Epic Contract Builder

<p style="text-align:left"><b>It's more than a career, it's a calling.</b></p>MO-REMOTE<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Worker Type:</b></p>Regular<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><b>Job Highlights:</b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p>The <span>Epic Contract Builder, with a focus on physician contracts, </span> <span>is responsible for the configuration, maintenance, and testing of payer contracts with the Epic system. </span></p><p></p><p><b>Qualifications: </b> 3+ years of experience in financial analysis, with specific expertise in physician claims and insurance contracts. 2+ years of experience in Epic contract build, managed care or revenue cycle. <span>Epic Certification is required within the first year of employment. </span></p><p></p><p>Key responsibilities:</p><ul><li><p>Build, test, and maintain payer clinic/physician contracts within Epic.</p></li><li><p>Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.</p></li><li><p>Validate contract builds through testing and reconciliation against expected reimbursement and payments.</p></li><li><p>Support analysis of underpayments, overpayments, and billing issues related to contract configuration.</p></li><li><p>Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.</p></li><li><p>Maintain clear documentation of contract build logic and assumptions.</p></li><li><p>Participate in system upgrades, enhancements, and optimization efforts related to contract management.</p></li><li><p>Support reporting and analytics related to reimbursement trends and contract performance.</p></li></ul><p></p><p>At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.</p><p>Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.</p><p></p><p><b>Remote work:</b> This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. </p><p></p><p>*Candidates must reside in MO, IL, OK, or WI</p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><b>Job Summary:</b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>Performs analysis and reporting regarding financial operations and information.<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><span><b>Job Responsibilities and Requirements:</b></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p><p>PRIMARY RESPONSIBILITIES</p><ul><li>Exhibits technical and operational proficiency in performing financial analysis.</li><li>Performs statistical, cost and financial analysis of data extracted from various internal sources.</li><li>Assists with budget preparation and financial planning processes.</li><li>Serves as consultant to all levels of management to provide decision support for initiatives, policies and procedures.</li><li>Performs other duties as assigned.</li></ul><p></p><p>EDUCATION</p><ul><li>Bachelor's degree or equivalent combination of experience and education</li></ul><p></p><p>EXPERIENCE</p><ul><li>Three years' experience</li></ul><p></p><p>PHYSICAL REQUIREMENTS</p><ul><li>Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.</li><li>Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.</li><li>Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.</li><li>Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.</li><li>Frequent keyboard use/data entry.</li><li>Occasional bending, stooping, kneeling, squatting, twisting and gripping.</li><li>Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.</li><li>Rare climbing.</li></ul><p></p><p><span>REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS </span></p><ul><li>None</li></ul><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Department:</b></p>8764010033 System Revenue Management<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Work Shift:</b></p>Day Shift (United States of America)<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:left"><b>Scheduled Weekly Hours:</b></p>40<p style="text-align:inherit"></p><p style="text-align:inherit"></p><p style="text-align:inherit"></p><p><b>Benefits:</b></p><p></p><p>SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.</p><p></p><ul><li><p><span><b><span>Paid Parental Leave</span>:</b> we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). </span></p></li><li><p><span><b><span>Flexible Payment Options:</span></b><span> our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.</span></span></p></li><li><p><span><b><span>Upfront Tuition Coverage</span></b><span>:</span> we provide upfront tuition coverage through FlexPath Funded for eligible team members. </span></p></li></ul><p></p><p><a href="https://jobs.ssmhealth.com/us/en/benefits" target="_blank" rel="noopener noreferrer"><span><u>Explore All Benefits</u></span></a></p><p></p><p></p><p style="text-align:left"><i><span>SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity,<b> </b>pregnancy, veteran status<b>, </b>or any other characteristic protected by applicable law. <a href="https://www.ssmhealth.com/privacy-notices-terms-of-use/non-discrimination?_ga=2.205881493.704955970.1667719643-240470506.1667719643" target="_blank" rel="noopener noreferrer">Click here to learn more.</a></span></i></p>

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