Epic Contract Build Analyst - Remote

Epic Contract Build Analyst

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

We are seeking an experienced Epic Contract Build Analyst to support the design, configuration, and maintenance of payer contracts within the Epic system. This role plays a critical part in ensuring accurate expected reimbursement (Epay), contract compliance, and overall revenue cycle performance. You will partner with contracting, revenue cycle, and IT teams to translate complex payer agreements into Epic system logic that drives financial accuracy and operational efficiency.

You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities:

• Translate payer contract terms, reimbursement methodologies, and fee schedules into Epic system configuration
• Design, build, and maintain hospital (HB) and professional (PB) contracts within Epic
• Configure reimbursement logic including DRG, APC, case rates, percentage of charge, and fee schedules
• Perform contract build validation through structured testing and expected reimbursement analysis
• Identify and resolve discrepancies between expected reimbursement (Epay) and actual payer payments
• Support production issues, including root cause analysis and resolution of contract build defects
• Conduct peer reviews and participate in quality assurance processes for contract accuracy
• Collaborate with contracting, finance, and revenue cycle teams to clarify contract intent and ensure alignment
• Support contract implementations, system upgrades, and ongoing maintenance activities
• Maintain detailed documentation to support audit, compliance, and governance requirements

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Epic certification in Epic HB and PB Contracts
• 3+ years of hands-on experience building or maintaining payer contracts in Epic
• 3+ years of experience with contract modeling, expected reimbursement (Epay), or variance analysis
• Proven solid analytical and problem-solving skills with ability to troubleshoot payment discrepancies

Preferred Qualifications:

• Experience working with government payors (Medicare, Medicaid) and managed care organizations
• Experience with contract audits, compliance, or payer performance analysis
• Understanding of revenue cycle workflows (billing, coding, claims, reimbursement)

Key Competencies

• Attention to detail with strong focus on accuracy
• Effective communication and cross-functional collaboration
• Ability to interpret complex contract language and translate into system logic
• Solid analytical mindset with focus on continuous improvement

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.