Job Summary
A company is looking for a Sr Provider Contract Implementation Analyst, fully remote.
Key Responsibilities
- Perform build, design, implementation, optimization, testing, validation, migration, maintenance, and production support of Epic contract models and rate calculations
- Conduct audits of provider setup to ensure accurate contract implementation and claims processing
- Review and analyze contract-related trends to ensure claims payment accuracy and troubleshoot implementation issues
Required Qualifications
- 3+ years of experience in provider contract implementation, contract analysis, or claims analysis in a healthcare setting
- Experience with government programs (Medicare and Medicaid) reimbursement and regulations
- Epic Contract Maintenance Certification
- Strong technical aptitude with Epic, SQL, Excel, and query tools
- Knowledge of reimbursement methodologies and Medicare Medicaid regulations
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