Remote Epic Contract Modeling Analyst

Nemours Children's Health; Wilmington (DE); On-site; USD 85,000 - 125,000; Full time

Job summary

Nemours Children's Health is seeking a Contract Modeling Analyst to join our team. This fully remote role includes occasional travel and requires residence in eligible states.

You will implement and maintain Epic’s Contract Reimbursement systems, analyze contracts, rates, and language to support negotiations and accurate AR. Strong Epic proficiency and contracting experience are essential.

Qualifications

• Bachelor’s degree required; or equivalent healthcare specific work experience may be used in lieu of degree
• Epic Professional Billing Reimbursement Contracts Certification and Epic Hospital Billing Expected Reimbursement Contracts Certification required
• 5+ years of demonstrated strong analytical skills with knowledge of patient accounts or healthcare contract analysis and reimbursement.

Responsibilities

• Develop, test, implement and maintain Epic reimbursement contracts including rate and fee schedule adjustments and CPT updates.
• Implement and test contract proposals from contract management teams using EPIC modeling tool and provide executive summary analysis on financial impact.
• Develop, test, implement and maintain Epic pricing contracts including rate, fee schedule, CPTs and provider adjustments.
• Develop and maintain provider networks and fee schedules for facility and non-facility CPT codes and reimbursement in the EPIC system.
• Develop, test, implement and maintain Epic’s Benefits Engine components, adjudication tables and benefit packages.
• Develop, test, implement and maintain Epic Payor and Plan masterfiles to support patient registration and benefit estimation.
• Thoroughly document the purpose and details of all system changes.

Skills

Analytical skills

Healthcare contracts knowledge

Contract analysis

Epic systems

Education

Bachelor’s degree

Epic Professional Billing Reimbursement Contracts Certification

Epic Hospital Billing Expected Reimbursement Contracts Certification

Tools

EPIC modeling tool

Epic Benefits Engine

Job description

Nemours Children's Health is seeking a Contract Modeling Analyst to join our team. This fully remote role includes occasional travel and requires residence in eligible states.

You will implement and maintain Epic’s Contract Reimbursement systems, analyze contracts, rates, and language to support negotiations and accurate AR. Strong Epic proficiency and contracting experience are essential.