Epic Contract Builder
SSM Health, Des Moines, IA, United States
Job Highlights
Epic Contract Builder, with a focus on physician contracts, is responsible for the configuration, maintenance, and testing of payer contracts with the Epic system.
Qualifications
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.
Epic Certification required within the first year of employment.
Key Responsibilities
Build, test, and maintain payer clinic/physician contracts within Epic.
Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.
Validate contract builds through testing and reconciliation against expected reimbursement and payments.
Support analysis of underpayments, overpayments, and billing issues related to contract configuration.
Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.
Maintain clear documentation of contract build logic and assumptions.
Participate in system upgrades, enhancements, and optimization efforts related to contract management.
Support reporting and analytics related to reimbursement trends and contract performance.
Remote Work This position may be eligible for remote work in accordance with SSM policies. Remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. Candidates must reside in MO, IL, OK, or WI.
Job Summary Performs analysis and reporting regarding financial operations and information.
Primary Responsibilities
Exhibit technical and operational proficiency in performing financial analysis.
Perform statistical, cost and financial analysis of data extracted from various internal sources.
Assist with budget preparation and financial planning processes.
Serve as consultant to all levels of management to provide decision support for initiatives, policies and procedures.
Perform other duties as assigned.
Education
Bachelor's degree or equivalent combination of experience and education.
Experience
Three years' experience.
Physical Requirements
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
Required Professional License & Certifications
None.
Department 8764010033 System Revenue Management
Work Shift Day Shift (United States of America)
Scheduled Weekly Hours 40
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay before payday (fees may apply).
Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.
Equal Opportunity Employer Statement 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, pregnancy, veteran status, or any other characteristic protected by applicable law.
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Qualifications
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.
Epic Certification required within the first year of employment.
Key Responsibilities
Build, test, and maintain payer clinic/physician contracts within Epic.
Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.
Validate contract builds through testing and reconciliation against expected reimbursement and payments.
Support analysis of underpayments, overpayments, and billing issues related to contract configuration.
Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.
Maintain clear documentation of contract build logic and assumptions.
Participate in system upgrades, enhancements, and optimization efforts related to contract management.
Support reporting and analytics related to reimbursement trends and contract performance.
Remote Work This position may be eligible for remote work in accordance with SSM policies. Remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. Candidates must reside in MO, IL, OK, or WI.
Job Summary Performs analysis and reporting regarding financial operations and information.
Primary Responsibilities
Exhibit technical and operational proficiency in performing financial analysis.
Perform statistical, cost and financial analysis of data extracted from various internal sources.
Assist with budget preparation and financial planning processes.
Serve as consultant to all levels of management to provide decision support for initiatives, policies and procedures.
Perform other duties as assigned.
Education
Bachelor's degree or equivalent combination of experience and education.
Experience
Three years' experience.
Physical Requirements
Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.
Required Professional License & Certifications
None.
Department 8764010033 System Revenue Management
Work Shift Day Shift (United States of America)
Scheduled Weekly Hours 40
Benefits
Paid Parental Leave: one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay before payday (fees may apply).
Upfront Tuition Coverage: upfront tuition coverage through FlexPath Funded for eligible team members.
Equal Opportunity Employer Statement 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, pregnancy, veteran status, or any other characteristic protected by applicable law.
#J-18808-Ljbffr