Manager, Epic Managed Care Contract Builder – Hospital Facility

Sinai Chicago; Chicago (IL); On-site; USD 85,000 - 113,000; Full time

Benefits offered by this job

Life insurance & disability plans

HSA & FSA options

Student loan assistance

Employee Assistance Program

Job summary

Sinai Chicago is seeking a strategic Manager, Epic Managed Care Contract Builder to optimize revenue and ensure compliance in a safety net environment. This role involves building and validating complex hospital payer contracts in Epic, emphasizing strong leadership and cross-functional collaboration.

The ideal candidate will have 7+ years in hospital revenue cycle management and a Bachelor's degree in a relevant field. Join us and contribute to health equity and community impact.

Qualifications

• 7+ years of experience in hospital revenue cycle or managed care.
• Hands-on experience with Epic applications.
• Strong knowledge of hospital reimbursement methodologies.

Responsibilities

• Design and build complex facility contracts in Epic.
• Validate reimbursement accuracy and resolve discrepancies.
• Analyze reimbursement variances and improve contract performance.

Skills

Healthcare Administration

Epic applications

Revenue optimization

Analytical expertise

Leadership

Education

Bachelor’s degree in Healthcare Administration, Finance, IT, or related field

Tools

Epic Resolute Hospital Billing

Job description

At Sinai Chicago, we take healthcare personally. Our commitment goes beyond medicine—we deliver care with dignity, respect, and purpose to the communities we serve. We are seeking a strategic and highly skilled Manager, Epic Managed Care Contract Builder to join our team and drive revenue optimization and contract excellence in a complex safety net environment.

About the Role

The Manager, Epic Managed Care Contract Builder serves as a strategic reimbursement architect and operational leader, responsible for building, validating, and optimizing complex hospital payer contracts in Epic.

This role plays a critical part in ensuring accurate reimbursement, regulatory compliance, and alignment with organizational financial goals—while supporting the unique needs of a safety net health system.

Key Responsibilities

Strategic Contract Architecture

• Design and build complex facility contracts in Epic (DRG, APC, case rates, per diem, value-based models, etc.)
• Translate payer agreements into executable system logic with financial modeling
• Partner with Finance and Managed Care leadership to evaluate contract performance and revenue impact
• Identify and resolve revenue leakage

Advanced Testing & Validation

• Validate reimbursement accuracy and resolve discrepancies
• Approve contract builds prior to implementation

Safety Net Reimbursement Expertise

• Build contracts aligned with Illinois Medicaid managed care, supplemental payments, and public funding structures
• Support DSH, UPL, and other reimbursement programs

Leadership & Governance

• Serve as a senior subject matter expert and mentor
• Lead cross-functional collaboration across Finance, Revenue Cycle, IT, and Compliance
• Establish build standards and governance protocols

Monitoring & Optimization

• Analyze reimbursement variances and improve contract performance
• Oversee contract updates, renewals, and optimizations

Compliance & Audit Support

• Ensure adherence to payer agreements and regulatory requirements
• Maintain detailed documentation and support audits

Qualifications

• Bachelor’s degree in Healthcare Administration, Finance, IT, or related field
• 7+ years of experience in hospital revenue cycle, managed care, or Epic applications
• Hands‑on experience with Epic Resolute Hospital Billing & Contract Management
• Strong knowledge of hospital reimbursement methodologies
• Experience in safety net hospitals or public health systems required
• Epic certification(s) preferred

What You Bring

• Strategic systems thinking and analytical expertise
• Deep contract interpretation knowledge
• Focus on revenue optimization and operational excellence
• Strong leadership and cross‑functional collaboration skills

Why Join Sinai Chicago?

We offer a comprehensive benefits package including:

• Life insurance & disability plans
• HSA & FSA options
• Student loan assistance
• Employee Assistance Program

Plus, you’ll be part of a mission‑driven organization committed to health equity and community impact.