Financial and Contracts Systems Analyst Managed Care

Benefits

Additional Information

At Children's Wisconsin, we believe kids deserve the best. Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children. We provide primary care, specialty care, urgent care, emergency care, community health services, foster and adoption services, child and family counseling, child advocacy services and family resource centers. Our reputation draws patients and families from around the country. We offer a wide variety of rewarding career opportunities and are seeking individuals dedicated to helping us achieve our vision of the healthiest kids in the country. If you want to work for an organization that makes a difference for children and families, and encourages you to be at your best every day, please apply today. Please follow this link for a closer look at what it's like to work at Children's Wisconsin: https://www.instagram.com/lifeatcw/ Job Summary The Managed Care Financial & Contracts Systems Analyst is responsible for maintaining the integrity of expected reimbursement calculations within Epic's Professional Billing module. This role combines technical Epic build expertise with financial analysis skills to ensure accurate estimated reimbursement is depicted in the Epic electronic health record by building, maintaining, and optimizing professional billing contracts within the Epic electronic health record system and performing financial analyses and building financial models to ensure contract compliance. Also supports financial planning needs for contract negotiations with various financial models and analyses and providing general financial analyses that inform and support strategic initiatives, operational efficiency and financial sustainability insights and decisions, as assigned. Bachelor's Degree in Finance, Healthcare Administration, Business, or related field required or relevant experience. 2+ years of experience in a healthcare finance-related function OR high school diploma AND 5+ years of experience in a healthcare finance-related function required. Experience in healthcare contract modeling and optimization preferred. Experience in financial modeling and contract analysis preferred. Experience with healthcare professional billing and reimbursement methodologies and workflows preferred. Strong analytical skills with the ability to interpret complex contract language. Proficiency with data modeling, analysis and visualization tools - including complex formulas and data analysis. Excellent problem-solving abilities and attention to detail. Ability to interpret contract language and translate into technical requirements. Familiarity with both Medicaid and Commercial payer reimbursement methodologies (fee schedules, percent of charge, carve-outs, grouper-based logic). Strong written and verbal communication skills. Epic PB Contracts experience or certification OR willingness to obtain certification within one year of hire. Understanding of payer contracts and reimbursement models preferred. Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law. Certifications/Licenses: