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Systems and Contracts Analyst

Worldwide Salaried Open

Job Description:

  • Responsible for the technical EPIC HB contract build and modeling functions including the Hyperdrive, Text, and Data Courier environments.
  • Responsible for design, development and testing of reports using innovative techniques, analyzing data from various sources and systems.
  • Prepare accurate data analysis in order to communicate with regulatory agencies, contracted payers and internal leadership.
  • Build and maintain advanced Microsoft Excel contract models in order to meet the functional needs of staff and streamline process flow.
  • Recommend and implement technical solutions to assist in planning, streamlining and decision making.
  • Maximize reimbursement by analyzing contract variances, new technology, denial trending, payment variance trending and regulatory changes.
  • Use of performance improvement, project management and technology skills.

Requirements:

  • Bachelor’s degree in Business Management/Business Administration or Hospital Administration or related field AND Two (2) years of experience in data analysis and/or health care planning background.
  • EPIC Contracting Certification within in one year of hire, with certification completion within four months of formal training completion.
  • Epic Contracts Management and System Application Build.
  • Strong understanding of Epic HB workflows, analytics and technology.
  • Experience with business operations workflow in a healthcare environment including payor relations, admissions, billing, and accounts receivable.
  • Strong understanding of payor reimbursement methodologies (DRG, CPT, OPPS, IPPS, IRF, APC, PDPM).
  • Strong understanding of payor contracts and HB revenue cycle functions for various facility types including Acute, Critical Access, Sole Community, Home Health, Hospice, Skilled Nursing, Behavioral, and Physical Therapy.
  • Computer skills relevant to position including advanced Excel modeling with Visual Basic/.NET programming, Access Database Development, and SQL.

Benefits:

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities

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