Care New England Health System
EPIC Contract Management Analyst
Care New England Health System, Providence, Rhode Island, us, 02912
The EPIC Contract Management Analyst analyzes changes to reimbursement rules and regulations for all payers, evaluates the impact on hospital and physician reimbursement, and educates appropriate personnel.The EPIC Contract Management Analyst maintains Epic’s contract management module and content related to executed contracts and modeling, ensuring data integrity and consistency.He/she provides analytical support for operational leaders as it relates to Managed Care contracts and payment issues.The EPIC Contract Management Analyst is responsible for report requests from Revenue Cycle or other departments as it relates to Contract Management.The EPIC Contract Management Analyst gathers and analyzes information collected from both internal and external sources to provide accurate, timely, appropriate, and value-driven information cost-effectively to support Managed Care Contracting and negotiations.Duties and Responsibilities:
Design, build, analyze, test, and provide support for Epic’s Reimbursement Contracts. Load contract language and terms in Epic.Serve as a subject matter expert for Epic’s Reimbursement Contracts module.Write reports and studies to support and facilitate contract negotiations and Revenue Cycle operations.Write reports and studies to support and facilitate Chargemaster updates and changes.Support the development of adequate data collection and reporting to monitor the performance of third-party payor agreements.Research and implement new contract language, payor policies, and any updated language as executed by payers and all parties.Research and interpret government payment rules and policies to ensure accurate Epic configuration.Assist with managed care financial analysis, modeling, and analyzing contract proposals.Translate annual contract terms into build configuration in Epic.Configure contracts to reflect modifier percentage changes and re-evaluate existing contractual write-offs.Assist with contract negotiation processes as needed.Develop a thorough understanding of CNE third-party contracts and payment methodologies.Develop methods to monitor contract compliance trends and performance.Maintain professional growth and development to keep abreast of the latest trends in the field of expertise.Preserve and protect patient and employee rights to confidentiality.Perform other duties related to job responsibilities.Requirements:
Bachelor’s degree in Business Administration, Information Systems, Health Care Administration, Finance, or a combination of work and education experience required.Detailed knowledge of hospital contracts, billing, and claims processing is required.The position also requires excellent analytical skills, advanced knowledge of spreadsheets and databases as well as working knowledge of personal computers, including word processing applications.Epic Certification Preferred.
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Design, build, analyze, test, and provide support for Epic’s Reimbursement Contracts. Load contract language and terms in Epic.Serve as a subject matter expert for Epic’s Reimbursement Contracts module.Write reports and studies to support and facilitate contract negotiations and Revenue Cycle operations.Write reports and studies to support and facilitate Chargemaster updates and changes.Support the development of adequate data collection and reporting to monitor the performance of third-party payor agreements.Research and implement new contract language, payor policies, and any updated language as executed by payers and all parties.Research and interpret government payment rules and policies to ensure accurate Epic configuration.Assist with managed care financial analysis, modeling, and analyzing contract proposals.Translate annual contract terms into build configuration in Epic.Configure contracts to reflect modifier percentage changes and re-evaluate existing contractual write-offs.Assist with contract negotiation processes as needed.Develop a thorough understanding of CNE third-party contracts and payment methodologies.Develop methods to monitor contract compliance trends and performance.Maintain professional growth and development to keep abreast of the latest trends in the field of expertise.Preserve and protect patient and employee rights to confidentiality.Perform other duties related to job responsibilities.Requirements:
Bachelor’s degree in Business Administration, Information Systems, Health Care Administration, Finance, or a combination of work and education experience required.Detailed knowledge of hospital contracts, billing, and claims processing is required.The position also requires excellent analytical skills, advanced knowledge of spreadsheets and databases as well as working knowledge of personal computers, including word processing applications.Epic Certification Preferred.
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