PFS Contract Variance Analyst, Denials Analysis

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County.

Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

SUMMARY

We are currently seeking a PFS Contract Variance Analyst to join our Denials Analysis team. This full-time role will work remotely (Days, M- F).

Purpose of this position: The Contract Variance Analyst provides foundational support in managing appeals related to payer contract variances and fatal denials. This role is responsible for assisting with appeal documentation, tracking, and submission processes, while collaborating with internal teams to gather necessary information. The analyst maintains data accuracy within tracking systems, prepares routine reports, and participates in training and process improvement initiatives. This position offers an opportunity to build expertise in revenue cycle operations and payer relations while ensuring compliance with organizational and regulatory standards.

RESPONSIBILITIES

• Supports the Contract Variance Appeal process by assisting with intake, documentation, and tracking of appeals submitted to third-party payers
• Prepares and submits appeals to third-party payers under guidance, monitors status updates, and follows up to ensure timely resolution
• Conducts basic research to support appeal documentation and stays informed on payer updates and policy changes
• Collaborates with internal teams to gather necessary information for appeal resolution
• Maintains and updates tracking systems, ensuring accurate data entry and assisting with report generation
• Compiles and organizes data to help identify trends in contract variances and denials
• Prepares standard reports and summaries for review by senior analysts and leadership
• Escalates complex issues to senior team members and participates in team discussions to support problem-solving
• Participates in team-based quality and process improvement initiatives to enhance workflows and outcomes
• Ensures compliance with HIPAA, organizational policies, and applicable regulations in all work activities
• Demonstrates professionalism and attention to detail in communications and documentation
• Assists with system testing and documentation updates related to Contract Variance workflows
• Engages in training and development opportunities to build knowledge and skills relevant to the role
• Supports the appeals process by helping assess and document Contract Variances and Fatal Denials under supervision
• Updates performance dashboards, verifying data accuracy and completeness
• Prepares meeting materials and gathers documentation for leadership review
• Maintains a positive, team-oriented approach, contributing to a collaborative work environment
• Performs other duties as assigned to support the Contract Variance team and department goals

QUALIFICATIONS:

Minimum Qualifications:

• Bachelor's degree in Business, Finance, Health Care Administration, or related field

• 1 year of experience in healthcare contract variance analysis, including an in-depth knowledge of healthcare claims processing

  
  -OR-

• An approved equivalent combination of education and experience

Knowledge/ Skills/ Abilities:

• Excellent problem solving skills
• Knowledge of EPIC claims processing systems and electronic health records
• Must have skills in data analysis and associated tools
• Proficiency with Microsoft Office
• Proficient with database reports (Clarity, EPIC workbench, etc)

You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.

Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.

• We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
• We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement (Available ONLY for benefit eligible positions).
• For a complete list of our benefits, please visit our career site on why you should work for us.