Sr. Contract Analyst - Revenue Cycle Management

LE01 Valley Children's Hospital; United States; Presencial; USD 61 000 - 88 000; Tempo integral

Resumo da oferta

Valley Children’s Healthcare seeks a Senior Revenue Cycle Analyst to produce managed care contract performance reports and analyze payer reimbursement and payment variances across financial systems.

The role involves modeling contract payment terms, supporting negotiations and projects through detailed reporting, and delivering actionable insights to optimize the revenue cycle and financial performance.

Qualificações

• Education: College degree in related field or equivalent experience.
• Licenses/Certifications: EPIC Certification and related badges within six months of hire.
• Work Experience: Minimum three years in healthcare revenue cycle.
• Broad knowledge of hospital operations and information systems.
• Strong written and verbal communication and project management skills.
• Ability to work independently and in a collaborative environment.
• Advanced proficiency with common office software and data handling.

Responsabilidades

• Produce managed care contract performance reports analyzing payer reimbursement and variance.
• Model contract payment terms across financial systems.
• Provide decision support for contract negotiations and projects through detailed reporting.
• Assist in data-driven financial decisions with accurate analytics.

Conhecimentos

Analytical skills

Data analysis

Project management

Communication

Problem solving

Independent work

Collaboration

Formação académica

College degree in related field

EPIC Certification

Ferramentas

EPIC Resolute

Office software (Excel, etc.)

Descrição da oferta de emprego

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)
• 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.
• 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

Compensation Range: $44.03 - $63.75

Workshift: Position Exempt: Yes FTE %: 100 Scheduled Weekly Hours: 40 Daily Hours: 8

About the Employer

Valley Children’s Healthcare – one of the largest pediatric healthcare networks in the nation – provides Central California’s only high-quality, comprehensive care exclusively for children, from before birth to young adulthood. With more than 670 physicians and 3,500 staff, Valley Children’s delivers high-quality, comprehensive care to more than 1.3 million children in our service area. Our network offers highly specialized medical and surgical services to care for children with conditions ranging from common to the highly complex at our 358-bed stand-alone children’s hospital that includes 28 regional NICU beds. Our family-centered, pediatric services extend from a leading pediatric cancer and blood disorders center home on the West Coast, and a pediatric heart center known for its expertise and pioneering treatments, to a Regional Level IV neonatal intensive care unit (NICU), the highest level referral center between Los Angeles and the Bay Area. We participate in community initiatives, we support community efforts, we get involved where we can do the most good.