Plans and Fees Analyst Consultant

Are you an analytical healthcare professional with a sharp eye for detail and Epic system expertise? Join a dynamic, collaborative team where your technical precision directly powers accurate patient estimates, clean claims, and optimal financial outcomes. Enjoy a balanced hybrid work model with 1 week onsite in Oakland per month (3 days during that week) and remote flexibility for the rest!

salary: $45 - $53 per hour shift: First work hours: 8 AM - 5 PM education: Bachelors

Responsibilities

Load and maintain payer plans, benefit structures, and Payor and Employee plan fee schedules within Epic according to organizational and payer requirements.

Perform testing and validation to ensure correct fee mapping, contract adherence, and reimbursement accuracy.

Collaborate with the RCM Business Analyst, Billing, and Contracting teams to identify configuration gaps, discrepancies and opportunities.

Conduct end-to-end testing of fee and plan builds, documenting all test cases and validation results.

Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as needed.

Maintain version control and documentation for all loaded plans and fees.

Participate in process improvement initiatives to enhance accuracy and efficiency of fee management.

Support go-live readiness activities and provide post-implementation validation.

Annual review and update of plans within Epic

Skills

• revenue cycle

• payer contracting Qualifications

• Years of experience: 0 years
• Experience level: Experienced Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you’re looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate’s education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility). This posting is open for thirty (30) days. Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. , Load and maintain payer plans, benefit structures, and Payor and Employee plan fee schedules within Epic according to organizational and payer requirements. Perform testing and validation to ensure correct fee mapping, contract adherence, and reimbursement accuracy. Collaborate with the RCM Business Analyst, Billing, and Contracting teams to identify configuration gaps, discrepancies and opportunities. Conduct end-to-end testing of fee and plan builds, documenting all test cases and validation results. Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as needed. Maintain version control and documentation for all loaded plans and fees. Participate in process improvement initiatives to enhance accuracy and efficiency of fee management. Support go-live readiness activities and provide post-implementation validation. Annual review and update of plans within Epic

• revenue cycle
• payer contracting

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