Application Analyst | Epic Contract Build

Gundersen Health System•Winnipeg, MN

2d•$70,000•Remote

About The Position

We are seeking an experienced Application Analyst focused within Epic Contracts to join our Managed Care team. This role serves as the primary technical and operational resource for contract modeling, reimbursement configuration, and variance workflow support across Revenue Cycle, Payer Relations, Finance, and IT teams. The ideal candidate will possess or be willing to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, and Epic Resolute Contract Management functionality. This individual will play a critical role in ensuring accurate expected reimbursement calculations, supporting contract negotiations, and maintaining contract integrity across hospital and professional billing environments.

Requirements

At least 2-4 years of relevant work experience
Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
Experience with Medicare, Medicaid, Managed Care, and commercial payer reimbursement structures.
Proven ability to interpret complex contractual language and translate it into system configuration requirements.
Strong analytical, problem-solving, and testing skills.
Experience working cross-functionally with Revenue Cycle, Finance, Payer Relations, and IT stakeholders.
Excellent organizational, communication, and documentation skills.

Nice To Haves

Epic Resolute PB or HB Billing Claims certification, Preferred.

Responsibilities

Responsible for Epic Hospital Billing (HB) and Professional Billing (PB) contract build including interpreting, building, migrating and updating complex payer contracts (Commercial, Medicare, Medicare Advantage, Medicaid) on the Epic Contract Management platform.
Collect, build, and maintain third-party and government payer Expected Reimbursement Contracts
Maintain contract builds and timely resolution of build errors
Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely
Maintain and document the status of Epic contract build and applicable work queues
Complete Epic contract modeling extracts that are used in contract negotiations
Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams
Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations
Conduct testing to validate accuracy of contract build maintenance and updates