Epic Resolute Hospital Billing Reimbursement Contracts Analyst (HB Contracts Consultant)

This is a remote position.

Job Title

Epic Resolute Hospital Billing Reimbursement Contracts Analyst (HB Contracts Consultant)

Location

Engagement Type

Contract Consultant Hands-On Build Role

Start Date

Flexible / TBD

Duration

Aligned to Epic implementation timeline

Position Overview

We are seeking an experienced Epic Resolute Hospital Billing Reimbursement Contracts Analyst to support a large-scale Epic implementation at a $1B pediatric health system transitioning from MEDITECH and eClinicalWorks to Epic.

This consultant will play a critical hands-on role in the design build and validation of payer reimbursement contracts within the Epic Resolute Hospital Billing (HB) environment. The role requires deep technical expertise in Epic HB reimbursement configuration strong analytical skills and the ability to read interpret and operationalize payer contracts accurately within Epic.

This engagement is primarily remote with periodic onsite travel to Tennessee for key milestones such as integrated testing go-live preparation and post-live stabilization.

Key Responsibilities

Epic Resolute HB Reimbursement Contracts Build

• Perform hands-on configuration of payer reimbursement contracts in Epic Resolute Hospital Billing.
  

• Build and maintain:
  

  • Reimbursement contract records
    

  • Payment methodologies (e.g. DRG per diem percent of charge case rate stop-loss carve-outs)
    

  • Contract components terms and conditions
    

• Configure contract logic to accurately reflect payer-specific reimbursement rules escalators thresholds and exclusions.
  

Payer Contract Interpretation

• Review and interpret payer contracts and amendments translating contractual language into Epic HB configuration.
  

• Partner with revenue cycle and managed care stakeholders to validate contract assumptions and interpretation.
  

• Identify ambiguities or gaps in contract language and raise risks or clarification needs proactively.
  

Testing & Validation

• Support unit testing integrated testing and UAT focused on reimbursement accuracy.
  

• Validate expected vs. actual reimbursement outcomes using Epic tools and test scenarios.
  

• Assist with remediation of contract build issues identified during testing cycles.
  

Legacy System Transition

• Support reimbursement strategy transition from MEDITECH and eClinicalWorks to Epic.
  

• Assist with comparison and reconciliation of legacy reimbursement outcomes vs. Epic results.
  

• Identify and resolve discrepancies related to payer contract configuration.
  

Go-Live & Stabilization Support

• Support go-live readiness activities including final contract validation and sign-off.
  

• Provide hands-on support during go-live and post-live stabilization addressing reimbursement-related issues.
  

• Assist with optimization and refinement of contract build as real-world claims are adjudicated.
  

Cross-Functional Collaboration

• Work closely with:
  

  • Revenue Cycle and Managed Care teams
    

  • Revenue Integrity and Hospital Billing teams
    

  • Epic HB application team
    

  • IT and testing teams
    

• Clearly communicate build decisions assumptions and impacts to both technical and non-technical stakeholders.

Why This Role

• Directly influence reimbursement accuracy for a major pediatric health system during a high-impact Epic implementation
  

• Serve as a key hands-on contributor to a net new Epic HB environment
  

• Work alongside experienced revenue cycle and managed care leaders
  

• Enjoy a primarily remote engagement with targeted onsite collaboration at critical project milestones
  

Requirements

Required Qualifications

• Epic Resolute Hospital Billing Reimbursement Contracts Certification (Required)
  

• Demonstrated experience performing hands-on reimbursement contract build in Epic HB
  

• Prior experience supporting at least one net new Epic implementation
  

• Proven ability to read interpret and translate payer contracts into Epic configuration
  

• Strong understanding of hospital billing reimbursement methodologies
  

• Experience working in large health system environments (preferably pediatric or academic medical centers)
  

• Excellent analytical documentation and communication skills
  

• Ability to work independently in a remote consulting role while coordinating with cross-functional teams
  

• Willingness to travel onsite to Tennessee for key project milestones
  

Preferred Qualifications

• Experience supporting Epic implementations involving MEDITECH and/or eClinicalWorks conversions
  

• Prior go-live and post-go-live stabilization experience in Resolute HB
  

• Familiarity with pediatric reimbursement considerations
  

• Experience supporting enterprise-scale Epic implementations ($500M health systems)