Epic Resolute Contract and Data Analyst

Integrated Resources, Inc ( IRI ); Tulsa (OK); On-site; USD 65,000 - 90,000; Full time

Job summary

Yale Campus Hospital in Tulsa, OK is seeking a Contract and Data Analyst with 3–4 years’ experience in managed care, health plan contracting, and provider reimbursement. The role focuses on contract analysis, modeling in EPIC, and ensuring payment compliance.

The analyst will develop contract projections, monitor performance, and support negotiations with payors while maintaining EPIC certification and strong MS Excel/Power BI skills.

Qualifications

• Three to four years of related experience.
• Experience with health plan insurance contracting and reimbursement for providers and facilities.
• Ability to complete Epic certification and maintain certification in assigned modules.
• Strong analytical and communication skills.
• Proficient in Excel, Word, Power BI, and Access.

Responsibilities

• Analyze contracts and communicate operational impact to health system contacts.
• Develop models and monitor financial performance of contracts.
• Monitor contract performance and ensure payments by auditing financials and negotiating with payors.
• Review and negotiate language in contracting processes.
• Develop and maintain data sets for contract analysis.
• Maintain departmental processes to manage contracts.

Skills

Contract analysis

EPIC certification

Power BI

Excel

Education

Bachelor’s degree in business or related field

Tools

Microsoft Access

Job description

Job Title: Contract and Data Analyst (Managed Care)

Location: Tulsa, OK 74136 (Onsite)

Schedule Notes: Position Type:

• Direct Hire Facility Name: Yale Campus Hospital
• Shift/Schedule Details: Days/ Mon - Fri / 8-5pm Incentives (Sign-on Bonus / Relocation): No Sign on, Possible relocation Package Additional Notes (if any):
• ONSITE: Seeking a Contract Data Analyst with 3–4 years’ experience in managed care, health plan contracting, and provider reimbursement.
• Must have strong analytical skills, experience with contract modeling and financial analysis, and the ability to obtain and maintain EPIC certification.
• Experience in a health system, clinic, or surgery center and familiarity with EHR systems required; Power BI experience is a plus.
• Bachelor’s degree in Business or related field required.

Job Responsibilities:

Job Summary:

Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure payment compliance, communicating and resolving contract issues both internal and external to the organization, and contributing to health system and individual contract negotiation strategies.

Develops and builds contract projections models (EPIC) essential to negotiation outcomes for the health system.

Job Responsibilities:

• Analyzes contracts and communicates operational impact of contracts to appropriate health system contacts.
• Develop models, analysis, and monitor financial performance of existing and proposed contracts.
• Monitors contract performance and compliance to ensure contracts are performing at expected levels by auditing financials and negotiating with payors for money due if appropriate.
• Reviews and negotiates language in the contracting negotiation processes.
• Develops, produces, and maintains data sets required for contract analysis.
• Develops and maintains departmental processes to manage contracts.
• Resolves contractual disputes with payors by collaborating with various health system entities and all related parties.
• Responsible for the analysis, development, and testing of contract projection models within Epic essential to negotiation outcomes for the system for both physician and hospital contracts/reimbursement.
• Builds programming and performs ongoing analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system.
• Resolves programming issues related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement.
• Ensure through Epic testing that the build is developed and performing the collaboration with the Epic team to put into production and to enhance contract modeling within Epic.
• Performs other related duties as assigned to fulfill department responsibilities.

Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor.

Working Relationships

• Coordinates activities of others (does not supervise).
• Works with internal customers via telephone or face-to-face interaction.
• Works with external customers via telephone or face to face interaction.
• Works with other healthcare professionals and staff.
• Works frequently with individuals at Director level or above.

Required Skills & Experience:

• Three (3) - four (4) years of related experience.
• Experience with health plan insurance contracting and reimbursement for providers and facilities.
• Ability to complete Epic certification and maintain certification in assigned application modules(s).
• Ability to work independently and within a team across multiple disciplines.
• Ability to establish and meet work schedules within limited time frames and under tight deadlines.
• Analytical ability to solve both business and technical problems.
• Working knowledge of Microsoft Excel, Word, Power BI and Access.
• Excellent interpersonal, written and oral communication skills.
• Ability to be detail oriented as required in the analysis and examination of complex information.

Preferred Skills & Experience:

• Experience with Microsoft Access, data warehouse applications, contract negotiations, contract financial modeling, contract language interpretation and EPIC.

Required Education:

• Bachelor’s degree in business or related field.

Preferred Education:

• N/A

Required Certifications & Licensure:

• -Obtain and maintain Epic certification in assigned application modules(s).