Epic Contract Build Analyst - Remote

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

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

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