Application Analyst | Epic Contract Build

Gundersen Health System; Wisconsin; Hybrid; USD 70,000 - 90,000; Full time

Benefits offered by this job

Benefits package

PTO and work-life balance

Tuition Investment Program

401k match

Wellness program

Job summary

Gundersen Health System is seeking an experienced Application Analyst focused on Epic Contracts to join our Managed Care team. This role serves as the primary technical resource for contract modeling, reimbursement configuration, and variance workflow across Revenue Cycle, Payer Relations, Finance, and IT.

The ideal candidate will have Epic Resolute PB/HB contract experience, strong analytical skills, and the ability to translate complex contractual language into system configurations.

Qualifications

• Bachelor's degree or related field or equivalent work experience.
• 2–4 years of relevant work experience in healthcare Revenue Cycle.
• Epic Resolute PB or HB Billing Certification preferred.
• Ability to interpret complex contracts and translate to configuration.

Responsibilities

• Build and maintain Epic HB and PB contract configurations for hospital and professional billing.
• Interpret contracts to create accurate reimbursement logic in Epic.
• Collaborate with Revenue Cycle, Payer Relations, Finance and IT on contract workflows.
• Test and validate contract builds and updates.

Skills

Epic Contracts

Analytical skills

Cross-functional collaboration

Testing skills

Documentation

Education

Bachelor's degree or related field

Tools

Epic Resolute

Epic Contract Management

HB/PB Billing Certification

Job description

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today.Scheduled Weekly Hours:40We’re not just filling positions, we’re building careers. At Emplify Health, we care for our teams, while they care for their communities. Whether you are just starting out or looking for a change, Emplify Health supports you now and into the future. Join us and find out how a little empathy changes everything.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 wiling to learn a deep knowledge of healthcare reimbursement methodologies, payer contract interpretation, 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.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 ContractsMaintain contract builds and timely resolution of build errorsDevelop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timelyMaintain and document the status of Epic contract build and applicable work queuesComplete Epic contract modeling extracts that are used in contract negotiationsPrimary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teamsInterpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculationsConduct testing to validate accuracy of contract build maintenance and updatesWhat's Available:Fulltime, 80 hours biweekly (1.0 FTE)Monday-Friday core business hoursRemote work options for residents in WI, MN, or IA only, with occasional need to work onsite for support initiatives in either La Crosse, WI or Green Bay, WI.Immigration sponsorship (e.g., H-1B) is not available for this position.Starting salary of $70,000/ year and up based on your relevant work experienceBased on experience, this position may also be filled at an Application Analyst or Senior Application Analyst level.An Ideal Candidate Will Have:Education: Bachelor's degree or a related field or equivalent years of experience and educationExperience: At least 2-4 years of relevant work experienceCertifications: Epic Resolute PB or HB Billing Claims certification, Preferred.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.In addition to the rewarding work, you'll receive:A highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciatedCompetitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team memberSubstantial retirement contribution including a 401k match & annual discretionary base contributionWork-Life Balance: Paid Time Off (PTO) combines vacation, sick, and personal days into one balance to allow you the flexibility to use your time off as you needProfessional Development: Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development CenterAdditional Employee Discounts and Perks Other benefits include a Wellness program with incentives, employer-paid life insurance and AD&D, optional short-term and long-term disability coverage, an employee assistance program, identity theft protection, pet insurance, Inspire & Celebrate colleague recognition and rewards program, a discount program, and more!If you are looking to be a part of a stable and growing mission-driven organization, this may be the right opportunity for you!Emplify Health is comprised of two of the Midwest’s most respected healthcare systems, Bellin Health and Gundersen Health System. Once neighbors, we are now partners, united in our mission to provide exceptional care to our communities. As a not-for-profit, patient-centered healthcare network, we have headquarters in Green Bay and La Crosse, Wisconsin. Our extensive network includes 11 hospitals and more than 100 clinics, serving 67 cities and rural communities across Wisconsin, Iowa, Minnesota and Michigan’s Upper Peninsula. With over 4,500 dedicated nurses and providers, we are committed to delivering primary, specialty and emergency care, along with innovative medical education programs. Join us in making a meaningful difference in the lives of our patients and communities.I f you need assistance with any portion of the application or have questions about the position, please contact [e-mail] or call 608-775-0267.We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.Equal Opportunity Employer