Payer Contract Analyst 4
University of California - Davis, Davis, CA, United States
Overview
The Payer Contracts Analyst provides technical support and departmental analysis related to payer professional contract rates and reimbursement policies. As a technical leader with extensive operational knowledge, this role functions autonomously while collaborating with other technical analysts. Key duties include maintaining the EPIC PB Contracts Module, building new PB contract templates, monitoring payer contract performance, and conducting proactive and ad‑hoc payer reimbursement analyses to ensure timely and appropriate professional reimbursement.
Key Responsibilities
60% – Provide Technical Systems Build and Support
20% – Provide Contracts Performance Analysis
20% – Maintain/Support Payer Relations
Qualifications
EPIC Certification
Bachelor’s degree in a related field preferred or equivalent combination of education and experience within a healthcare facility.
Extensive experience in at least two 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, 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 ability to recognize non‑compliance.
In‑depth knowledge of the healthcare revenue cycle and its component operations: billing, collections, charge capture, contractual adjustments, third‑party reimbursements, and cash management.
Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management, including database, spreadsheet, and presentation software.
Professionalism, tact, courtesy, and diplomacy in dealing with personnel at all levels.
Advanced communication skills and ability to convey complex clinical‑finance information clearly and concisely.
Ability to prepare compelling reports and presentations for all staff and management levels.
Strong ability to advise management as a technical expert, proposing improvements and guidance on regulatory changes and industry trends in revenue cycle management.
Knowledge of mathematical and statistical methods, quantitative analyses, evaluative techniques, and business planning techniques.
Ability to establish and maintain effective working relationships with co‑workers, subordinates, and others, exhibiting assertiveness and awareness of impact.
Preferred Qualifications
EPIC PB Contracts Module experience
Experience with UCDHS tables and software applications: Business Objects, Enterprise Finance Analytics, Page Center X, and NHXS.
Advanced PC spreadsheet skills (Excel macros, modeling, pivot tables, lookup tables, logical functions, charting, troubleshooting).
Advanced analytical and problem‑solving skills, evaluating workflow and system effectiveness and developing innovative solutions.
Experience, knowledge, and certification with the PB Contracts Module.
Position Information
Salary: $8,533.33 – $16,866.67 Monthly
Salary Grade: 257
UC Job Title: CLIN APPLICATIONS PROFL 4 HX
UC Job Code: 006372
Number of Positions: 1
Appointment Type: Staff: Career
Percentage of Time: 100%
Shift (Work Schedule): 8:00 AM – 5:00 PM, Monday–Friday
Location: UCDHAS Building (HSP165)
Union Representation: HX‑Healthcare Professionals
Benefits Eligible: Yes
Hybrid work (mix of on‑site and remote)
Benefits
Low‑cost medical plans with coverage for family and dependents
UC pays for dental and vision insurance premiums for you and your family
Extensive leave benefits: pregnancy and parental leave, family & medical leave
Paid holidays, vacation, and sick time per UC Davis policies or collective bargaining agreement
Continuing education allowance and education reimbursement per UC Davis policies or collective bargaining agreement
Access to free professional development courses and learning opportunities
WorkLife and wellness programs and resources
On‑site employee assistance program, including free mental health services
Supplemental insurance: life, short‑/long‑term disability, pet insurance, legal coverage
Public Service Loan Forgiveness and student loan repayment assistance
Retirement benefit options: pension and other retirement savings plans
Physical Demands
Standing – occasional up to 3 hours
Walking – occasional up to 3 hours
Sitting – frequent 3‑6 hours
Lifting/Carrying 0‑25 lbs – occasional up to 3 hours
Pushing/Pulling 0‑25 lbs – occasional up to 3 hours
Bending/Stooping – occasional up to 3 hours
Squatting/Kneeling – occasional up to 3 hours
Twisting – occasional up to 3 hours
Reaching overhead – occasional up to 3 hours
Keyboard use/repetitive motion – frequent 3‑6 hours
Mental Demands
Sustained attention and concentration – frequent 3‑6 hours
Complex problem solving/reasoning – occasional up to 3 hours
Ability to organize & prioritize – frequent 3‑6 hours
Communication skills – frequent 3‑6 hours
Numerical skills – occasional up to 3 hours
Constant interaction – frequent 3‑6 hours
Customer/Patient contact – frequent 3‑6 hours
Multiple concurrent tasks – frequent 3‑6 hours
Work Environment UC Davis is a smoke‑and‑tobacco‑free campus. The environment may be remote or hybrid. Employers are required to conduct background checks, drug screenings, medical evaluations, and functional capacity assessments for critical positions. The role also requires compliance with mandatory reporter policies under CANRA.
Special Requirements
Background check, drug screening, medical evaluation, and functional capacity assessment required.
Mandated reporter under CANRA and UC policy with required compliance training.
