Application Analyst | Epic Contract Build

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: 40 We’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 Contracts Maintain contract builds and timely resolution of build errors Develop and implement Epic contract maintenance processes to ensure contracts are updated accurately and timely Maintain and document the status of Epic contract build and applicable work queues Complete Epic contract modeling extracts that are used in contract negotiations Primary Epic and IT resource for Contract Management and variance workflows for Payer Relations and Revenue Cycle teams Interpret financial contracts to build logic within Epic Resolute for accurate expected reimbursement calculations Conduct testing to validate accuracy of contract build maintenance and updates What's Available: Fulltime, 80 hours biweekly (1.0 FTE) Monday-Friday core business hours Remote 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 experience Based 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 education Experience: At least 2-4 years of relevant work experience Certifications: 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 appreciated Competitive Benefits: A comprehensive and generous benefits package (Medical, Dental, Life Ins, HSA/FSA) ensuring your comfort and well-being as a valuable team member Substantial retirement contribution including a 401k match & annual discretionary base contribution Work-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 need Professional Development: Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, and our Career Development Center Additional 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. If you need assistance with any portion of the application or have questions about the position, please contact [email protected] 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

The Application Analyst serves as the primary technical resource for Epic contract modeling, reimbursement configuration, and variance workflow support. They are responsible for interpreting, building, and maintaining complex payer contracts within the Epic Resolute platform to ensure accurate reimbursement calculations.

The ideal candidate possesses a bachelor's degree or equivalent experience and 2-4 years of relevant work experience. A strong understanding of healthcare reimbursement methodologies, payer contracts, and Epic Resolute billing certifications is preferred.

• Medical insurance • Dental insurance • Life insurance • HSA/FSA • 401k match • Paid time off • Tuition investment program • Wellness program • Short-term disability • Long-term disability • Employee assistance program • Identity theft protection • Pet insurance

• Résolution de problèmesSouhaitée
• Analyse de donnéesSouhaitée
• CommunicationSouhaitée
• Analyse financièreSouhaitée

Relevées dans la description du poste. Confirmez les exigences importantes ci-dessus.

• Epic Resolute
• Contract management
• Healthcare reimbursement
• Revenue cycle
• Payer relations
• Financial analysis
• Contract modeling
• Hospital billing
• Professional billing
• Data analysis
• Problem solving
• Testing
• Documentation
• Communication
• Workflow support
• Epic EMR
• Medicare Part C
• Empathy
• Accountability
• Workflow Management
• Time Off Management
• Billing
• System Configuration
• Contract Interpretation
• Contract Management
• Contract Negotiation
• Emergency Medicine
• Employee Assistance Programs
• Epic Resolute (Software)
• Finance
• Health Systems
• Humility
• Innovation
• Problem Solving
• Managed Care
• Medicaid
• Medicaid Managed Care
• Medicare
• Operations
• Organizational Communications
• Revenue Cycle Management
• Teamwork

• Healthcare
• Technology
• Finance & Accounting
• Data & Analytics
• Epic Application Analyst
• Contracts Analyst
• Buyers
• Purchasing Agents, Except Wholesale, Retail, and Farm Products
• Buyers and Purchasing Agents

Formation minimale

Baccalauréat

Expérience minimale

2+ ans

Langue de l’offre

anglais

Heures de travail

40 heures par semaine