Jobs · Wisconsin

Application Analyst | Epic Contract Build

Gundersen Health System · Wisconsin, United States · 3 wk ago
$70k/yrFull-time

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, we’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.

About the role

We are seeking an experienced Application Analyst focused within Epic Contracts to join our Managed Care team. This role serves as the primary technical and operational resource for contract modeling, reimbursement configuration, and variance workflow support across Revenue Cycle, Payer Relations, Finance, and IT teams. The ideal candidate will possess or be willing to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, and Epic Resolute Contract Management functionality. This individual will play a critical role in ensuring accurate expected reimbursement calculations, supporting contract negotiations, and maintaining contract integrity across hospital and professional billing environments.

Responsibilities

  • Responsible for Epic Hospital Billing (HB) and Professional Billing (PB) contract build including interpreting, building, migrating, and updating complex payer contracts (Commercial, Medicare, Medicare Advantage, Medicaid) on the Epic Contract Management platform.
  • Collect, build, and maintain third-party and government payer Expected Reimbursement Contracts.
  • Maintain contract builds and timely resolution of build errors.
  • Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely.
  • Maintain and document the status of Epic contract build and applicable work queues.
  • Complete Epic contract modeling extracts that are used in contract negotiations.
  • Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams.
  • Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations.
  • Conduct testing to validate accuracy of contract build maintenance and updates.

Schedule

  • Full-time, 80 hours biweekly (1.0 FTE).
  • Monday-Friday core business hours.
  • Remote work options for residents in WI, MN, or IA only, with occasional need to work onsite for support initiatives in either La Crosse, WI or Green Bay, WI.

Pay

Starting salary of $70,000/year and up based on your relevant work experience.

Requirements

  • Education: Bachelor's degree or a related field or equivalent years of experience and education.
  • Experience: At least 2-4 years of relevant work experience.
  • Certifications: Epic Resolute PB or HB Billing Claims certification, preferred.
  • Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
  • Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures.
  • Proven ability to interpret complex contractual language and translate it into system configuration requirements.
  • Strong analytical, problem-solving, and testing skills.
  • Experience working cross-functionally with Revenue Cycle, Finance, Payer Relations, and IT stakeholders.
  • Excellent organizational, communication, and documentation skills.

Benefits

  • A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated.
  • Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life, HSA/FSA) ensuring your comfort and well-being as a valuable team member.
  • Substantial retirement contribution including a 401k match & annual discretionary base contribution.
  • Work-Life Balance: Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you need.
  • Professional Development: Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center.
  • Additional Employee Discounts and Perks including a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, and a discount program.

Emplify Health is comprised of two of the Midwest’s most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota, and Michigan’s Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty, and emergency care, along with innovative medical education programs.

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