Senior Systems Analyst – Hospital Billing and Claims

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Collect and enhance stakeholder requirements, map workflows, and design Epic builds that align with operational objectives and policies.

• Develop and maintain specifications, decision logs, design documents, configuration documentation, and process documentation.

• Perform gap analyses for upgrades, regulatory changes, and new initiatives.

• Oversee smaller system implementation and upgrade projects utilizing waterfall or agile methodologies.

• Lead project teams and facilitate cross-functional collaboration.

• Configure Epic records, master files, profiles, rules, security classes, and workflows.

• Ensure environment parity and adhere to change-management and build-naming conventions.

• Create and execute unit, integrated, and UAT test plans; identify defects and document testing evidence.

• Validate interfaces, printing, reporting, downstream workflows, and regression coverage.

• Coordinate release management, environment transitions, and downtime procedures.

• Provide go-live and post-live hypercare, including rounding, office hours, tip sheets, and at-the-elbow support.

• Manage service requests and incidents, ensuring SLAs are met through triage and root-cause analysis.

• Offer advanced support for Epic, Workday, Kronos, and other applications.

• Integrate Epic and third-party systems with IT and clinical teams.

• Collaborate on HL7, FHIR, PDF, CCD/CCDA, Clarity/Caboodle, registry, and operational reporting workflows.

• Ensure data integrity and maintain consistent metric definitions.

• Support CMS, Joint Commission, audit, privacy, security, and policy requirements.

• Contribute to ITIL-aligned incident, problem, change, and configuration management.

• Design and implement tailored training programs.

• Govern and uphold the CareConnect curriculum and training environments.

• Communicate system releases and upgrades effectively.

• Manage, prioritize, assign, resolve, and document end-user training requests and incidents.

• Identify support trends and implement preventive enhancements.

⛳️ Requirements

• Bachelor’s degree in computer science, Information Technology, Healthcare Administration, or a related discipline.

• Alternatively, 10+ years of experience in system analysis and support within a healthcare setting.

• At least 5–7 years of experience in system analysis and support within a healthcare environment.

• Experience with Epic applications and healthcare workflows.

• Strong skills in requirements gathering, workflow design, and testing.

• Familiarity with ITIL, change control, SDLC practices, system governance, and waterfall/agile methodologies.

• Ability to communicate effectively with clinical and operational stakeholders as well as managed service providers.

• Proficient in producing clear documentation.

• Demonstrated experience managing complex projects and leading cross-functional teams.

• Preferred: current Epic certification or proficiency in relevant modules.

• Preferred: 3+ years of experience in Epic build and configuration.

• Experience with system integration, HL7, FHIR, and interface testing.

• Exposure to SQL/Clarity, Caboodle, SlicerDicer, Radar, or Reporting Workbench.

• Previous experience in patient access, billing, coding, finance, or clinical operations.

• Prior leadership or supervisory experience is a plus.

• ITIL Foundation certification is desirable but not mandatory.

• Certifications in one or more Epic applications.

• Experience in a large healthcare system or hospital environment.

• Familiarity with other healthcare applications and systems.

• Knowledge of healthcare regulations and compliance standards.

• Familiarity with AWS or Azure.

• Experience with business intelligence and analytics tools.

• An advanced degree in a related field is advantageous.

🏝️ Benefits

• Work-from-home arrangement available for employees located in Ohio.

• Opportunities for learning and growth.

• Access to tools and resources to achieve the organization's mission.

• Recognized as a Great Place to Work Certified™ organization.

• 40 scheduled hours per week.

• Commitment to equal employment opportunities and compliance with applicable regulations.