Contract Management Technician

Ensemble Health Partners • Work at Home - Ohio - Other, OH

8d • $51,700 - $99,000 • Remote

About The Position

The Contract Management Technician supports client contract management needs and requires at least two years of Epic certification and experience. The role supports contract loading, validation, troubleshooting, and training, while participating in knowledge-sharing activities to build individual and peer expertise. This is a remote position, with travel to and work at client, temporary, or corporate office locations when business needs require. The position is limited to individuals residing and authorized to work in the United States.

The technician supports client financial initiatives through contract validation and expected-reimbursement reserve calculations, helps investigate reimbursement and payment variances, and assists other revenue cycle teams with reimbursement questions. The role requires knowledge of managed care contracts and the Epic system, the ability to interpret contract terms, and strong problem-solving, organizational, and interpersonal skills. Compensation is listed as $51,700–$99,000, based on experience.

Requirements

• At least two years of experience related to payer reimbursement.
• At least two years of Epic certification in RHB390 or RPB390.
• Epic RHB390 or Epic RPB390 Contract Administration Certification.
• HFMA Certified Revenue Cycle Representative.
• High school diploma or GED.
• Knowledge of managed care organizations, contracts, and products, or applicable healthcare or payer experience relevant to the position.
• Ability to interpret all aspects of a contract, particularly implementation and operational terms.
• Strong problem-solving ability, initiative, and judgment; ability to balance multiple priorities in a fast-paced environment and use resources effectively.
• Self-starter able to identify, understand, research, and resolve complex financial and operational provider issues related to specific contracts.
• Excellent interpersonal skills and ability to develop strong working relationships with internal and external contacts.
• Must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
• Must reside and be authorized to work in the United States.

Nice To Haves

• Microsoft Excel proficiency is recommended.
• Experience with Epic and/or other contract management software.
• Openness to innovation, including AI, to explore better processes and improve patient and client experiences.

Responsibilities

• Maintain an active Epic Contract Management certification for RHB390 (acute) and/or RPB390 (physician).
• Conduct file balancing and daily maintenance of the contract management system based on client and system needs.
• Collaborate with clients on inquiries concerning contract accuracy and potential reimbursement issues.
• Support Contract Modeling Specialists with troubleshooting, including contract review and Epic system navigation.
• Track key update dates for reimbursement rules, including Medicare OP quarterly updates, annual DRG updates, and applicable managed care contract increases.
• Use modeling tools and reports to identify and validate payment variances for referral to the underpayments team for appeal or follow-up.
• Support other revenue cycle areas with questions about calculations and reimbursement.
• Complete training modules and work-building sessions to become proficient in contract loading for client Epic systems.
• Perform ongoing contract validation to support client financial initiatives, including expected-reimbursement-based reserve calculations for budgeting.
• Coordinate and participate with colleagues and leaders in knowledge-sharing to expand understanding of managed care organizations, contracts, and Epic.
• Interpret Epic product upgrade Nova Notes and complete related contract builds as needed.
• Import and export Epic databases for reporting, troubleshooting, and related tasks.
• Use Epic-provided toolkits for Medicare OP and IP quarterly and annual updates.
• Participate in training and other knowledge-sharing opportunities to develop peers' knowledge.
• Explore improved processes and ways to reduce friction and improve patient and client experiences, including through openness to innovation such as AI.

Benefits

• Bonus incentives, including quarterly and annual incentive programs.
• Paid certifications and professional development opportunities.
• Tuition reimbursement.
• Comprehensive benefits, including healthcare, time off, retirement, and well-being programs.
• Career advancement opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED