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Intermediate Application Specialist - Epic Contract Reimbursement

Candidate Experience site
Charlotte, NC Full Time
POSTED ON 12/19/2024
AVAILABLE BEFORE 2/18/2025

Job Summary

The Intermediate Application Specialist is responsible for maintaining the contract expected reimbursement calculations for Epic and Strata systems while acting as a subject matter expert in contract interpretation, variance reporting, and reimbursement analysis.

Preferred Functions

  • Serving as the subject matter expert for reimbursement contracts.
  • Analyzing, testing, and providing support for reimbursement contracts through collaboration with operational users.
  • Coordinating the maintenance and updates of reimbursement contracts.
  • Performing regular contract audits to determine accuracy in expected reimbursements to ensure optimal performance.
  • Identifying and finding resolutions for all payment variances discovered during audits.
  • Remaining up to date on current and emerging information regarding payer contracts.

 

Essential Functions

  • Designs, codes, tests, debugs, documents, and maintains those programs.
  • Manages projects in all aspects of information systems lifecycle (info planning, business requirements definition, implementation, productions support). Communicates and manages project scope.
  • Coordinates with multiple vendors. Competent to work on most phases of applications systems analysis and programming activities, but requires instruction and guidance in other phases.
  • Creates business process for chosen packaged systems. Configures packaged systems.
  • Ensures all user requests are received in writing and properly evaluated. Responds to request in a timely manner.
  • Guarantees efficient and effective completion of project assignments in accordance with standard procedures.
  • Assists in the resolution of issues regarding projects being worked on and develops recommendations for those issues.
  • Assists in work plan development and management.

 

Physical Requirements
Work is subject to high-level visibility through verbal and written communications with senior hospital management, associated project deadlines, personnel evaluation, and counseling. Must be available for on-call support on a regular basis. Must be able to lift objects that weigh up to 35 lbs. Due to project requirements, overtime will be required, as needed.



Education, Experience and Certifications

High School Diploma or GED required; Bachelor's Degree in Computer Science, Business Administration or related job field preferred. Experience in Microsoft Office, databases, Software Development packages, programming languages, SQR, Crystal, Unix and AIX. Experience in an educational background should have Information Systems or Business-Related internships or Part-time employment experiences. Two years work experience with IS Technology preferred. Health care industry experience preferred.
 

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