Epic Contract Module Build Analyst- Remote.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Business Process Analyst is directly responsible for building the Facility Insurance Contracts in Epic via the ePay module. The Analyst works with Team Leads, Subject Matter Experts, Facility Contracting Team and key Stakeholders. The incumbent will assist by performing the following tasks:

• Analyze, review, and evaluate Insurance Contract information on rates and rules of payments.
• Present analysis and interpretation of the Contracts and what is needed to have an accurate build.
• Support analysis on the variances seen after payments through workqueue and other tools in Epic.
• Develop details on variance analysis to assist with Payer issues or Contract build updates.
• Communicate analysis including trends and opportunities to the business
• Other duties as necessary

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

Primary Responsibilities:

• Under the guidance and direction of SBO leadership, assists with building out new Facility contract rates and rules when provided by the Facility for both Hospital and Ambulatory services
• Serves as the key data contact for assigned Contracts and the Build with the key stakeholder(s), fielding questions regarding the request data, variances, and posing any necessary questions back to the stakeholder(s) in order to validate the integrity of the data
• Demonstrates ability to analyze large volumes of data in order to produce useable results to meet evaluation objectives. Analysis may include the documentation of financial and operational opportunities, as well as opportunities to improve the build within Epic
• Successfully and seamlessly collaborates with other functional units within the Business Office, IT and Contracting to ensure timely design/build and deployment of new or amended Payer contracts, as well as ensures timely documentation and cataloging of issues identified
• Develops key documentation, including but not limited to: variance review, once validated, payer contract issues, trended payer issues with contract language and root cause analysis
• Prepares first draft documentation for SBO Leadership review and input, ensuring that all materials are client-ready
• Promotes team work and displays ability to effectively communicate and coordinate multiple activities within the SBO leadership team, key function units and directly with client leadership.
• Proactively and effectively provides required communications related to Contract builds:
  • Stakeholder Communications - Provides formal communication plans for Contract build needs (i.e. Proprietary Fee Schedules); able to craft messages to a variety of stakeholder groups with success, ensuring engagement and buy-in; able to obtain needed communications from stakeholders; appropriate interactions with various levels of Optum Insight John Muir Health leadership with minimal guidance
  • Influencing - In most situations, can skillfully represents points/position and settle differences with minimum noise; can bring teams to consensus and collaboration; can be direct and assertive as well as diplomatic; quickly gains trust of key stakeholders; has a good sense of timing
  • Communication Skills: Oral, Written, Listening - Ability to draw conclusions and connect outside factors into conversations and work sessions; prepares and delivers effective written communication to all parties
  • Meeting Facilitation/Presentation Skills - Designs and executes appropriate facilitation approaches depending on audience and topic complexity - uses a variety of tools and approaches to solve complex project / business issues. With minimal guidance, prepares for and presents complex matters effectively; is effective in a variety of formal presentation settings: one-on-one, small and large groups; is effective both inside and outside the organization; recognizes and ensures connection with all audience types and levels
• Demonstrates solid engagement and organization management skills required to effectively perform assigned duties:
  • Organizational Awareness and Navigation - With minimal guidance, can maneuver through simple to complex situations effectively and quietly; is sensitive to how people and organization functions; anticipates obstacles and plans his/her approach accordingly
  • Trust & Confidence - Possesses proven track record. Effectively manages customer expectations by establishing relationships, transparent communications, and factoring business needs into project decisions
  • Business Acumen - Possesses a strong understanding of how healthcare organizations and Insurance Contracts specifically work. Developing an awareness of current policies/ procedures, practices, trends, technology, and information impacting Optum Insight John Muir Health business and organization. Understands how Contract Build impacts Yield, Finance, Contract Modeling, Workloads and other areas of impact at the Facility
  • Functional & Technical Knowledge - Developing an understanding of assigned business function and technologies within and outside area of responsibility
• Demonstrates leadership potential and positively represents the Business Office department and leadership:
  • Team Leadership - Able to elicit cooperation and diffuse tension; anticipates possible/ probable team dynamics issues and implements adjustments (e.g., team building activities) to maintain or improve team dynamics; drives team decision making supported by all parties and ensures alignment of decisions with organizational missions, values, and priorities
  • Conflict/Crisis Management - Guides the team to fully understand the issue and assess urgency, develop and assess solution options, manage stakeholder communication and decision needs and drives to the best solution; sets an appropriate example for others relative to performing under pressure
  • Critical Thinking/Decision Making - Comfortable making most significant decisions for complex projects in accordance with installed project governance and issue management processes. Seeks coaching or mentoring when appropriate for assistance with more difficult challenges or decisions
  • Leading Others - Driving execution without creating conflict; empowerment of team members in decision making; problem resolution with escalation as appropriate
• Other duties as needed and assigned by the Director, Single Business Office or other Optum Insight John Muir Health leadership, including but not limited to leading and conducting special projects
• Maintains a working knowledge of Revenue Cycle applications, Insurance Industry and methodologies

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:

• Current Certification in Epic ePay module for HB and PB builds
• 2+ years in healthcare Insurance Contract analysis
• Technical Knowledge
  • Considerable reporting experience including report design and delivery, performing data mining activities
  • Proven excellent analytical and quantitative skills; ability to develop appropriate methods for collecting, analyzing, forecasting, and trending data; familiarity with healthcare / finance terminology, metrics, and concepts
  • Proven excellent organizational skills required (ability to multi-task, produce rapid turnaround, and effectively manage multiple projects)
  • Proven high sense of responsibility and accountability; takes ownership and initiative
  • Proven results-oriented with an eye toward the end-goal and business results as the objective of our projects
  • Proven excellent communication capability; persuasive, inclusive, and encouraging; the ability to listen and understand; ability to elicit cooperation from a variety of resources
  • Proven adaptable and flexible, with the ability to handle ambiguity and sometimes changing priorities
  • Proven professional demeanor and positive attitude; customer service orientation
  • Demonstrated ability to think and act; decisiveness, assertiveness, with ability to achieve results quickly
  • Demonstrated ability to respect diversity in experience, characteristics, viewpoints, and opinions
  • Demonstrated ability to learn, understand, and apply new technologies, methods, and processes
  • Demonstrated ability to work with a variety of individuals in executive, managerial and staff level positions. May also interact with external parties, such as financial auditors, third party payer auditors, consultants, and various hospital associations
  • Demonstrated ability to possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Optum Insight John Muir Health and our client organization(s)

Physical Demands:

• Must be able to utilize correct body mechanics during performance of physical activity such as pushing/pulling, reaching, stooping, squatting, sitting, and lifting
• Requires medium physical strength physical demands, including:
  • Standing - Only as needed
  • Walking - Occasional
  • Stooping/Bending - Occasional
  • Crawling - Almost Never
  • Pushing/Pulling - Occasional
  • Taste/Smell - Almost never
  • Sitting - Constant
  • Climbing - Almost never
  • Crouching/Squatting - Occasional
  • Reaching - Occasional
  • Fine Motor Handling - Constant
  • Near Visual Acuity - Constant
  • Hearing - Frequent
  • Speaking - Frequent

Environment:

• Primarily works indoors in offices/home
• ~10% travel demands to support assigned Service Areas, dependent upon incumbent's home location and project responsibilities

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $70,200 to $137,800 annually. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

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.