Systems and Contracts Analyst
WVU Medicine
full-time
Posted on:
Location Type: Remote
Location: Virginia • West Virginia • United States
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About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analysisadvanced Excel modelingVisual Basic.NET programmingAccess Database DevelopmentSQLreport designcontract modelingperformance improvementproject management
Soft Skills
communicationanalytical skillsproblem-solvingdecision making
Certifications
EPIC Contracting Certification