Decision Support Analyst jobs in United States
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MD Anderson Cancer Center · 16 hours ago

Decision Support Analyst

MD Anderson Cancer Center is a leading institution in cancer care, and they are seeking a Decision Support Analyst to enhance managed care contracts within Epic. This role involves building, maintaining, and analyzing contracts to ensure accurate reimbursement and support financial performance in a collaborative environment.

Health CareHealth DiagnosticsHospitalMedical
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Growth Opportunities

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

EpicHealthcare financeData analyticsContract maintenanceSAP BIPower BIExcelManaged care knowledgeCommunicationCollaboration

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

Comprehensive Benefits: Enjoy paid medical benefits, generous paid time off (PTO), and robust retirement plans to support your health and financial security.
Professional Growth: Access to Epic certification, advanced analytics tools, and continuous learning opportunities to grow your career.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.

Company

MD Anderson Cancer Center

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MD Anderson Cancer Center is a cancer treatment and research institution which gives treatment, and research of all types of cancer.

Funding

Current Stage
Late Stage
Total Funding
$16.2M
Key Investors
Break Through CancerGastro-Intestinal Research Foundation
2023-05-16Grant· $2.7M
2023-01-24Grant· $3.5M
2022-04-19Grant· $10M

Leadership Team

D
David Tweardy
Professor
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Company data provided by crunchbase