Contract Data Analyst

Job#: 3026744

Job Description:

Apex is currently seeking a Contract Data Analyst with 3-4 years' experience in managed care, health plan contracting, and provider reimbursement to support a large healthcare client in Tulsa, OK. Must have strong analytical skills, experience with contract modeling and financial analysis, and the ability to obtain and maintain EPIC certification. Experience in a health system, clinic, or surgery center and familiarity with EHR systems required; Power BI experience is a plus. Bachelor's degree in Business or related field required.

Please apply and/or email your resume and contact information to if interested.

Location Details: Onsite, M-F 8-5 in Tulsa, OK. Prefer local, but willing to consider relocation as well.

Type: Direct Hire

Salary Range: 70-90K range preferred, based on experience.

Job Summary:

Responsible for analysis of contracts and performing contract negotiations to include monitoring and reviewing existing contracts to ensure payment compliance, communicating and resolving contract issues both internal and external to the organization, and contributing to health system and individual contract negotiation strategies. Develops and builds contract projections models (EPIC) essential to negotiation outcomes for the health system.

Job Responsibilities:

-Analyzes contracts and communicates operational impact of contracts to appropriate health system contacts.

-Develop models, analysis, and monitor financial performance of existing and proposed contracts.

-Monitors contract performance and compliance to ensure contracts are performing at expected levels by auditing financials and negotiating with payors for money due if appropriate.

-Reviews and negotiates language in the contracting negotiation processes.

-Develops, produces, and maintains data sets required for contract analysis.

-Develops and maintains departmental processes to manage contracts.

-Resolves contractual disputes with payors by collaborating with various health system entities and all related parties.

-Responsible for the analysis, development, and testing of contract projection models within Epic essential to negotiation outcomes for the system for both physician and hospital contracts/reimbursement.

-Builds programing and performs ongoing analysis, which maintains the integrity of financial expectations of managed care contracts within the Epic system.

-Resolves programming issues related to rate and revenue codes operations through modification to yield maximum revenue potential for both physician and hospital contracts/reimbursement.

-Ensure through Epic testing that the build is developed and performing the collaboration with the Epic team to put into production and to enhance contract modeling within Epic.

-Performs other related duties as assigned to fulfill department responsibilities.

-Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor.

--Working Relationships:

-Coordinates activities of others (does not supervise).

-Works with internal customers via telephone or face-to-face interaction.

-Works with external customers via telephone or face to face interaction.

-Works with other healthcare professionals and staff.

-Works frequently with individuals at Director level or above.

Required Skills & Experience:

-Three (3) - four (4) years of related experience.

-Experience with health plan insurance contracting and reimbursement for providers and facilities.

-Ability to complete Epic certification and maintain certification in assigned application modules(s).

-Ability to work independently and within a team across multiple disciplines.

-Ability to establish and meet work schedules within limited time frames and under tight deadlines.

-Analytical ability to solve both business and technical problems.

-Working knowledge of Microsoft Excel, Word, Power BI and Access.

-Excellent interpersonal, written and oral communication skills.

-Ability to be detail oriented as required in the analysis and examination of complex information.

Preferred Skills & Experience:

-Experience with Microsoft Access, data warehouse applications, contract negotiations, contract financial modeling, contract language interpretation and EPIC.

Required Education:

-Bachelor's degree in business or related field.

Required Certifications & Licensure:

-Obtain and maintain Epic certification in assigned application modules(s).

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our 'Welcome Packet' as well, which an Apex team member can provide.