Analyst Jobs

About The Position

Requirements

• Bachelor's Degree Business, Finance, Health Care Administration, Related field Required or Four years of related experience may be considered in lieu of degree Required
• 3 years' Experience in managed care contract modeling or healthcare financial analysis experience. Required
• Strong understanding of healthcare reimbursement methodologies.
• Advanced Excel skills.
• Demonstrated proficiency in reimbursement modules.
• Knowledge of healthcare revenue cycle operations and workflows.
• Excellent written and verbal communication skills.
• Ability to work collaboratively with diverse teams.
• Strong ability to analyze, interpret, and evaluate data.

Nice To Haves

• 1 year Experience in Epic reimbursement modules. Preferred
• 1 year Experience supporting payer negotiations and renewals. Preferred
• 1 year Experience in a multi-facility health system. Preferred
• 1 year Experience with Medicare, Medicaid, and commercial reimbursement Preferred
• Epic certification(s) in relevant modules. Upon Hire Preferred

Responsibilities

• Develops and maintains financial models for proposed and existing managed care contracts.
• Models complex reimbursement methodologies including DRG, APC, per diem, case rates, and fee schedules.
• Analyzes contract financial impact to support payer negotiations and leadership decision-making.
• Performs expected vs. actual reimbursement variance analysis.
• Translates executed contract language into Epic reimbursement contract build.
• Configures and maintains expected reimbursement and fee schedules in Epic.
• Performs Epic testing and validation prior to production release.
• Partners with Epic application teams to resolve reimbursement discrepancies.
• Monitors managed care contract performance and identify underpayments.
• Supports audits, reconciliations, and payer disputes.
• Collaborates with Managed Care, Revenue Cycle, Finance, and Operational teams.
• Communicates complex reimbursement concepts to non-technical stakeholders.