Note: The job is a remote job and is open to candidates in USA. Hennepin Healthcare is an integrated healthcare system seeking a Senior Contract Variance Analyst for its Denials Analysis team. The role leads complex contract variance and fatal denial appeals, analyzes trends, maintains tracking systems and dashboards, prepares executive reports, and supports compliance, process improvement, and revenue cycle initiatives.
Responsibilities
- Leads the Contract Variance Appeal process, overseeing intake, documentation, and strategic tracking of appeals submitted to third-party payers
- Manages and executes high-impact appeals, ensuring timely resolution through proactive coordination with internal stakeholders and payer representatives
- Conducts advanced research and analysis to support appeal documentation, staying abreast of payer policies, regulatory changes, and industry trends
- Serves as a liaison across departments, facilitating collaboration and ensuring comprehensive data collection for effective appeal resolution
- Leads the maintenance and optimization of the Contract Variance tracking system, ensuring data integrity and generating actionable reports for leadership
- Identifies and analyzes trends in contract variances and denials, providing insights to inform payer negotiations and operational improvements
- Develops and presents analytical reports and executive summaries to senior leadership, highlighting performance metrics and strategic recommendations
- Resolves complex appeal issues independently, contributing to cross-functional problem-solving initiatives
- Champions quality and process improvement efforts, leading initiatives to enhance efficiency, accuracy, and compliance within the appeals workflow
- Ensures strict adherence to HIPAA, organizational policies, and regulatory standards, embedding compliance into all operational activities
- Demonstrates expert-level professionalism and precision in all communications, documentation, and stakeholder interactions
- Leads system testing and documentation updates related to Contract Variance workflows, ensuring alignment with evolving business needs
- Designs and delivers training programs to build team capabilities and support ongoing professional development
- Provides strategic oversight of fatal denial assessments and Contract Variance documentation, ensuring consistency and accuracy across cases
- Maintains and enhances performance dashboards, ensuring data accuracy and delivering insights to drive decision-making
- Prepares high-level materials for leadership review, including meeting documentation, trend analysis, and strategic recommendations
- Fosters a collaborative, high-performance team culture, promoting accountability, innovation, and continuous improvement
- Performs duties as assigned, contributing to departmental goals and organizational success
Skills
- Bachelor's degree in Business, Finance, Health Care Administration, or related field
- A minimum of three (3) years' experience in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing
- An approved equivalent combination of education and experience
- Excellent problem solving skills
- Knowledge of EPIC claims processing systems and electronic health records
- Must have skills in data analysis and associated tools
- Proficiency with Microsoft Office
- Proficient with database reports (Clarity, EPIC workbench, etc)
- Certification in one of the following:
- EPIC Resolute Hospital Billing and Professional Billing Insurance Claims Follow-Up - within 12 months of hire
- Resolute Hospital Billing Expected Reimbursement Contracts Administration - within 12 months of hire
Benefits
- This full-time role will work remotely (Days, M-F).
- Medical insurance (available only for benefit-eligible positions)
- Dental insurance (available only for benefit-eligible positions)
- Vision insurance (available only for benefit-eligible positions)
- Life insurance (available only for benefit-eligible positions)
- Short-term disability insurance (available only for benefit-eligible positions)
- Long-term disability insurance (available only for benefit-eligible positions)
- Retirement funds (available only for benefit-eligible positions)
- Paid time off (available only for benefit-eligible positions)
- Tuition reimbursement (available only for benefit-eligible positions)
- License and certification reimbursement (available only for benefit-eligible positions)
Company Overview
Company H1B Sponsorship