Plans & Fees Analyst​/Hybrid​/Oakland, CA

Exciting Plans and Fees Analyst opportunity with an established firm. At our client, they are redefining the way dental organizations manage operations and growth. Through technology-enabled services, operational excellence, and a commitment to innovation, we help our partners deliver an exceptional patient and provider experience. Join a team where your work directly impacts access, efficiency, and accuracy across the dental revenue cycle.

Contract Duration: 12 Months. Hybrid role with 1 week a month in their offices in Oakland, CA.

The Plan and Fees Analyst plays a critical role in ensuring accurate configuration of payer plans, fee schedules, and reimbursement structures within the Epic system. This position requires attention to detail, strong analytical skills, and familiarity with dental insurance structures and contract rates. The analyst will collaborate closely with the RCM Business Analyst and Revenue Cycle teams to load, test, and validate plan and fee data to support accurate estimates, clean claims and consistent reimbursement outcomes.

Skills/

Experience:

Bachelors degree in Healthcare Administration, Finance, Business, or related field preferred.

• 5+ years of experience in revenue cycle, payer contracting, or fee schedule management.
• Strong understanding of dental insurance reimbursement methodologies, payer contracts, and fee loading processes.
• Demonstrated analytical and testing skills with excellent attention to detail.
• Ability to collaborate across teams and communicate technical findings effectively.
• Proficiency in Excel and data validation tools.

Daily Responsibilities

• Load and maintain payer plans, benefit structures, and Payor and Employee plan fee schedules within Epic according to organizational and payer requirements.
• Perform testing and validation to ensure correct fee mapping, contract adherence, and reimbursement accuracy.
• Collaborate with the RCM Business Analyst, Billing, and Contracting teams to identify configuration gaps, discrepancies and opportunities.
• Conduct end-to-end testing of fee and plan builds, documenting all test cases and validation results.
• Troubleshoot issues related to plan configuration and fee schedule mapping, escalating as needed.
• Maintain version control and documentation for all loaded plans and fees.
• Participate in process improvement initiatives to enhance accuracy and efficiency of fee management.
• Support go-live readiness activities and provide post-implementation validation.
• Annual review and update of plans within Epic.