Performs a wide range of complex third-party payer analytical and operational functions. Performs office procedures in support of Directors. This position is responsible for third party payer financial analysis, modeling and analyzing contract proposals, and preparing contract terms in Excel for load into the Epic EHR system. This position is responsible for providing operational system-level support for Epic contract applications which include spreadsheet build of contract terms, as well as working closely with the Epic IT team on configuration, migration, maintenance and production support of contracts. This position works on complex problems where analysis of situations or data requires an in-depth evaluation and knowledge of the contract application.
This position may also assist with contract negotiation processes as needed, and make recommendations to the third-party payer negotiators regarding terms of the contract. This person will act as a liaison between IT Contract Loaders, Revenue Cycle operations, and the third-party payer negotiators for resolution and feedback of any related items. Supports multiple managed care functions, including but not limited to Epic contract management data integrity, third-party payer contract negotiations, and managed care payer relations, including both claim and operational issues including reporting for payment variance issues.