Epic Certified Resolute HB/PB Contracts Management Analyst

About Us

At Divurgent, we employ real people on our Team, not just “resources.” We firmly believe our Team is the driving force behind our successes, and because of that, we are solidly focused on evaluation, maintaining, and improving upon the Divurgent culture by integrating our ELITE Values into everything we do. Culture is the SINGLE most important component we have. We want our employees, recruits, clients, prospects, and even our competitors to feel it and believe it!

Appreciating and supporting our Team Members—the people behind our success—is at the core of Divurgent’s values, mission, and goals. In addition to our Financial, Health and Wellness, and Community and Culture benefits, we offer team coffee breaks and happy hours, a book club, a grill master competition, March Madness events, a Divurgent Pets group, and team engagement programs—true testaments to the value our Team holds for Divurgent.

Our ELITE Values—Excellence, Learning, Innovation, Trust, Enthusiasm—drive us to be and do more to redefine healthcare consulting, transforming healthcare for our clients and the communities they serve. We are passionate about providing innovative solutions that offer our clients the opportunity to improve customer experiences and enhance operational efficiencies.

Our Mission: Your partner in digital acceleration.
Our Vision: Advisory firm of choice for leading healthcare organizations and talent.

About the Role

We are seeking an exceptional Epic Certified Resolute PB/HB Contract Management Analyst to lead a critical stabilization and optimization effort for a large health system's Epic revenue cycle environment. This is not a maintenance role—we need a true expert who can quickly assess a complex contract management environment, identify root causes of payment inaccuracies, and implement sustainable solutions. The ideal candidate has deep Epic Resolute PB/HB Contract Management expertise, understands the downstream financial impact of contract configuration, and has successfully supported large, multi-hospital health systems. This individual will play a key role in correcting significant reimbursement issues, standardizing contract builds across the enterprise, and improving the accuracy of revenue recognition.

This is a remote, 6-month contract role supporting EST. No 3rd party or C2C candidates, please.

Responsibilities

• Analyze, design, build, test, and optimize Epic Resolute Hospital Billing (HB) and Professional Billing (PB) Contract Management functionality.
• Resolve a high-priority backlog of contract build requests, maintenance items, and payment issues.
• Perform a comprehensive assessment of the existing Contract Management build, identifying inconsistencies, duplicate logic, and opportunities for standardization across multiple facilities.
• Standardize contract configuration to improve enterprise reporting, reimbursement accuracy, and long-term maintainability.
• Configure and maintain government and commercial payer contracts, including complex reimbursement methodologies.
• Support Homecare and Hospice contract builds, ensuring compliance with unique reimbursement models and regulatory requirements.
• Troubleshoot payment variances by partnering with Revenue Integrity, Patient Financial Services, Managed Care, and operational stakeholders.
• Validate contract calculations through testing and payment reconciliation.
• Develop build standards, documentation, and governance recommendations to improve ongoing contract management processes.
• Provide strategic recommendations to improve reimbursement accuracy and optimize Epic Contract Management functionality.

Requirements

• Epic Resolute Hospital Billing (HB) & Professional Billing (PB) Certifications.
• Extensive experience with Epic Resolute Contract Management.
• Proven experience building and maintaining complex government and commercial payer contracts.
• Strong understanding of reimbursement methodologies, fee schedules, DRGs, APCs, case rates, per diems, percent-of-charge contracts, and carve-outs.
• Experience supporting multi-hospital or integrated delivery networks.
• Demonstrated ability to troubleshoot complex reimbursement discrepancies and payment calculations.
• Strong analytical and problem-solving skills with exceptional attention to detail.
• Experience working directly with Revenue Cycle leadership, Managed Care, Finance, and operational stakeholders.

Preferred Qualifications

• Experience with Homecare and Hospice billing.
• Revenue Integrity or Managed Care background.
• Experience leading enterprise contract standardization initiatives.
• Knowledge of reporting and analytics related to contract performance and reimbursement.

Benefits

• Financial, Health and Wellness, and Community and Culture benefits.
• Team coffee breaks and happy hours.
• Book club and grill master competition.
• March Madness events and Divurgent Pets group.
• Team engagement programs.