Komen Graduate Training Program UT MDACC ยท 16 hours ago
Decision Support Analyst
Komen Graduate Training Program UT MDACC is seeking a Decision Support Analyst to join their Clinical Revenue & Reimbursement department. The role focuses on building and optimizing managed care contracts within Epic, ensuring accurate reimbursement modeling and actionable insights that support world-class cancer care.
Hospital & Health Care
Responsibilities
Build, 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
Qualification
Required
Bachelor's degree in Business Administration, Healthcare Management, Hospital Administration, Finance, Statistics, Economics, Industrial Engineering, Information Services or other related fields
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
Minimum of three (3) years of experience in contract maintenance and reimbursement, or at least five (5) years of experience in decision support, revenue cycle analytics, healthcare finance, business intelligence, or financial reporting
Preferred
Master's degree in Business Administration, Healthcare Management, Hospital Administration, Finance, Statistics, Economics, Industrial Engineering, Information Services or other related fields
Advanced coursework or certification in Healthcare Analytics, Data Science, or Revenue Cycle Management is desirable
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 an equivalent Contract Management, Revenue Integrity, or Healthcare Finance certification (e.g., HFMA CHFP, CRCR) preferred
Epic Contract Maintenance and Modeling experience with proven ability to configure and validate complex hospital and professional billing contracts
Hands-on experience with managed care reporting, reimbursement analytics, and large healthcare claim data sets
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
Benefits
Paid medical benefits
Generous paid time off (PTO)
Robust retirement plans
Tuition benefits
Educational opportunities
Individual and team recognition
Company
Komen Graduate Training Program UT MDACC
Through generous funding from Susan G.
Funding
Current Stage
Early StageCompany data provided by crunchbase