University of California, Davis · 19 hours ago
Payer Contract Analyst 4
Davis, CA
Full-time, Contract
Hybrid
Senior Level
$8,533.33/mo - $16,866.67/moThe University of California, Davis is seeking a Payer Contracts Analyst 4 to provide technical support and departmental analysis related to payer professional contract rates and reimbursement policies. The role involves maintaining the EPIC PB Contracts Module, analyzing payer performance, and collaborating with other analysts to resolve complex reimbursement issues.
Higher Education
Responsibilities
Provide Technical Systems Build and Support
Provide Contracts Performance Analysis
Maintain/Support Payer Relations
Qualification
Required
EPIC Certification
Extensive experience in at least 2 of the following Epic Modules; EMR, Resolute, ADT, Cadence, Tapestry, Clarity and Reporting Workbench
Ability to interpret and understand third party payer contracts, terms and regulations
In-depth knowledge of third party payer contracts, contracting processes and procedures and regulations governing third party payers, including capitated managed care contracting issues and the relationships between health plans and medical groups
Technical knowledge of all licensed health care service plans, including State and Federal plans, billing policies and procedures and the ability to recognize when they are not being followed
In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management
In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle and reimbursement
Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software
Demonstrates professionalism, tact, courtesy and diplomacy in dealing with personnel at all levels in and outside of the health system
Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner
Ability to prepare compelling and informative reports and presentations to all levels of staff and management
Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management
Knowledge and ability to apply mathematical and statistical methods, quantitative analyses, evaluative techniques, and business planning techniques
Ability to establish and maintain effective and appropriate working relationships with co-workers, subordinates and others, exhibiting assertiveness, a realistic perspective, objectivity, courtesy and awareness of how his/her actions affect others
Preferred
EPIC PB Contracts Module
Experience with UCDHS tables and software applications; Business Objects, Enterprise Finance Analytics, Page Center X and NHXS
Advanced PC spreadsheet skills including mastery of: Excel macros, modeling, pivot tables, lookup tables, logical functions, charting and spreadsheet troubleshooting
Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements
Experience, knowledge, and certification with PB Contracts Module
Benefits
High quality and low-cost medical plans to choose from to fit your family's needs
UC pays for Dental and Vision insurance premiums for you and your family
Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Access to free professional development courses and learning opportunities for personal and professional growth
WorkLife and Wellness programs and resources
On-site Employee Assistance Program including access to free mental health services
Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans.
Company
University of California, Davis
UC Davis was founded in 1908 to serve the state of California. We do and we always will.
Founded in 1908
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Sean Quinn
Chief Financial Officer (Athletics)
Alyssa M. Rodriguez, PHR
Human Resources Generalist / Business Partner
Recent News
2023-10-27
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