).
• High level of attention to detail and a strong willingness to learn.
• Strong analytical skills.
• Self-motivation with the ability to follow instructions independently.
• Proficiency in Microsoft Office suite (Excel, Word, Outlook).
• Exceptional written and verbal communication skills.
• Ability to work autonomously, solve problems, and prioritize tasks effectively.
• Excellent interpersonal skills and telephone presence/etiquette.
• Proven capacity to thrive under pressure and meet deadlines.

At this level, you'll apply basic concepts and technical capabilities to routine tasks, ensuring reliable performance in a fast-paced healthcare environment.

What is Expected at This Level

Expect to apply foundational principles to routine tasks, collaborate across teams, and contribute to customer satisfaction through proactive problem-solving and documentation.

Benefits & Perks

Joining Cardinal Health means accessing a robust benefits package designed for your well-being and growth:

• Competitive salary estimated at $65,000 - $95,000 annually, based on healthcare sector rates.
• Comprehensive medical, dental, and vision insurance plans.
• 401(k) retirement savings with generous company matching.
• Paid time off, holidays, and flexible remote work nationwide.
• Professional development opportunities, including training and mentorship programs.
• Employee assistance programs and wellness initiatives.
• Career advancement in a Fortune 500 organization with global opportunities.

Career Growth

Cardinal Health invests in your future. As a Reimbursement Solutions Analyst, you'll gain hands-on experience in healthcare reimbursement, patient advocacy, and clinical operations. With mentorship from seasoned leaders, you'll progress to supervisory roles, specialized reimbursement positions, or broader clinical operations leadership. Our multi-site training programs and customer-facing responsibilities build skills for long-term success in healthcare.

Why Join Us

Choose Cardinal Health for impact: your work directly improves patient access to treatments, streamlines hospital workflows, and supports integrated care. Enjoy the prestige of a Fortune 500 company, remote flexibility across the US, and a culture of innovation and collaboration. Be part of a team that's reshaping healthcare delivery for millions.

Role FAQs

Is this role remote?

Yes, this is a US-Nationwide-FIELD position, offering remote work flexibility across the United States.

What experience is required?

0-2 years preferred; fresh graduates are welcome with strong analytical and communication skills.

Does it involve patient contact?

Yes, includes patient education, counseling, and eligibility determination.

What tools will I use?

Microsoft Office, facility EHR systems, and reimbursement software.

How does this role support career growth?

Through mentorship, training, and exposure to complex clinical environments, paving the way for advancement.

Apply today to become a Reimbursement Solutions Analyst at Cardinal Health and advance your healthcare career!