Epic Contract Build Analyst - Remote

UnitedHealth Group•Concord, CA

16h•$72,800 - $130,000•Remote

About The Position

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We are seeking an experienced Epic Contract Build Analyst to support the design, configuration, and maintenance of payer contracts within the Epic system. This role plays a critical part in ensuring accurate expected reimbursement (Epay), contract compliance, and overall revenue cycle performance. You will partner with contracting, revenue cycle, and IT teams to translate complex payer agreements into Epic system logic that drives financial accuracy and operational efficiency. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Requirements

Epic certification in Epic HB and PB Contracts
3+ years of hands-on experience building or maintaining payer contracts in Epic
3+ years of experience with contract modeling, expected reimbursement (Epay), or variance analysis
Proven solid analytical and problem-solving skills with ability to troubleshoot payment discrepancies

Nice To Haves

Experience working with government payors (Medicare, Medicaid) and managed care organizations
Experience with contract audits, compliance, or payer performance analysis
Understanding of revenue cycle workflows (billing, coding, claims, reimbursement)
Attention to detail with strong focus on accuracy
Effective communication and cross-functional collaboration
Ability to interpret complex contract language and translate into system logic
Solid analytical mindset with focus on continuous improvement

Responsibilities

Translate payer contract terms, reimbursement methodologies, and fee schedules into Epic system configuration
Design, build, and maintain hospital (HB) and professional (PB) contracts within Epic
Configure reimbursement logic including DRG, APC, case rates, percentage of charge, and fee schedules
Perform contract build validation through structured testing and expected reimbursement analysis
Identify and resolve discrepancies between expected reimbursement (Epay) and actual payer payments
Support production issues, including root cause analysis and resolution of contract build defects
Conduct peer reviews and participate in quality assurance processes for contract accuracy
Collaborate with contracting, finance, and revenue cycle teams to clarify contract intent and ensure alignment
Support contract implementations, system upgrades, and ongoing maintenance activities
Maintain detailed documentation to support audit, compliance, and governance requirements