A Culture of Opportunity and Belonging UC Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. We encourage applicants to apply even if they do not match every listed requirement. For more information on our policies and benefits, please visit the UC Davis health benefits summaries and the university’s Anti‑Discrimination Policy.
Application Please apply directly for this job at the employer’s website. The position is currently open and has not yet expired.
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Key Responsibilities
60% – Provide Technical Systems Build and Support
20% – Provide Contracts Performance Analysis
20% – Maintain/Support Payer Relations
Qualifications
EPIC Certification
Bachelor’s degree in a related field preferred or equivalent combination of education and experience within a healthcare facility.
Extensive experience in at least two 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, 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 ability to recognize non‑compliance.
In‑depth knowledge of the healthcare revenue cycle and its component operations: billing, collections, charge capture, contractual adjustments, third‑party reimbursements, and cash management.
Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management, including database, spreadsheet, and presentation software.
Professionalism, tact, courtesy, and diplomacy in dealing with personnel at all levels.
Advanced communication skills and ability to convey complex clinical‑finance information clearly and concisely.
Ability to prepare compelling reports and presentations for all staff and management levels.
Strong ability to advise management as a technical expert, proposing improvements and guidance on regulatory changes and industry trends in revenue cycle management.
Knowledge of mathematical and statistical methods, quantitative analyses, evaluative techniques, and business planning techniques.
Ability to establish and maintain effective working relationships with co‑workers, subordinates, and others, exhibiting assertiveness and awareness of impact.
Preferred Qualifications
EPIC PB Contracts Module experience
Experience with UCDHS tables and software applications: Business Objects, Enterprise Finance Analytics, Page Center X, and NHXS.
Advanced PC spreadsheet skills (Excel macros, modeling, pivot tables, lookup tables, logical functions, charting, troubleshooting).
Advanced analytical and problem‑solving skills, evaluating workflow and system effectiveness and developing innovative solutions.
Experience, knowledge, and certification with the PB Contracts Module.
Position Information
Salary: $8,533.33 – $16,866.67 Monthly
Salary Grade: 257
UC Job Title: CLIN APPLICATIONS PROFL 4 HX
UC Job Code: 006372
Number of Positions: 1
Appointment Type: Staff: Career
Percentage of Time: 100%
Shift (Work Schedule): 8:00 AM – 5:00 PM, Monday–Friday
Location: UCDHAS Building (HSP165)
Union Representation: HX‑Healthcare Professionals
Benefits Eligible: Yes
Hybrid work (mix of on‑site and remote)
Benefits
Low‑cost medical plans with coverage for family and dependents
UC pays for dental and vision insurance premiums for you and your family
Extensive leave benefits: pregnancy and parental leave, family & medical leave
Paid holidays, vacation, and sick time per UC Davis policies or collective bargaining agreement
Continuing education allowance and education reimbursement per UC Davis policies or collective bargaining agreement
Access to free professional development courses and learning opportunities
WorkLife and wellness programs and resources
On‑site employee assistance program, including free mental health services
Supplemental insurance: life, short‑/long‑term disability, pet insurance, legal coverage
Public Service Loan Forgiveness and student loan repayment assistance
Retirement benefit options: pension and other retirement savings plans
Physical Demands
Standing – occasional up to 3 hours
Walking – occasional up to 3 hours
Sitting – frequent 3‑6 hours
Lifting/Carrying 0‑25 lbs – occasional up to 3 hours
Pushing/Pulling 0‑25 lbs – occasional up to 3 hours
Bending/Stooping – occasional up to 3 hours
Squatting/Kneeling – occasional up to 3 hours
Twisting – occasional up to 3 hours
Reaching overhead – occasional up to 3 hours
Keyboard use/repetitive motion – frequent 3‑6 hours
Mental Demands
Sustained attention and concentration – frequent 3‑6 hours
Complex problem solving/reasoning – occasional up to 3 hours
Ability to organize & prioritize – frequent 3‑6 hours
Communication skills – frequent 3‑6 hours
Numerical skills – occasional up to 3 hours
Constant interaction – frequent 3‑6 hours
Customer/Patient contact – frequent 3‑6 hours
Multiple concurrent tasks – frequent 3‑6 hours
Work Environment UC Davis is a smoke‑and‑tobacco‑free campus. The environment may be remote or hybrid. Employers are required to conduct background checks, drug screenings, medical evaluations, and functional capacity assessments for critical positions. The role also requires compliance with mandatory reporter policies under CANRA.
Special Requirements
Background check, drug screening, medical evaluation, and functional capacity assessment required.
Mandated reporter under CANRA and UC policy with required compliance training.
A Culture of Opportunity and Belonging UC Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status. We encourage applicants to apply even if they do not match every listed requirement. For more information on our policies and benefits, please visit the UC Davis health benefits summaries and the university’s Anti‑Discrimination Policy.
Application Please apply directly for this job at the employer’s website. The position is currently open and has not yet expired.
#J-18808-Ljbffr