Revenue Analytics Analyst — Third-Party Contracts

Penn State Health; Hershey (PA); On-site; USD 70,000 - 90,000; Full time

Job summary

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.

Qualifications

• 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.)

Responsibilities

• 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.

Skills

Epic Contract Management

Claims processing

Communication

Education

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

Epic certification

Tools

Resolute HB/PB

Job description

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.