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Epic Payor Contract Analyst

4 months ago

Danville, United States Geisinger Health System Full time

Job Summary The Epic Payor Contract Analyst is responsible for building and maintaining applicable modules for payment contracts while acting as a subject matter expert in variance reporting, and payment analysis. This role will provide ongoing support and maintenance of commercial and managed care contract terms within Epic. Job Duties Design, build, analyze, test, and provide support for Epic’s Payment Contracts Serve as the subject matter expert for Epic’s Payment Contracts module. Provide support to other revenue cycle areas regarding questions on calculations and payment generated by the contract builds. Liaise with IT and operations on Epic functionality, workflows, documentation, best practices, and change management. Perform regular system audits to determine contract accuracy in HB expected payment. Identify and reconcile all payment variances discovered during various audits conducted at Geisinger. Maintains a schedule of key update dates for fee schedules for the Managed Care contracts. Communicate with payers and maintain up to date contract inventory and payer-plan master files. Coordinate and actively participate with other associates and leaders on the team to expand and grow their knowledge of managed care organizations, contracts, and products. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. *Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years). Position Details Education High School Diploma or Equivalent (GED)- (Required) Experience Minimum of 6 years-Relevant experience* (Required), Minimum of 3 years-Related work experience (Required) Certification(s) and License(s) Epic Certification - Default Issuing Body OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.