Contracts Analyst

🕒 5 days ago

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Ellit Groups

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2019

Healthcare • Life Sciences • Managed Services

Ellit Groups is a forward-thinking organization dedicated to transforming healthcare through innovative solutions. They specialize in bridging the gap between people, processes, and technology, effectively addressing business challenges within the healthcare and life sciences sectors. With an award-winning team of experts, Ellit Groups offers services such as healthcare and payer advisory, performance improvement, digital strategy and transformation, and managed services. Their commitment to enhancing patient outcomes and fostering sustainable growth makes them a vital partner for healthcare organizations and life sciences companies.

📋 Description

• Support the client's Revenue Cycle organization by designing, building, testing, and maintaining Expected Reimbursement Contracts within Epic Resolute Hospital Billing (HB) and Professional Billing (PB). • Ensure accurate reimbursement modeling, payer contract configuration, and underpayment identification across the enterprise. • Partner closely with managed care, finance, payer contracting, and revenue integrity teams to translate complex payer agreements into Epic build. • Build, configure, and maintain Expected Reimbursement Contracts in Epic Resolute HB and PB. • Support carve-outs, stop-loss, per diems, case rates, DRG, APC/OPPS, percent-of-charge, and value-based payment methodologies. • Validate expected vs. actual reimbursement using test claims and 835 remittance review. • Develop and execute unit, integration, and user acceptance testing (UAT); document test scripts, results, and defects. • Migrate build through environments using Data Courier and follow enterprise Change Control and Content Management processes.

🎯 Requirements

• Bachelor's degree in Health Information Management, Healthcare Administration, Business, Finance, IT, or a related field — or equivalent combination of education and experience. • 5+ years of Epic Resolute HB and/or PB analyst experience, with at least 2+ years specifically building and maintaining Expected Reimbursement Contracts. • Demonstrated experience building fee schedules, contract components, selection extensions, and pricing extensions in Epic. • Prior experience supporting a large, complex, multi-entity health system (academic medical center, IDN, or public health system). • Experience with payer remittance (835) analysis, underpayment recovery, and variance reporting. • Strong analytical skills with the ability to interpret payer contracts and translate terms into system build. • Excellent written and verbal communication skills. • Strong attention to detail, documentation discipline, and ability to manage multiple concurrent contract builds.

🏖️ Benefits

• Competitive salary and benefits package. • Opportunity to work in a collaborative and innovative environment. • Professional development opportunities to advance your career. • Flexible work arrangements to promote work-life balance.