Manager, Epic Managed Care Contract Builder - Hospital Facility

At Sinai Chicago , we take healthcare personally. Our commitment goes beyond medicine—we deliver care with dignity, respect, and purpose to the communities we serve. We are seeking a strategic and highly skilled Manager, Epic Managed Care Contract Builder to join our team and drive revenue optimization and contract excellence in a complex safety net environment.

About the Role

The Manager, Epic Managed Care Contract Builder serves as a strategic reimbursement architect and operational leader , responsible for building, validating, and optimizing complex hospital payer contracts in Epic.

This role plays a critical part in ensuring accurate reimbursement, regulatory compliance, and alignment with organizational financial goals—while supporting the unique needs of a safety net health system.

Key Responsibilities

Strategic Contract Architecture

• Design and build complex facility contracts in Epic (DRG, APC, case rates, per diem, value-based models, etc.)
• Translate payer agreements into executable system logic with financial modeling
• Partner with Finance and Managed Care leadership to evaluate contract performance and revenue impact
• Identify and resolve revenue leakage

Advanced Testing & Validation

• Develop rigorous testing strategies using real claims scenarios
• Validate reimbursement accuracy and resolve discrepancies
• Approve contract builds prior to implementation

Safety Net Reimbursement Expertise

• Build contracts aligned with Illinois Medicaid managed care , supplemental payments, and public funding structures
• Support DSH, UPL, and other reimbursement programs

Leadership & Governance

• Serve as a senior subject matter expert and mentor
• Lead cross-functional collaboration across Finance, Revenue Cycle, IT, and Compliance
• Establish build standards and governance protocols

Monitoring & Optimization

• Analyze reimbursement variances and improve contract performance
• Oversee contract updates, renewals, and optimizations

Compliance & Audit Support

• Ensure adherence to payer agreements and regulatory requirements
• Maintain detailed documentation and support audits

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, IT, or related field
• 7+ years of experience in hospital revenue cycle, managed care, or Epic applications
• Hands-on experience with Epic Resolute Hospital Billing & Contract Management
• Strong knowledge of hospital reimbursement methodologies
• Experience in safety net hospitals or public health systems required
• Illinois Medicaid expertise strongly preferred
• Epic certification(s) preferred

What You Bring

• Strategic systems thinking and analytical expertise
• Deep contract interpretation knowledge
• Focus on revenue optimization and operational excellence
• Strong leadership and cross-functional collaboration skills
• Executive-level communication ability

Why Join Sinai Chicago?

We offer a comprehensive benefits package including:

• Medical, dental, vision & prescription coverage
• Life insurance & disability plans
• HSA & FSA options
• Student loan assistance
• 403(b) retirement plan
• Employee Assistance Program

Plus, you’ll be part of a mission-driven organization committed to health equity and community impact.

Our Values

At Sinai Chicago, we live by:

Teamwork | Respect | Quality | Integrity | Safety | Role Model

Apply Today

Be part of a team transforming healthcare delivery and financial performance in a meaningful way.

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