Epic Contract Builder

Role Description

The Epic Contract Builder, with a focus on physician contracts, is responsible for the configuration, maintenance, and testing of payer contracts with the Epic system.

• Build, test, and maintain payer clinic/physician contracts within Epic.
• Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.
• Validate contract builds through testing and reconciliation against expected reimbursement and payments.
• Support analysis of underpayments, overpayments, and billing issues related to contract configuration.
• Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.
• Maintain clear documentation of contract build logic and assumptions.
• Participate in system upgrades, enhancements, and optimization efforts related to contract management.
• Support reporting and analytics related to reimbursement trends and contract performance.

Qualifications

• 3+ years of experience in financial analysis, with specific expertise in physician claims and insurance contracts.
• 2+ years of experience in Epic contract build, managed care or revenue cycle.
• Epic Certification is required within the first year of employment.

Requirements

• Bachelor's degree or equivalent combination of experience and education.
• Three years' experience.
• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

Benefits

• Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: voluntary benefit offered through DailyPay for eligible hourly team members.
• Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.