Payer Contract Analyst 4

#CA-KN

The Payer Contracts Analyst provides technical support, and departmental analysis, as it pertains to payer professional contract rates and reimbursement policies. Technical leader with a high degree of operational knowledge and technical expertise in professional reimbursement and contracting. Must be able to function with a high degree of autonomy, with ability to collaborate with other technical analysts as needed.

Responsibilities include performing regular maintenance of the EPIC PB Contracts Module, building new PB contract templates in EPIC as needed, monitoring payer contract performance and escalating to appropriate parties when payer is underperforming according to contract, performing both pro-active and ad hoc payer reimbursement analyses to ensure timely and appropriate professional reimbursement. Collaborates with other departmental analysts to solve complex problems that diminish professional reimbursement with contracted payers. Maintains open communication and collaborative relationship with contracted payer representatives, as it pertains to contract performance. Manages projects at all levels of complexity and scope. Creates and maintains end-user documentation related to utilization of the EPIC PB Contracts Module, and trains end users on appropriate use of the EPIC module as needed.

Apply By Date: 2/15/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• EPIC Certification
• Bachelor's degree in a related field preferred or equivalent combination of education and experience within a healthcare facility.
• Extensive experience in at least 2 of the following Epic Modules; EMR, Resolute, ADT, Cadence, Tapestry, Clarity and Reporting Workbench
• Ability to interpret and understand third party payer contracts, terms and regulations.
• In-depth knowledge of third party payer contracts, contracting processes and procedures and regulations governing third party payers, including capitated managed care contracting issues and the relationships between health plans and medical groups.
• Technical knowledge of all licensed health care service plans, including State and Federal plans, billing policies and procedures and the ability to recognize when they are not being followed.
• In-depth knowledge of the practices, procedures, and concepts of the healthcare revenue cycle and its component operations, including billing, collections, charge capture, contractual adjustments, third-party reimbursements, and cash management.
• In-depth understanding of the issues, processes, reporting instruments, metrics, dashboard design, and other tools and techniques involved with measuring and analyzing the revenue cycle and reimbursement.
• Advanced skills in report development, dashboard design, and various software tools specific to healthcare revenue cycle management. Skills in common database, spreadsheet and presentation software.
• Demonstrates professionalism, tact, courtesy and diplomacy in dealing with personnel at all levels in and outside of the health system
• Advanced communications skills, with the ability to interpret and convey complex clinical finance information in a clear, concise manner.
• Ability to prepare compelling and informative reports and presentations to all levels of staff and management.
• Strong ability to advise management, serving as a technical expert, providing proposals for improvement and guidance on regulatory changes and industry trends and developments in revenue cycle management.
• Knowledge and ability to apply mathematical and statistical methods, quantitative analyses, evaluative techniques, and business planning techniques.
• Ability to establish and maintain effective and appropriate working relationships with co-workers, subordinates and others, exhibiting assertiveness, a realistic perspective, objectivity, courtesy and awareness of how his/her actions affect others.

Preferred Qualifications

• EPIC PB Contracts Module
• Experience with UCDHS tables and software applications; Business Objects, Enterprise Finance Analytics, Page Center X and NHXS.
• Advanced PC spreadsheet skills including mastery of: Excel macros, modeling, pivot tables, lookup tables, logical functions, charting and spreadsheet troubleshooting.
• Advanced analytical and problem-solving skills, with the ability to evaluate the effectiveness of workflows and systems in revenue cycle program areas, to identify weaknesses and develop innovative solutions and process improvements.
• Experience, knowledge, and certification with PB Contracts Module.

Key Responsibilities

• 60% - Provide Technical Systems Build and Support
• 20% - Provide Contracts Performance Analysis
• 20% - Maintain/Support Payer Relations

Department Overview

The Professional Billing Group (PBG) provides billing and collection services for approximately 1,200+ UCD School of Medicine faculty physicians and other providers. The purpose of this position is to provide technical support, and departmental analysis, as it pertains to payer professional contract rates and reimbursement policies. Technical leader with a high degree of operational knowledge and technical expertise in professional reimbursement and contracting. Must be able to function with a high degree of autonomy, with ability to collaborate with other technical analysts as needed. Analyst responsibilities include performing regular maintenance of the EPIC PB Contracts Module, building new PB contract templates in EPIC as needed, monitoring payer contract performance and escalating to appropriate parties when payer is underperforming according to contract, performing both pro-active and ad hoc payer reimbursement analyses to ensure timely and appropriate professional reimbursement. Collaborates with other departmental analysts to solve complex problems that diminish professional reimbursement with contracted payers. Maintains open communication and collaborative relationship with contracted payer representatives, as it pertains to contract performance. Manages projects at all levels of complexity and scope. Creates and maintains end-user documentation related to utilization of the EPIC PB Contracts Module, and trains end users on appropriate use of the EPIC module as needed.

POSITION INFORMATION

• Salary or Pay Range: $8,533.33 - $16,866.67
• Salary Frequency: Monthly
• Salary Grade: 257
• UC Job Title: CLIN APPLICATIONS PROFL 4 HX
• UC Job Code: 006372
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8:00am-5:00pm, Monday-Friday
• Location: UCDHAS Building (HSP165)
• Union Representation: HX-Healthcare Professionals
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Can be remote or hybrid.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Opportunity Employer. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks