Financial Analyst II

Overview

This role involves configuring, maintaining, and testing payer contracts within the Epic system as part of the System Revenue Management department. The specialist will translate complex payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies, to ensure accurate billing and reimbursement. Collaboration with Managed Care, Revenue Cycle, and IT teams is essential to implement contract terms accurately and support system upgrades and enhancements. This position offers the opportunity to contribute to revenue cycle efficiency while working remotely according to organizational policies.

Responsibilities

• Build, test, and maintain payer clinic and physician contracts within the Epic system to ensure accurate billing and reimbursement
• Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies
• Validate contract builds through thorough testing and reconciliation against expected reimbursement and payments
• Support analysis of underpayments, overpayments, and billing discrepancies related to contract configurations
• Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms
• Maintain detailed documentation of contract build logic, assumptions, and updates for audit and training purposes
• Participate in system upgrades, enhancements, and optimization efforts related to contract management
• Support reporting and analytics initiatives to monitor reimbursement trends and contract performance metrics
• Assist in troubleshooting and resolving issues related to payer contracts and billing processes

Requirements

• Bachelor’s degree or equivalent combination of education and experience
• Minimum of 3+ years of experience in financial analysis, focusing on physician claims and insurance contracts
• At least 2+ years of experience in Epic contract build, managed care, or revenue cycle management
• Epic Certification required within the first year of employment
• Strong understanding of payer contracts, fee schedules, reimbursement methodologies, and billing processes
• Proficiency in data analysis, testing, and reconciliation processes
• Excellent communication and collaboration skills
• Ability to work independently and manage multiple priorities effectively

Preferred Qualifications

• Experience as an analyst in related fields

Compensation & Benefits

• One week of paid parental leave for eligible team members for newborns or newly adopted children (pro-rated based on FTE)
• Access to instant, on-demand pay before scheduled payday through flexible payment options (fees may apply)
• Educational support through upfront tuition coverage for eligible employees
• Comprehensive health, dental, and vision insurance plans
• Retirement savings plans with employer contributions
• Paid time off and holiday leave
• Professional development and training opportunities
• Supportive and inclusive work environment

Location

Remote work available in accordance with organizational policies.