Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing YOUR LIFE'S BEST WORK.(SM)

The Optum Epic Enterprise Services (OEES) team is building an innovative, comprehensive Epic services capability using the collective expertise of our clinical, consulting, delivery, technology, and operations teams.  Our Center of Excellence, located in Nashville, TN, is bringing together some of the greatest minds in the industry to further our mission of making the health system work better for everyone. For you, that means working on high performance teams to leverage the power of technology and services delivery to improve care.

Strong candidates for this role will be able to demonstrate self-motivation, individual leadership, and team collaboration.  Most importantly, our OEES team will foster a culture of diversity and inclusion and drive innovation for our company and our clients.

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. 

PRIMARY RESPONSIBILITIES:

• Design, build, analyze, test, and provide support for Epic’s Reimbursement Contracts
• Collaborate with operational users to design and build the Epic system in a timely and professional manner and make corrective configuration or enhancements
• Translate user requirements into functional and technical design specifications and review with client(s) to ensure accuracy
• Lead medium to large complexity Epic software upgrade initiatives or enhancements to workflows including the design, build, and test phases
• Mentor team members on Epic functionality as well as workflows, documentation, best practices, change management, etc.
• Serve as a subject matter expert for Epic’s Reimbursement Contracts module
• Participate in design and validation sessions and ensure appropriate documentation, follow-up and issue escalation occurs
• Function as a liaison between Revenue Cycle Operations (RCO), Information Technology (IT) and Third-Party Systems
• Provide support of application incidents reported through the help desk; including 24/7 on-call coverage as required
• Obtain and maintain in-depth knowledge of software functionality; acquire and utilize knowledge of operational workflows 
• Perform in-depth analysis of workflows, data collection, report details, and other technical issues associated with Epic software
• Work with trainers to develop and maintain application specific training curriculum and materials
• Adhere to organizational standards for system configuration and change control
• Develop strong relationships with end user communities, customers, and business partners
• Attend, participate in, and contribute to meetings throughout the facility
• Load contract language and terms in Epic
• Research and implement new contract language, payor policies and any updated language as executed by payer and all parties.
• Asist with managed care financial analysis, modeling and analyzing contract proposals.
• Translate annual contract terms into build configuration in Epic
• Configure contracts to reflect modifier percentage changes and re-evaluate existing contractual write-offs
• Report and follow-up on services for which the organization was underpaid or undercharged
• Import fee schedules
• Assist with contract negotiation processes as needed

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

REQUIRED QUALIFICATIONS:

• Degree required e.g. Associate, Bachelors, Masters, or a minimum of 4 years healthcare experience
• 4+ years Epic application experience including Epic project experience
• Epic certification in Resolute Professional Billing Reimbursement Contracts and/or Hospital Billing Expected Reimbursement Contracts 
• Subject Matter Expert (SME) in relevant application(s)
• Knowledge of revenue cycle metrics, KPIs, and process improvement techniques relative to these areas
• Experience/knowledge with payment methodologies 
• In-depth knowledge of contract modeling
• If you need to enter a work site for any reason, you will be required to screen for symptoms using the ProtectWell mobile app, Interactive Voice Response (i.e., entering your symptoms via phone system) or similar UnitedHealth Group-approved symptom screener. When in a UnitedHealth Group building, employees are required to wear a mask in common areas. In addition, employees must comply with any state and local masking orders

PREFERRED QUALIFICATIONS:

• Ability to demonstrate and have a history of team management (informal or formal), cross-team communication and leadership skills 
• Experience working in finance/billing office with review and coordinate managed care contracts 
• Proficiency with Excel, Visio, PowerPoint, and SharePoint
• Reside in greater Nashville, TN or willing to relocate to Nashville

KEY COMPETENCIES:  

• Excellent time management, organizational, and prioritization skills and ability to balance multiple priorities 
• Strong analytical and problem-solving skills
• In-depth knowledge of Epic EMR and the full implementation lifecycle of Epic’s suite electronic medical record applications from conception through development into production 
• Ability to work with a minimal amount of supervision, to balance multiple tasks, be detail oriented, set priorities, and complete assignments in a timely manner utilizing excellent customer service skills
• Demonstrated ability to translate user requirements into system specifications
• Demonstrates a strong ability to build partnerships and influence others. Work across team, group, and business boundaries to drive commonality and reusability in solution to real-world problems
• Excellent written and verbal communication skills

CAREERS WITH OPTUM. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do YOUR LIFE'S BEST WORK.(SM)

Colorado Residents Only: The salary range for Colorado residents is $64,800 to $116,000. Pay is based on several factors including but not limited to education, work experience, certifications, etc. As of the date of this posting, In addition to your salary,  UHG offers the following benefits for this position, subject to applicable eligibility requirements: Health, dental, and vision plans; wellness program; flexible spending accounts; paid parking or public transportation costs; 401(k) retirement plan; employee stock purchase plan; life insurance, short-term disability insurance, and long-term disability insurance; business travel accident insurance; Employee Assistance Program; PTO; and employee-paid critical illness and accident insurance.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Job Keywords:Epic Reimbursement Contracts Analyst, Epic Application, Resolute Professional Billing Reimbursement Contracts, Hospital Billing Expected Reimbursement Contracts, Subject Matter Expert, SME, Contract Modeling, Nashville, TN, Tennessee, Telecommute, Telecommuter, Telecommuting, Remote, Work from home, Work at home

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