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West Virginia University

WVU Medicine, the West Virginia University Health System, provides advanced healthcare services to the people of West Virginia and surrounding regions. Encompas

Systems and Contracts Analyst

Location

Virginia + 1 moreAll locations: Virginia | West Virginia

Posted

68 days ago

Salary

0

Seniority

Mid Level

Bachelor Degree2 yrs expEnglishSQL.NET

Job Description

Systems and Contracts Analyst

West Virginia University

• Responsible for the technical EPIC HB contract build and modeling functions including the Hyperdrive, Text, and Data Courier environments. • Responsible for design, development and testing of reports using innovative techniques, analyzing data from various sources and systems. • Prepare accurate data analysis in order to communicate with regulatory agencies, contracted payers and internal leadership. • Build and maintain advanced Microsoft Excel contract models in order to meet the functional needs of staff and streamline process flow. • Recommend and implement technical solutions to assist in planning, streamlining and decision making. • Maximize reimbursement by analyzing contract variances, new technology, denial trending, payment variance trending and regulatory changes. • Use of performance improvement, project management and technology skills.

Job Requirements

  • Bachelor’s degree in Business Management/Business Administration or Hospital Administration or related field AND Two (2) years of experience in data analysis and/or health care planning background.
  • EPIC Contracting Certification within in one year of hire, with certification completion within four months of formal training completion.
  • Epic Contracts Management and System Application Build.
  • Strong understanding of Epic HB workflows, analytics and technology.
  • Experience with business operations workflow in a healthcare environment including payor relations, admissions, billing, and accounts receivable.
  • Strong understanding of payor reimbursement methodologies (DRG, CPT, OPPS, IPPS, IRF, APC, PDPM).
  • Strong understanding of payor contracts and HB revenue cycle functions for various facility types including Acute, Critical Access, Sole Community, Home Health, Hospice, Skilled Nursing, Behavioral, and Physical Therapy.
  • Computer skills relevant to position including advanced Excel modeling with Visual Basic/.NET programming, Access Database Development, and SQL.

Benefits

  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Professional development opportunities

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