Analyst I, Professional Billing Epic

Location: MA, Hybrid Organization Summary:Community Care Cooperative (C3) is a 501(c)(3) non-profit multi-service organization governed by Federally Quality Health Centers (FQHCs). Our mission is to leverage the collective strengths of FQHCs to improve the health and wellness of the people we serve. We fulfill two primary business functions for the FQHCs we work with.

First, we are an FQHC-led accountable care organization (ACO); second, we are a Management Services Organization (MSO) for FQHCs. As an ACO, we negotiate value-based payor contracts on behalf of our FQHCs, hold and operate those contracts (including fulfilling many compliance, financial management, and population health management functions), and maximize the return to FQHCs of any incentive dollars earned. We are proud to be the market leader in the MassHealth ACO Program. We are the largest Medicaid ACO in Massachusetts, and we operate a variety of business offerings nationwide. As an MSO, we (along with our subsidiary companies, which are also FQHC-led non-profits) provide several financial, operational, and technological services to groups of FQHCs.

These services include Epic EHR licensing and implementation; pharmacy operations consulting as well as the building and direct operation of on-site retail pharmacies; billing and credentialing; employer-sponsored insurance; and others. We are a fast-growing, dynamic organization developing new partnerships and programs to improve the health of members and communities, and to strengthen our health center partnersJob Summary:The Analyst I, Professional Billing Epic position will be housed under a subsidiary organization of C3, Community Technology Cooperative, LLC (CTC) to implement, maintain, support, and maximize the use of clinical, financial, and administrative portions of the software applications utilized by CTC in conducting daily operations under the direction of the Manager of Professional Billing Responsibilities:Maintain current clinical, financial, and administrative applications, implementing new clinical, financial, and administrative Epic applicationsAssist in the assessment of workflow processes and assisting in process re-engineering to achieve efficiencies in departmental operationsAssist users in developing reports and analyses, troubleshooting, and resolution of application issuesWork with the IT Education staff to assist in training users and in the development of documentationMaintain a level of knowledge about IT operations and network issues and maintaining current industry knowledgeAbility to maintain current system applicationsFacilitate end users’ ability to understand and maximize the use of the software to perform dailyoperationsEvaluate user knowledge and work with IT education staff to develop specialized training when necessary; educate users in system optimizationActs as liaison between users and the software vendor(s)Guides the modification of system applications in instances where current applications impede performance or where changes will enhance performanceEnsure system application updates are working properly before updates are loaded into the live system by coordinating testing and update dates with users and vendorsIntegrate new application(s) in the existing HIS according to the implementation scheduleRespond to user questions with timely answers and/or referral to appropriate department/personAssist users with technical problems by alerting HIS Operations staff to the need for repair or investigationCoordinate with Database Analysts to provide expertise in the development of reports and analysesWork with other IT staff to ensure interfaces between applications and systems are functioning properlyMaintain and periodically review dictionaries, assist in entering and maintaining user codes, maintain the security of applications, and ensure consistency between various dictionariesInvestigate on timely basis discrepancies in statistics which could indicate a problem with the accuracy of dataWork with application managers, staff from affected areas, and representatives from other impacted areas, to analyze computer system functions and compare data and existing systems both functionally and procedurallyImplement new clinical, financial, and administrative software, including add-on features, and/or new routines in existing applicationsParticipates with other IT staff and other clinical, financial, and administrative areas in the planning and implementation stages of the application, including the development of dictionariesWork with Department Managers and IT Education staff to ensure training programs for use of applications are developed and conducted for all levels of users and participate in such programs when neededDevelop system documentation to supplement vendor manuals and which defines processes, procedures, and policies regarding utilization of various functionsAssist departments with the development of downtime proceduresWork with Operation Manager and staff to establish schedules for report production and system jobs to maintain balanced system utilization and minimize system degradation, if necessarySustain working knowledge of key functions of all aspects of the department in order to provide emergency coverage in the absence of others in the departmentWork with Applications Manager to accomplish other departmental tasksNotify the Applications Manager of requests for custom modifications to standard applications and of any updates to standard systems which replace existing custom modifications so that the Application Manager can take appropriate actionAssist in the development of IT policies and procedures and notify users as appropriateParticipate in applications on-call rotation for the information systemParticipate in hospital quality teams and committees as necessaryDemonstrates competent and effective job performance skills as evidenced by the volume, skill, and technical knowledge of work performed, neatness, accuracy, thoroughness, and completeness, and the ability to follow instructionsDemonstrates the ability to interact effectively and in a professional manner with peer Administration and other customers as demonstrated by willingness to work with others toachieve CTC’s goalsAbility to present a friendly and positive manner, willingness to seek additional tasksResponsibility to assist the department and/or peers, ability to be flexible and perform new tasks and adjust to change even under pressureAbility to accomplish results by working effectively with or through other peopleAbility to hear and communicate with others in a clear, understandable, and professional manner in person and on the phoneDemonstrated use of good written and verbal communication skillsMaintain current industry knowledge by attending industry seminars, reviewing professional literature, and communicating on a regular basis with other IT analystsOther duties as assignedRequired Skills:Ability to understand, analyze, document, and explain business processes and the data that underly themExperience working with Electronic Health Records, medical claims, and other health care dataFlexible and adaptable to change in a fast-paced environmentDemonstrated ability to work both independently and as part of a teamDemonstrated ability to thrive in a fast-past environmentNuanced interpersonal communication skillsWeekly on-call will be a requirement for this positionDesired Other Skills:Familiarity with the MassHealth ACO programFamiliarity with Federally Qualified Health CentersExperience working in a provider organizationExperience working in a managed care environmentExperience with anti-racism activities, and/or lived experience with racism is highly preferredQualifications:Bachelor’s degree in a healthcare-related field, Information Systems or Business ManagementPreferred Epic application proficiencyMinimum of 1 year experience working within Epic applications preferredPrior EHR systems support preferred** In compliance with Infection Control practices per Mass.gov recommendations, we require all employees to be vaccinated consistent with applicable law. **