Note: The job is a remote job and is open to candidates in USA. Children's Health is a pediatric healthcare organization affiliated with UT Southwestern that is seeking a Managed Care Contract Analyst. The role supports the administration, configuration, testing, validation, implementation, and maintenance of managed care reimbursement contracts within Epic Professional and Hospital Billing. It also performs contract modeling, financial analysis, data validation, reporting, and identification of revenue-enhancing opportunities.
Responsibilities
- Support Senior Analysts with Epic PB/HB reimbursement contract configuration, testing, validation, implementation, maintenance, and issue resolution
- Review payer agreements, amendments, fee schedules, payment policies, and communications to identify potential Epic PB requirements; validate interpretation with Senior Analysts
- Prepare contract build specifications, supporting schedules, test scenarios, implementation records, and audit-ready documentation using established templates
- Configure and maintain assigned Epic PB/HB contracts, fee schedules, payment logic, payer rules, and related tables within approved scope
- Perform claim-level testing and reconciliation to confirm Epic expected reimbursement aligns with approved contract terms
Skills
- Location: Texas residency required
- • At least 3 years experience in financial analysis, data mining, advanced Excel and reporting required
- • At least 3 years experience with hospital/provider billing system, EPIC preferred
- • At least 3 years experience in healthcare, contract modeling for facility and professional agreements preferred
- • Bachelors Degree required
- • EPIC Certified-2R-EPIC Essential EPIC Resolute Professional Billing Expected Reimbursement Contracts - Time Frame: 1 Year; EPIC Resolute Hospital Billing Expected Reimbursement Contracts - Time Frame: 1 Year
Benefits
- Employee portion of medical plan premiums are covered after 3 years.
- 4%-10% employee savings plan match based on tenure
- Paid Parental Leave (up to 12 weeks)
- Caregiver Leave
- Adoption and surrogacy reimbursement
- Remote work arrangement
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