Job#: 3027443

Job Description:

Location: Remote

Employment Type: Contract to Perm

This position is for an Epic Contract Build Analyst who will function at the intersection of IT and the revenue cycle. The role involves building, testing, and maintaining a range of payer contracts, including managed care, government, and commercial. The successful candidate will work independently in a fast-paced environment, troubleshoot contract accuracy, and ensure precise calculation of net expected reimbursement. This is a fully remote, contract-to-hire opportunity for an individual who can adapt to changing priorities and contribute to a dynamic team.

• Build and maintain managed care, government, and commercial contracts within the Epic system.
• Interpret reimbursement methodologies to create accurate contract modeling calculations.
• Ensure timely and accurate maintenance of reimbursement calculations in system dictionaries and tables.
• Thoroughly test new and existing contract builds to confirm correct calculations for netting down accounts receivable.
• Analyze and troubleshoot discrepancies between expected reimbursement and actual payer payments.
• Handle a dynamic workload, switching between contract builds and other urgent tasks as they arise.
• Work independently to manage projects and resolve issues related to contract modeling.
• Collaborate with other teams regarding managed care contract changes that impact expected payments.

Experience:

• Three to five years of related experience in Revenue Cycle applications, specifically in contract modeling.
• Strong background in revenue management with recent experience in Epic build work.
• Extensive knowledge of healthcare reimbursement methodologies and concepts.
• Experience with a wide range of contracts, including those based on Medicare methodologies.
• Demonstrated ability to not only build contracts but also analyze and apply them at the account level.

Technical Skills:

• Certification in Epic Contract Build is required.
• Knowledge of importing files and PCD contracts within Epic.
• Proficiency in MS Office and Outlook.

• A Bachelor's Degree is preferred.
• Experience in Patient Financial Services or Finance.
• Hospital Billing Expected Reimbursement Contracts certification is preferred.
• Ability to work effectively in a fast-paced, high-change environment.

This is a 100% remote position with flexibility across time zones. The role requires the ability to handle a fast-paced setting where priorities can shift quickly. The ideal candidate is a flexible, accountable team player with a positive outlook who can manage tasks communicated through email and tracked via shared documents like Google Sheets.

Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

Apex uses a virtual recruiter as part of the application process. Click here for more details.

If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico.

Everforth Apex uses a virtual recruiter as part of the application process. Click here for more details. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Everforth Apex and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy at https://www.apexsystems.com/privacy-policy

Everforth Apex Benefits Overview: Everforth Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Everforth Apex team member can provide.

Everforth Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Everforth Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law.

If you require an accommodation under the Americans with Disabilities Act to participate in an interview with a virtual recruiter or to use our website for a search or application, please contact our Benefits Department at [email protected] or 804-523-8228. Please note that this contact information is strictly to be used for medical ADA accommodations and that no other inquiries will be answered.

UnitedHealthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Everforth Apex Systems.