Epic Specialist - Ambulatory and Professional Billing

Description

Do you wake up every morning inspired to solve problems and make a meaningful impact in healthcare? If so, we want to hear from you.

At Innovista Health, we're leading the effort to drive transformative change in healthcare. We are a full-service value-based care and managed service organization that partners with independent providers to help them navigate, succeed, and thrive in value-based care.

Founded in 2013, Innovista Health offers solutions for providers at every point along the continuum of value-based care, ranging from care management, provider/ACO enablement, and quality improvement to performance insights, reporting, and managed administrative/payment services.

While Innovista Health’s main offices are in Oak Brook, IL and Houston, TX, we have remote employees throughout the US.

We're thrilled to announce a dynamic opportunity for you to become an integral part of our team. As a hybrid contributor, you'll play a key role in pioneering a pathway toward a more streamlined and effective healthcare system.

JOB SUMMARY

We are seeking a skilled Epic Specialist with a focus on Ambulatory and Professional Billing (PB) modules. The ideal candidate will have technical expertise in report writing, data analysis, and experience with Epic tools such as Slicer Dicer, Healthy Planet, Membership Roster Management, and Payer Platform. This role is critical in optimizing our Epic system for care management, reporting, and payer processes, ensuring efficient and accurate data management across clinical and financial operations.

DUTIES AND RESPONSIBILITIES

Data Analysis & Report Writing:

• Develop and maintain custom reports for ambulatory and PB areas using Epic’s reporting tools.
• Use Slicer Dicer to create data sets, dashboards, and self-service reports for clinical and operational teams.
• Provide data insights to support decision-making across various departments.

Ambulatory and PB Expertise:

• Serve as the subject matter expert for the Epic Ambulatory and PB modules.
• Assist with configuration, troubleshooting, and optimization of these modules to ensure they meet organizational needs.
• Support end users by addressing technical and workflow-related issues.

Healthy Planet & Population Health:

• Leverage Healthy Planet to support population health initiatives, managing patient panels, care management, and tracking clinical quality metrics.
• Configure and manage population health registries and membership rosters for accountable care organizations (ACO) or value-based care models.

Membership Roster Management:

• Manage membership rosters for payer contracts and ensure accurate and timely roster submissions.
• Collaborate with payers and internal teams to resolve discrepancies in membership data.

Payer Platform Support:

• Support and optimize the integration between Epic’s Payer Platform and external payer systems.
• Ensure accurate data exchange for claims, eligibility, and prior authorization workflows.

Collaboration & Training:

• Work closely with clinical, billing, and administrative staff to understand their reporting and data needs.
• Provide training and guidance to end users on Epic tools like Slicer Dicer and Healthy Planet.
• Collaborate with IT teams to ensure seamless integration of Epic tools and data into other systems.

Requirements

• Bachelor’s degree in healthcare informatics, Computer Science, or related field preferred.
• Minimum 3 years of experience as an Epic analyst or specialist building expertise required.
• Certifications in Epic modules such as Ambulatory, PB, or Healthy Planet required.
• Strong expertise in Epic Ambulatory and Professional Billing (PB) modules required.
• Demonstrated experience with Slicer Dicer, Healthy Planet, and Membership Roster Management required.
• Familiarity with payer platform functionality and workflows.
• Advanced proficiency in Epic reporting tools, data analysis, and report writing.
• Strong analytical skills with the ability to translate complex data into actionable insights.
• Excellent communication and collaboration skills with cross-functional teams.
• Epic certification(s) in relevant modules is highly preferred.
• Previous experience in population health management or value-based care initiatives preferred.
• Experience with Epic Payer Platform and third-party integrations for claims and eligibility workflows preferred.

Compensation: $96,000.00 - $144,000.00 annually.

Exact compensation may vary based on skills, experience, and location.

BENEFITS:

We are committed to creating a culture where everyone feels important, welcomed, and included. We demonstrate this commitment by offering a comprehensive benefits package that fosters opportunities for growth and advancement and supports the physical, mental, and financial wellbeing of our team members.

HEALTH & WELLBEING

• A choice health coverage, including HMO and PPO, plus Flexible Spending Account (FSA) and Health Savings Account (HSA) options
• Dental and vision coverage
• Company-paid benefits (short- and long-term disability, employee life, and accidental death and dismemberment)
• Employee Assistance Program
• Bereavement Leave (full time employees for the loss of an immediate family member)
• Paid Military Leave Benefits
• Discounts and perks on gym memberships, shopping, travel, recreation, and more

FINANCIAL GROWTH

• A yearly discretionary bonus
• 401(k) with a company match
• Credit Union Banking alternative
• Wellness Rewards with Monetary Incentives
• Rewarding employee referral bonuses

WORK/LIFE BALANCE

• Flexible schedule and work from home options for numerous roles
• Nine paid company holidays + Sick/ Wellness Days + accrued PTO
• Commuter benefits
• Paid Parental Leave (up to 6 weeks, subject to applicable waiting period)

JOB SATISFACTION & ADVANCEMENT

• Clear career advancement and growth pathways
• Continuous education opportunities and financial reimbursement*
• Diversity, Equity & Inclusion Committee with various Business Resource Groups you can join
• Company-wide socials and gatherings
• "Dress for Your Day" policy

Benefits may be subjected to an applicable waiting period.