Sr. Contract Analyst - Revenue Cycle Management

Valley Children's Healthcare; California; Hybrid; USD 92,000 - 133,000; Full time

Job summary

Valley Children's Healthcare in California seeks a senior-level contract analyst within Revenue Cycle to produce managed care contract performance reports and analyze payer reimbursement and payment variance on an ongoing basis.

You will model contract payment terms across financial systems and provide decision support for negotiations and projects through detailed reporting, collaboration with stakeholders, and maintaining compliance.

Qualifications

• College degree in a related field or equivalent experience.
• EPIC Resolute Hospital Billing certification or badge within six months of hire.
• Minimum three years related work experience.
• Broad knowledge of hospital operations and revenue cycle systems.

Responsibilities

• Produce managed care contract performance reports and analyze payer reimbursement variance.
• Model contract payment terms in financial systems and provide decision support.
• Collaborate with cross-functional teams on negotiations and projects.
• Maintain compliance and ensure accurate reporting.

Skills

Analytical skills

Project management

Communication skills

Data manipulation

Education

Bachelor's degree in related field

Equivalent Experience

Tools

EPIC Resolute Hospital Billing

Job description

About Us:

Revenue Cycle Management (RCM) is the patient-centric, comprehensive process of managing the financial aspects of patient care from initial appointment scheduling and patient registration to the final payment of medical bills. Effective RCM ensures that our healthcare system receives timely and accurate reimbursement for services rendered, maintains compliance with regulations, and enhances operational efficiency, ultimately supporting the financial stability of the organization and improving the overall patient experience.

The Revenue Cycle Division consists of many departments including Patient Scheduling Center, Admissions, Financial Counseling, Clinical Documentation Improvement, Coding, ED Registration, Health Information Services, Outpatient Services Funding, Patient Accounting, Patient Financial Services, Payor Contracting and Revenue Integrity. Some departments have a full complement of staff onsite, others operate on a hybrid model while some staff work entirely from home.

Our team consists of a diverse group of skilled professionals, all working together to optimize patient and family engagement through a positive financial experience.

Job Summary:

This senior-level analyst position is responsible for producing managed care contract performance reports to analyze payer reimbursement and payment variance on an ongoing basis. The contract analyst ensures contract payment terms are accurately modeled in the various financial systems and provides decision support for managed care contract negotiations and projects through detailed reporting and analysis.

Qualifications:

Education

• College Degree - 4 year In related field (required) Or
• Equivalent Experience (required)

Licenses and Certifications

• EPIC Certification 1 - EPIC Resolute Hospital Billing Expected Reimbursement Contracts Administration & Data Courier Badge within six (6) months of hire or transfer into position (required)

Work Experience

• Minimum three (3) years Related work experience (required)

Skills and Abilities

• Must have a broad based knowledge of hospital operations, including all aspects of the revenue cycle functions. Must have a broad based knowledge of hospital information and financial systems. Must possess strong conceptual, problem solving and analytical skills. Must possess strong project management skills including the ability to adapt frequently to changing work priorities. Must possess strong written and verbal communication skills. Must possess the ability to achieve results in an independent manner. Must be comfortable operating in a collaborative environment.
• Computer Skills Must possess advanced proficiency in the use of personal computers and experience in the use of software used in a typical office environment (e.g. word processing, spreadsheet, database, presentation, etc.).Ability to manipulate large amounts of data in an automated and efficient manner.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Compensation Range:

$44.03 - $63.75

Workshift:

Position Exempt:

Yes

FTE %:

100

Scheduled Weekly Hours:

40

Daily Hours:

8

Disclaimer: Final compensation will be dependent upon skills and experience.