Director EPIC Managed Care Contract Builder

Job Description

Job Description

Director Epic Managed Care Contract Builder – Hospital Facility Garfield Park (Chicago)

Our client, a busy and growing safety net hospital located on the near west side of Chicago, is seeking to hire a Director of Managed Care Contract Building in an EPIC environment.   In this role, the individual will be a strategic reimbursement architect, subject matter expert, and operational leader responsible for architecting, configuring, validating, and optimizing complex hospital facility payer contracts within Epic. This role drives financial performance, cash acceleration, revenue optimization and integrity in a safety net environment, ensuring the translation of negotiated managed care agreements into executable system logic, ensuring accurate reimbursement outcomes, regulatory compliance, and alignment with organizational financial strategy.  This position offers a highly competitive salary and benefits package.

Position Purpose

Reporting to the Executive Director of Revenue Cycle, Managed Care or Enterprise Applications.  This position requires deep experience in safety net hospital environments, including familiarity with Illinois Medicaid, DSH, supplemental payment programs, and complex payer structures unique to publicly funded and underserved populations. The Senior Builder serves as a strategic advisor to Managed Care, Finance, and executive leadership on reimbursement modeling, contract feasibility, and system impacts.

Job Responsibilities

·        Strategic Contract Architecture.

o   Provide strategic input during contract negotiations by modeling reimbursement scenarios in conjunction with the Finance dept. by identifying operational risks or build constraints.  Work with CFO, CRO and VP PHO to quantify financial impact of contract build decisions, including revenue lift and cash flow implications.

·        Advanced Testing & Validation

·        Safety Net Reimbursement Expertise

o   Build and validate contracts reflecting Illinois Medicaid managed care, state-directed payments, wrap payments, supplemental funding, and grant-based reimbursement structures.

·          Serve as senior technical and strategic lead for Epic contract configuration initiatives

·          Compliance & Audit Support (Analyze reimbursement variance reports to detect configuration or contract interpretation issues.  Ensure contract builds comply with payer agreements, CMS guidance, and regulatory standards)

Required Qualifications

·        7+ years of experience in hospital revenue cycle, managed care contracting, reimbursement modeling, or Epic applications.

·        Bachelor’s degree in Healthcare Administration, Finance, Information Systems, or related field

·        Direct experience building and validating facility contracts within Epic (Resolute Hospital Billing and Contract Management required).

·        Demonstrated experience working in or supporting safety net hospitals or public health systems

·        Advanced knowledge of hospital reimbursement methodologies across government and commercial payers.

Benefits

• Comprehensive medical, dental, vision, and prescription coverage.
• Employer-paid life insurance, disability, and retirement savings options.
• Flexible Spending Accounts, HSA, EAP, and student loan assistance.

If you or anyone you know is interested, qualified, and currently seeking employment please send an updated resume for immediate review and consideration.

We are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements

Company Description

We are employment specialists who have worked in heath care and managed care industry for over a total of 25 years. We staff temp, temp to hire, and direct hire placements