Decision Support Analyst

Decision Support Analyst

As a Decision Support Analyst in our Clinical Revenue & Reimbursement department, you'll play a critical role in building and optimizing managed care contracts within Epic, ensuring accurate reimbursement modeling and actionable insights that support world-class cancer care.

What's in it for you?

• 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.
• Impactful work: Your analysis and technical expertise will directly influence financial performance and patient care delivery.
• Collaborative culture: Work with finance, IT, managed care, and operational teams in a mission-driven environment that values innovation and excellence.

*** The ideal candidate will have managed care reporting experience with Epic contract maintenance.***

Summary

The Decision Support Analyst is responsible for building, maintaining, and analyzing managed care contracts within Epic's Contract Maintenance and Contract Modeling modules for both hospital (HB) and professional (PB) billing environments. This role requires technical proficiency in Epic, strong analytical skills, and deep understanding of healthcare financial workflows to ensure contract integrity and strategic decision support.

Technical Skills

• 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.

Analysis & Data Management

• 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.

Managed Care Knowledge

• 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.

Customer Service & Collaboration

• 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: Required: Bachelor's degree in Business Administration, Healthcare Management, Hospital Administration, Finance, Statistics, Economics, Industrial Engineering, Information Services or other related fields. 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.

License/Certification: Required: 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 an equivalent Contract Management, Revenue Integrity, or Healthcare Finance certification (e.g., HFMA CHFP, CRCR) preferred.

Experience: Required: 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: 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