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System Analyst – Contract Management

hace 2 semanas


WorkFromHome, Colombia Vail Health A tiempo completo

Vail Health has become the world’s most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state‑of‑the‑art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here. Some roles may be based outside of our Colorado office (remote‑only positions). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, FL, GA, ID, IL, KS, MA, MD, MI, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift. About The Opportunity The Epic Contract Manager Analyst is responsible for the design, configuration, testing, implementation, and ongoing support of Epic’s Contract Management module within the Revenue Cycle application suite. This role ensures payer contracts, reimbursement methodologies, and fee schedules are accurately built and maintained in Epic to support timely and accurate claim adjudication, reimbursement, and reporting. The Analyst partners closely with Revenue Integrity, Managed Care, Patient Financial Services, and IT leadership to optimize system functionality and align contract management processes with organizational goals. What You Will Do Configures, maintains, and optimizes Epic Contract Management to reflect payer contracts, rates, and reimbursement rules. Translates contract language into Epic system build for appropriate modeling of terms, conditions, and reimbursement methodologies. Conducts contract load validation, modeling, and testing to ensure accuracy of expected reimbursement calculations. Collaborates with Managed Care teams to review new and updated payer contracts, ensuring accurate system representation. Partners with Revenue Integrity and Finance to monitor underpayments, variances, and trends, providing insights for recovery and process improvement. Develops, maintains, and distributes reports and dashboards to support contract performance monitoring. Provides end‑user support, training, and documentation related to Epic Contract Management functions. Acts as liaison between IT and operational stakeholders, ensuring system solutions meet business needs. Maintains knowledge of industry best practices, CMS regulations, and payer reimbursement methodologies. Leverages Epic analytics platforms such as System Pulse, Galaxy, and others to assist with driving operational outcomes for the health system. Models the principles of a Just Culture and Organizational Values. Performs other duties as assigned. Must be HIPAA compliant This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. Experience What you will need: Three years of healthcare revenue cycle, managed care, or payer contract experience required. Two years of Epic system build/analyst experience, preferably in Contract Management or related modules required. Strong understanding of reimbursement methodologies (DRG, APC, per diem, percent of charge, fee schedules). Strong payer contracting knowledge (Medicare, Medicaid, commercial, value based contracts). Experience with revenue cycle operations and Healthcare finance. Certification(s) Epic Resolute Contract Management certification preferred. Computer / Typing Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job‑specific competencies, access online forms and policies, complete online benefits enrollment, etc. Education Bachelor’s degree in Business, Finance, Healthcare Administration, Information Systems, or related field (or equivalent experience) required. Benefits At Vail Health (Full Time) Include Competitive Wages & Family Benefits: Competitive wages Parental leave (4 weeks paid) Housing programs Childcare reimbursement Comprehensive Health Benefits: Medical Dental Vision Educational Programs: Tuition Assistance Existing Student Loan Repayment Specialty Certification Reimbursement Annual Supplemental Educational Funds Paid Time Off: Up to five weeks in your first year of employment and continues to grow each year. Retirement & Supplemental Insurance: 403(b) Retirement plan with immediate matching Life insurance Short and long‑term disability Recreation Benefits, Wellness & More: Up to $1,000 annual wellbeing reimbursement Recreation discounts Pet insurance Yearly Pay $69,451 - $95,804 USD #J-18808-Ljbffr