Epic Govt. Payors Analyst

Job Description

The Epic Government Payors Contract Configuration Analyst collaborates with the Revenue Cycle Management team to address contract related build issues, and holds primary responsibility for the design, build, testing, validation, and ongoing support of the Epic contract management applications. The position requires deep knowledge of reimbursement methodologies of government payors, managed care commercial payors, software functionality and the revenue cycle workflows in Epic.

Key Responsibilities:

• Interpret Contract Terms: Partner with Director of Payor Solutions Compliance and the team to review and clarify contract language.

• Epic System Configuration: Design, build, validate, and support the Epic contract build in alignment with revenue cycle workflows.

• System Design & Validation: Participate in design and advanced validation sessions to ensure accurate contract build configuration.

• Testing & Documentation: Conduct structured application testing and maintain thorough documentation of results.

• Release Management: Review and test new builds and releases prior to production deployment.

• Resolve Contract Variances: Troubleshoot and correct discrepancies in contract builds to ensure accuracy and compliance.

• Manage Adjustments: Post contractual adjustments promptly and maintain weekly updates on outstanding items and build deficiencies.

• Issue Management: Track, update, and resolve contract build issues efficiently.

• Training Development: Collaborate with team during peer reviews to establish new workflows as necessary.

• Technical Support: Troubleshoot contract build related problems reported by Revenue Cycle Management team as end-users.

• Continuous Improvement: Identify and recommend contract build enhancements to optimize performance.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected] learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Skills and Requirements

Qualifications:

• Education: Bachelors degree in Health Information Management, Healthcare Administration, Computer Science, or a related field preferred.

• Epic Certification in Contract Management or related module(s) for hospital and professional.

• Experience: Minimum of 5 years of experience working with Epic systems, specifically in Contract management or similar roles.

• Skills:

• Must have the ability to analyze complex data, identify trends, and draw actionable insights to optimize contract performance.

• Must have a strong understanding of healthcare contracts, including terms, billing codes (CPT, HCPCS, MSDRG, APC, ICD-10, etc.), & government reimbursement methodologies.

• Excellent communication abilities.