Financial Analyst - Third Party Contracts

Penn State Health; Hershey (PA); Vor Ort; USD 70.000 - 90.000; Vollzeit

Zusammenfassung

Penn State Health is seeking a Financial Analyst to support Third Party Contracting and the Epic contract management tools. The role focuses on maintaining contract data, modeling scenarios to forecast reimbursement, and identifying opportunities to maximize net revenue within a healthcare environment.

Reporting to the VP of Managed Care, you will collaborate with leadership to ensure accurate reimbursement in the system and contribute to strategic financial decisions for PSH.

Qualifikationen

• Bachelor degree in Finance, Accounting, Business, Health Administration, or a related field.
• Two (2) years of related experience, preferably in healthcare or payer settings.
• Epic certification required within six (6) months of hire.
• Four (4) or more years of experience in a Healthcare setting with functional knowledge / experience with Managed Care Contracting or Reimbursement.
• Working knowledge of healthcare terminology and provider reimbursement methodologies (MS-DRG/APR-DRG, APC/OPPS, per diem, case rates, fee schedules, percent of charges, etc.)

Aufgaben

• Support contract negotiations by modeling contract proposals and ad-hoc scenarios at the direction of Third Party Contracting leadership.
• Perform sophisticated data analytics; build models to forecast revenue and costs; project revenue and/or cost increases.
• Review the impact of insurance company contracts on revenue for PSH agreements and identify opportunities to maximize net revenue.
• Maintain a database of payor contract documentation and Third Party Contracting documents used for analyses.
• Perform other duties as assigned.

Kenntnisse

Epic Contract Management

Claims processing

Communication

Ausbildung

Bachelor's degree in Finance / Accounting / Business / Health Administration

Epic certification

Tools

Resolute HB/PB

Jobbeschreibung

MyChart by Penn State Health, your new patient portal, is here.

Financial Analyst - Third Party Contracts

Invest in Your Future and Theirs: Beginning January 1, 2027, eligible full-time Penn State Health employees receive a 50% Penn State tuition discount for themselves and eligible dependents, including a spouse and children. The discount applies at Penn State University Park, Commonwealth Campuses, World Campus, and Penn College of Technology.

Reporting to the Vice President of Managed Care for Penn State Health (PSH), this position is responsible for the overall maintenance of the Epic contract management tool utilized by PSH while ensuring expected reimbursement is accurately reflected within the system.

ESSENTIAL DUTIES:

• Support contract negotiations by modeling contract proposals and ad-hoc scenarios at the direction of Third Party Contracting leadership. Perform sophisticated data analytics; build new and modify existing complex models to create predictive impact decision making tools; project revenue and/or cost increases by using analytic techniques; and projects different targets based upon various analytics.
• Work with Third Party Contracting regarding insurance company contracts to review the overall impact of revenue for all PSH agreements. Identify opportunities for maximizing net revenue.
• Maintain a database of payor contract documentation for each payor, including contract summary documents, copies of all fully-executed contracts with related amendments, letters, and notices.
• Maintain Third Party Contracting documents used for analyses.
• Perform other duties as assigned.

KNOWLEDGE, SKILLS & ABILITIES:

• Preferred experience with Epic Contract Management (Resolute HB/PB), including contract build and expected reimbursement maintenance.
• Understanding of claims processing, remittances (835/837), and underpayment/variance analysis.
• Communication, attention to detail, and the ability to explain analysis to leadership.

MINIMUM QUALIFICATION(S)

• Bachelor Degree in Finance, Accounting, Business, Health Administration, or a related field
• Two (2) years of related experience, preferably in healthcare or payer settings.
• Epic certification required within six (6) months of hire.

PREFERRED QUALIFICATION(S)

• Four (4) or more years of experience in a Healthcare setting with functional knowledge / experience with Managed Care Contracting or Reimbursement.
• Working knowledge of healthcare terminology and provider reimbursement methodologies(MS-DRG/APR-DRG, APC/OPPS, per diem, case rates, fee schedules, percent of charges, etc.)

WHY PENN STATE HEALTH?

Penn State Health offers exceptional opportunities to learn and grow, exposure to a wide patient population, and the ability to provide individualized, innovative, and specialized care to patients in the community.

Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below:

• Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton).
• Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave.
• Be Secured with Retirement, Extended Illness Bank, Life Insurance, and Identity Theft Protection.
• Be Rewarded with Competitive Pay, Tuition Reimbursement, and PAWS UP employee recognition program.
• Be Supported by the HR Solution Center, Learning and Organizational Development and Virtual Benefits Orientation, Employee Exclusive Concierge Service for scheduling.

WHY PENN STATE HEALTH CORPORATION?

There are many ways to make an impact with one of the leading research, teaching, and clinical healthcare systems in the country. Through a combination of operational, corporate, clinical, and nonclinical roles, we are advancing excellence and innovation in health care together as one team. As Penn State Health continues to evolve for the future, we are committed to hiring dedicated employees who are passionate about delivering the best possible support across our entire integrated health system.

Within Penn State Health’s Shared Services Entity, we encourage our employees at every turn to continue their education and advancement. Numerous opportunities are available for professional development and career growth.

YOU TAKE CARE OF THEM. WE’LL TAKE CARE OF YOU. State-of-the-art equipment, endless learning, and a culture of excellence – that’s Penn State Health. But what makes our healthcare award-winning? That’s all you.

This job posting is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. Eligibility for shift differential pay based on the terms outlined in company policy or union contract. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

Penn State Health is an Equal Opportunity Employerand does not discriminate on the basis of any protected class including disability or veteran status. Penn State Health’s policies and objectives are in direct compliance with all federal and state constitutional provisions, laws, regulations, guidelines, and executive orders that prohibit or outlaw discrimination.

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