Vail Health has become the worlds most advanced mountain healthcare system. Vail Health consists of an updated 520000-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 implementationand ongoing support of Epics Contract Management module within the Revenue Cycle application role ensures payer contracts reimbursement methodologies and fee schedules are accurately builtand maintained in Epic to support timely and accurate claim adjudication reimbursement and Analyst partners closely with Revenue Integrity Managed Care Patient Financial Services and ITleadership to optimize system functionality and align contract management processes with organizationalgoals.
What you will do:
- Configures maintains and optimizes Epic Contract Management to reflect payer contracts ratesand 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.
What you will need:
Experience:
- 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.
Must have working knowledge of the English language including reading writing and speaking English.
Education:
- Bachelors degree in Business Finance Healthcare Administration Information Systems orrelated field (or equivalent experience) required.
The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions including but not limited to experience education licensure and/or certifications geographic location market demand and other business and organizational needs.
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:
- 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 $1000 annual wellbeing reimbursement
- Recreation discounts
- Pet insurance
Pay is based upon relevant education and experience per year.
Yearly Pay:
$69451$95804 USD
Required Experience:
IC
Vail Health has become the worlds most advanced mountain healthcare system. Vail Health consists of an updated 520000-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. Lear...
Vail Health has become the worlds most advanced mountain healthcare system. Vail Health consists of an updated 520000-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 implementationand ongoing support of Epics Contract Management module within the Revenue Cycle application role ensures payer contracts reimbursement methodologies and fee schedules are accurately builtand maintained in Epic to support timely and accurate claim adjudication reimbursement and Analyst partners closely with Revenue Integrity Managed Care Patient Financial Services and ITleadership to optimize system functionality and align contract management processes with organizationalgoals.
What you will do:
- Configures maintains and optimizes Epic Contract Management to reflect payer contracts ratesand 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.
What you will need:
Experience:
- 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.
Must have working knowledge of the English language including reading writing and speaking English.
Education:
- Bachelors degree in Business Finance Healthcare Administration Information Systems orrelated field (or equivalent experience) required.
The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions including but not limited to experience education licensure and/or certifications geographic location market demand and other business and organizational needs.
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:
- 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 $1000 annual wellbeing reimbursement
- Recreation discounts
- Pet insurance
Pay is based upon relevant education and experience per year.
Yearly Pay:
$69451$95804 USD
Required Experience:
IC
View more
View less
Job Location:
Monthly Salary:
Posted on:
30+ days ago
Vacancies:
1 Vacancy
