Epic Applications Lead – Revenue Cycle

Delta Dental•Oakland, CA

About The Position

The Epic Revenue Cycle Applications Lead is responsible for the technical design, implementation, optimization, and ongoing support of Epic revenue cycle applications, with primary ownership of Professional Billing and Claims. This role balances approximately 50% hands-on Epic analyst work and 50% people leadership, providing deep revenue cycle application expertise while leading and developing a high-performing analyst team. The Applications Lead manages and supports Epic analysts working across Professional Billing–related workflows, including charge capture, claims, edits, remittance, follow-up, and revenue integrity processes, while also serving as a hands-on subject matter expert for Professional Billing and Claims configuration, optimization, and upgrades. This role partners closely with Revenue Cycle, Finance, Compliance, and IT stakeholders to translate billing, reimbursement, and regulatory requirements into scalable, compliant Epic solutions that support accurate billing, timely reimbursement, operational efficiency, and organizational financial performance.

Requirements

Minimum of 8 years of experience supporting enterprise healthcare applications, including at least 1 years in a people leadership or lead analyst role, with demonstrated accountability for technical outcomes, operational performance, and team development.
Extensive hands-on Epic Professional Billing experience in application build, configuration, testing, troubleshooting, and optimization within large-scale healthcare environments, including participation in Epic implementations, major upgrades, payer rule changes, or enterprise-wide revenue cycle enhancements.
Primary experience supporting Epic Professional Billing and Claims, with deep expertise in charge capture, claim generation, edits, workqueues, remittance processing (ERA/EFT), follow-up workflows, fee schedules, and payer-specific rules and reimbursement logic.
Proven ability to translate complex billing, reimbursement, and regulatory requirements into effective Epic configuration through close partnership with Revenue Cycle, Finance, Revenue Integrity, Coding, Compliance, and operational stakeholders.
Demonstrated experience leading and mentoring Epic PB analysts, including setting priorities, balancing production support and project work, conducting peer reviews, and supporting professional development and Epic certification maintenance.
Experience leading or significantly contributing to Epic Professional Billing implementations, major upgrades, platform enhancements, or multi-site rollouts, including planning, execution, go-live support, and post–go-live stabilization.
Strong hands-on experience with Epic change management, including managing support tickets, coordinating enhancement requests, participating in governance or advisory forums, and adhering to change control, testing, and release management processes.
Experience collaborating with vendors, clearinghouses, payers, third-party partners, and internal IT teams (Infrastructure, Security, Integration, Data) to support secure claims submission, remittance processing, and downstream financial reporting.
Active Epic certification in Professional Billing is required, with the ability and willingness to maintain required certifications.
Strong communication, analytical, and problem-solving skills, with the ability to lead complex technical discussions, influence decision-making, and communicate effectively with revenue cycle, financial, and technical audiences.

Nice To Haves

Certification in Claims or related revenue cycle modules is strongly preferred.

Responsibilities

Lead advanced Epic revenue cycle application design, build, and optimization, serving as the primary owner for Professional Billing and Claims, with accountability for charge capture, claim generation, edits, workqueues, remittance, and follow-up workflows.
Act as the senior technical authority and escalation point for Epic Professional Billing and Claims, owning system stability, performance, and long-term sustainability while translating complex payer rules, reimbursement methodologies, and regulatory requirements into effective Epic configuration.
Balance hands-on Epic analyst work with people leadership, providing direct build and troubleshooting support for PB components (charge routers, edits, WQs, fee schedules, claim forms, ERA/EFT) while managing and developing analysts supporting related revenue cycle workflows.
Drive Epic governance, prioritization, and roadmap planning for Professional Billing by contributing expert input to enterprise governance bodies and partnering with Infrastructure, Security, Integration, and Data teams to ensure secure, compliant claims submission, remittance processing, and downstream financial reporting.
Lead change and release governance for Epic revenue cycle applications, including upgrades, enhancements, payer rule changes, and production deployments, ensuring disciplined testing and validation to minimize billing disruption and cash-flow impact.
Provide day-to-day leadership, performance management, and mentorship to Epic PB analysts, setting clear expectations for build quality, documentation, certification maintenance, and adherence to Epic, compliance, and organizational standards.
Lead enterprise-wide PB optimization initiatives using key revenue cycle metrics (claim acceptance rates, denial trends, days in AR, underpayment variance), stakeholder input, and system data to identify root causes and implement automation and workflow improvements.
Design and implement automation and efficiency improvements across PB workflows, including workqueue logic, routing rules, auto-posting, and exception handling to reduce manual effort and improve throughput.
Oversee multi-site Epic revenue cycle deployments and expansions, including standardized PB build execution, onboarding, training coordination, go-live support, and post–go-live stabilization and optimization.
Serve as a trusted partner to Revenue Cycle, Finance, Revenue Integrity, Coding, Compliance, and operational leaders, acting as a primary point of accountability for PB application outcomes and issue resolution.
Ensure rigorous change control, testing, and documentation practices in partnership with QA and validation teams, supporting regression testing, payer testing, integration validation, and maintenance of high-quality.
Perform other duties as assigned, recognizing that responsibilities may evolve with organizational and financial priorities.