Epic Contract Builder

SSM Health

3d • Remote

About The Position

It's more than a career, it's a calling. MO-REMOTE Worker Type: Regular Job Highlights: The Epic Contract Builder, with a focus on physician contracts, is responsible for the configuration, maintenance, and testing of payer contracts with the Epic system. At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve. Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart. Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that 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.

Requirements

• 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 is required within the first year of employment.
• Bachelor's degree or equivalent combination of experience and education
• 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) and 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.

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.
• Exhibits technical and operational proficiency in performing financial analysis.
• Performs statistical, cost and financial analysis of data extracted from various internal sources.
• Assists with budget preparation and financial planning processes.
• Serves as consultant to all levels of management to provide decision support for initiatives, policies and procedures.
• Performs other duties as assigned.

Benefits

• SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees