Contracts Analyst

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

📋 Description

• Assist the client's Revenue Cycle organization by designing, constructing, testing, and managing Expected Reimbursement Contracts within Epic Resolute Hospital Billing (HB) and Professional Billing (PB).

• Ensure precise reimbursement modeling, payer contract setup, and identification of underpayments across the organization.

• Collaborate closely with managed care, finance, payer contracting, and revenue integrity teams to convert intricate payer agreements into Epic configurations.

• Construct, configure, and sustain Expected Reimbursement Contracts in Epic Resolute HB and PB.

• Provide support for carve-outs, stop-loss, per diems, case rates, DRG, APC/OPPS, percent-of-charge, and value-based payment models.

• Validate expected versus actual reimbursement through test claims and review of 835 remittances.

• Create and implement unit, integration, and user acceptance testing (UAT); document test scripts, outcomes, and issues.

• Transition builds through environments utilizing Data Courier and adhere to enterprise Change Control and Content Management protocols.

⛳️ Requirements

• Bachelor’s degree in Health Information Management, Healthcare Administration, Business, Finance, IT, or a related discipline — or an equivalent combination of education and experience.

• Over 5 years of experience as an Epic Resolute HB and/or PB analyst, with a minimum of 2 years focused on building and managing Expected Reimbursement Contracts.

• Proven experience in constructing fee schedules, contract components, selection extensions, and pricing extensions within Epic.

• Previous experience supporting a large, intricate, multi-entity health system (academic medical center, IDN, or public health system).

• Familiarity with payer remittance (835) analysis, underpayment recovery, and variance reporting.

• Strong analytical capabilities with the proficiency to interpret payer contracts and convert terms into system configurations.

• Exceptional written and verbal communication skills.

• Keen attention to detail, disciplined documentation practices, and the ability to manage multiple simultaneous contract builds.

🏝️ Benefits

• Competitive salary and benefits package.

• Opportunity to work in a collaborative and innovative environment.

• Professional development opportunities to advance your career.

• Flexible work arrangements to promote work-life balance.