Job Details

OverviewThe Managed Care Contract Analyst supports analytical, reporting, and data driven decision making activities within Clinical Revenue & Reimbursement, helping translate complex information into actionable insights. The role works closely with stakeholders to maintain data accuracy, support operational planning, and improve organizational processes through analytics and reporting tools. The role is an essential part of MD Anderson Cancer Center. It supports data-driven decisions that guide clinical, operational, and strategic initiatives across the institution.The ideal candidate will have experience building, maintaining, and managing managed care contracts in Epic, including hands-on experience with Epic contract modeling.The typical work schedule is Monday - Friday 8am - 5pm.Work Location: Remote (Must be able to attend meetings onsite).Why Us?In this role, you contribute to the mission of MD Anderson by providing the analytical insight needed to guide operational and clinical decisions, supporting both institutional effectiveness and patient focused outcomes.ResponsibilitiesBuild, test, implement, and maintain complex contracts within Epic Contract Maintenance for accurate reimbursement calculations.Configure advanced HB and PB contract rules and extensions to support precise payment modeling.Perform Epic system build and maintenance within Hyperdrive, Text, PJX/SUP, REL, and Data Courier environments.Participate in Epic upgrades, testing, and enhancements to maintain system performance.Maintain Epic certification(s) and continuously improve technical and analytical proficiency.Utilize data analytic tools including Epic Reporting, SAP BI, and advanced Excel functions.Produce accurate qualitative and quantitative analyses to support revenue cycle and managed care functions.Conduct in-depth analyses of contract performance, payer trends, and regulatory impacts.Design and develop reports, dashboards, and data visualizations using Epic, Business Objects, StrataJazz, Power BI, and Excel.Develop scalable, self-service reporting solutions for stakeholders.Interpret managed care contract language to operationalize payment terms in Epic.Evaluate payer reimbursement methodologies (CPT, HCPCS, MSDRG, APC, ICD-10) and assess financial impacts.Monitor contract performance for compliance and reimbursement optimization.Maintain knowledge of third-party reimbursement regulations (Medicare, Medicaid, commercial payers).Identify revenue opportunities and risk areas based on contract analyses.Engage with internal customers through meetings, clear documentation, and timely deliverables.Communicate technical findings in a clear, concise manner for non-technical audiences.Collaborate with Patient Access, Financial Services, Managed Care, IT, and Revenue Cycle teams.Maintain proactive and professional communication with stakeholders.Participate in cross-functional training and knowledge sharing.Develop and maintain internal documentation and best practice guides for Epic contract workflows.Education & QualificationsRequired: Bachelor's degree in Business Administration or health care discipline.Preferred: Master's degree in Business Administration, Healthcare Management, Hospital Administration, Finance, Statistics, Economics, Industrial Engineering, Information Services or related fields.Advanced coursework or certification in Healthcare Analytics, Data Science, or Revenue Cycle Management is desirable.License / CertificationRequired: Epic Resolute Hospital Billing (HB) Expected Reimbursement Contracts Administration and Epic Resolute Professional Billing (PB) Expected Reimbursement Contracts Administration Certifications within 180 days of hire.Preferred: Epic Resolute Hospital Billing (HB) and/or Professional Billing (PB) Expected Reimbursement Contracts Administration Certification at time of hire.Additional certification in Coding (CPC, COC, CCS) or equivalent Contract Management, Revenue Integrity, or Healthcare Finance certification (e.g., HFMA CHFP, CRCR) preferred.ExperienceRequired: Minimum of three (3) years of experience in reimbursement or decision support, or at least five (5) years of experience in accounting, analysis, or financial reporting.Preferred: Epic Contract Maintenance and Modeling experience with proven ability to configure and validate complex hospital and professional billing contracts.Hands-on experience with maintaining managed care contracts, contract modeling, and building managed care contracts in EPIC.Prior exposure to payer relations, contract negotiations, or healthcare decision support systems.Experience using Epic Reporting and Databases, SlicerDicer, StrataJazz, Business Objects (WebI/SAP Universes), Power BI, or similar reporting tools.Additional InformationRequisition ID: 178631Employment Status: Full-TimeEmployee Status: RegularWork Week: DaysMinimum Salary: US Dollar (USD) 68,500Midpoint Salary: US Dollar (USD) 85,500Maximum Salary: US Dollar (USD) 102,500FLSA: exempt and not eligible for overtime payFund Type: HardWork Location: Remote (within Texas only)Pivotal Position: YesReferral Bonus Available?: NoRelocation Assistance Available?: NoEEO Statement: The University of Texas MD Anderson Cancer Center is an equal opportunity employer. It does not discriminate on the basis of race, color, religion, age, national origin, sex, gender identity or expression, sexual orientation, disability, protected veteran status, genetic information, or any other basis under applicable law.#J-18808-Ljbffr