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JOB DESCRIPTION

We are seeking a highly skilled Application Analyst with expertise in Epic Resolute and Claims & Remittance modules to join our dynamic team. The role involves critical tasks such as the implementation, upgrade, and modification of Epic applications. Responsibilities include configuring workflows, supporting go-live operations, and providing ongoing client support. This position requires an intermediate level of expertise in Epic Practice Management system products and entails configuring application settings and validating these configurations.

As an Application Analyst, you will work closely with cross-functional teams to analyze business processes and implement solutions that improve the efficiency and effectiveness of our Epic applications. The ideal candidate will possess a solid understanding of revenue cycle management or have experience in billing operations. A thorough understanding of the data flow within Epic systems is essential to address the root causes of claims errors. Knowledge in setting up and testing both paper and electronic claims and remittances is also critical.

RESPONSIBILITIES

• Epic Resolute Implementation:
  • Play a key role in the implementation and configuration of Epic Resolute, collaborating with stakeholders to understand billing and revenue cycle management requirements.
  • Customize and optimize Resolute workflows to ensure accurate and efficient financial transactions.
• Claims and Remittance Management:
  • Oversee the Claims and Remittance processes within the Epic system, ensuring timely and accurate submission and processing of claims.
  • Analyze and optimize workflows related to claims adjudication and remittance processing.
• Integration and Interoperability:
  • Collaborate with other IT teams to integrate Epic Resolute and Claims/Remittance modules with other healthcare information systems.
  • Implement and test interfaces to enhance data exchange and interoperability, ensuring seamless connectivity with external payers and clearinghouses.
• User Support and Training:
  • Provide user support for Epic Resolute, Claims, and Remittance applications, addressing queries and issues related to billing and claims processing.
  • Develop and deliver training programs for end-users to optimize the use of Epic applications for billing and claims management.
• Continuous Improvement:
  • Analyze system performance and user feedback to identify areas for improvement in Epic Resolute and Claims/Remittance functionalities.
  • Proactively suggest and implement enhancements to streamline billing processes, reduce denials, and improve revenue cycle efficiency.
• Act as the primary support contact for the application's end-users
• Identify issues that arise in their application area as well as issues that impact other application teams, and working to resolve them
• Guide workflow design, building and testing the system, and analyzing other technical issues associated with Epic software
• Identify and implement requested changes to the system
• Serve as a liaison between end users' workflow needs and Epic implementation team
• Maintain regular communication with Epic representatives, including participating in weekly project team meetings
• Work with Epic representatives, your organization's business community and end users to ensure the system meets the organization's business needs
• Develop an understanding of operational needs to set the direction for the organization's workflows by attending site visits and other integrated sessions
• Participate in training and work with end users
• Troubleshoot problems and questions
• Review the status of projects and issues on an ongoing basis with leadership
• Hold weekly communications with team members to discuss the status of deliverables, shared issues, end-user concerns, budget, and upcoming milestones

QUALIFICATIONS

• 2+ years professional experience with Bachelor's degree in Information Technology, Computer Science or related field.
• Epic Resolute certification is preferred.
• Solid understanding of revenue cycle management or experience with billing operations.
• Experience in healthcare, particularly in hospital or clinic settings, or with healthcare insurance.
• Experience in business analysis in a technical environment, supporting multiple small to large teams of business and IT staff
• Excellent communication, presentation, team and interpersonal skills
• Strong critical thinking and abstract reasoning
• Seeks out best practice to develop techniques for excellent problem solving
• Multi-tasking abilities with project management skills
• Data interpretation skills to form actionable suggestions to support business requirements
• Ability to understand stakeholder needs and demonstrates creative thinking to provide solutions and recommend system and process enhancements.
• Strong decision-making skills and process management to ensure stakeholders understand all the conditions, environment, and measures in which the decision will be made.
• Ability to perform evaluation of historical trends to provide predictive insights
• Offer solutions to resolve risks, conflicts, and assumptions.
• Ability to summarize requirements and connect requirements to business goals while anticipating system impact.
• Strong research skills/ability to get an overview and dive into details independently with little to no direction

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. $59,000 - $130,900

ADDITIONAL INFORMATION

Rewards to make you smile! We don't just want to make our customers happy - we want to give our employees a reason to smile, too. Delta Dental's comprehensive benefits package includes:

• Generous paid time off plus 12 holidays and your birthday off!
• Low-cost premium medical insurance options
• 100% paid dental and vision insurance
• Generous 401(k) matching and flat contribution
• Social responsibility and volunteer opportunities, including 16 paid volunteer hours annually
• Employee LiveWell program, focusing on overall employee well-being
• Fertility and diabetes benefits
• Employee discount program: AT&T/Verizon, entertainment, travel, and more!
• Culture of learning: career development and tuition reimbursement
• Career growth: we love promoting from within

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Please note, Delta Dental will not sponsor applicants for work visas for this position.

#LI-Hybrid

ABOUT THE TEAM

At Delta Dental, our success is only as strong as the people who execute it! We take enormous pride in being the nation's most recognized and widely-used provider of dental insurance - and we've come this far by living our core values of innovation, excellence, service and trust. Our vision is to motivate and empower every employee so that we're all inspired to take exceptional care of our customers, providers and ourselves. We believe in integrity, accountability, collaboration, and giving every employee equitable opportunity for their voice to be heard and development to be fostered.

If you're excited about the prospect of transforming the future of health care and growing in your career, join our smile revolution!

To see some of the smiling faces behind Delta Dental and to learn more about what our values and culture look like in action, connect with us on social media: Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn.

We are part of the Delta Dental Plans Association, a network of companies that provides dental coverage to 74 million people in the U.S. Delta Dental of California, Delta Dental of New York, Inc., Delta Dental of Pennsylvania and Delta Dental Insurance Company, together with our affiliate companies, form one of the nation's largest dental benefits delivery systems, covering 33 million enrollees. All of our companies are members, or affiliates of members, of the Delta Dental Plans Association, a network of 39 Delta Dental companies throughout the country.

Delta Dental is an equal opportunity employer. We are committed to building and maintaining a diverse and inclusive workplace for all employees. Applicants will not be discriminated against because of race, color, religion, creed, national origin, ancestry, citizenship status, sex (including pregnancy), sexual orientation, gender or identity expression, age, disability, marital status, medical status, veteran status or any other status protected under federal, state, or local law. In addition to federal law requirements, Delta Dental complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico or other US Territories at this time.

Proof of eligibility to work in the United States must be provided if selected for hire.

*Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York

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