Key Facts

Remote From:

Missouri (USA)

Full time

Mid-level (2-5 years)

English

Hard Skills

Other Skills

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Budgeting
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Collaboration
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Consulting
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Problem Reporting
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Teamwork
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Collaboration
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Communication

Roles & Responsibilities

3+ years of experience in financial analysis, with expertise in physician claims and insurance contracts.
2+ years of experience in Epic contract build, managed care, or revenue cycle.
Epic Certification required within the first year of employment.
Bachelor's degree or equivalent combination of experience and education.

Requirements:

Build, test, and maintain payer clinic/physician contracts within Epic.
Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.
Validate contract builds through testing and reconciliation against expected reimbursement and payments.
Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.

SSM Health

About SSM Health

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through one of the largest integrated delivery systems in the nation.The organization’s 40,000 team members and more than 12,800 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 300 physician offices and other outpatient and virtual care services, 12 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. An early adopter of the electronic health record (EHR), SSM Health is a national leader for the depth of its EHR integration.Our Mission: Through our exceptional health care services, we reveal the healing presence of God.Learn more about SSM Health here: http://www.ssmhealth.com/system/about-ssmVisit jobs.ssmhealth.com to fulfill your calling with SSM Health.

Company type: XLarge

Founded: 2018

Company size: 10001

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Job description

It's more than a career, it's a calling.

MO-REMOTE

Worker Type:

Regular

Job Highlights:

The Epic Contract Builder, with a focus on physician contracts, is responsible for the configuration, maintenance, and testing of payer contracts with the Epic system.

Qualifications: 3+ years of experience in financial analysis, with specific expertise in physician claims and insurance contracts. 2+ years of experience in Epic contract build, managed care or revenue cycle. Epic Certification is required within the first year of employment.

Key responsibilities:

Build, test, and maintain payer clinic/physician contracts within Epic.
Translate payer agreements into system logic, including fee schedules, reimbursement terms, and payment methodologies.
Validate contract builds through testing and reconciliation against expected reimbursement and payments.
Support analysis of underpayments, overpayments, and billing issues related to contract configuration.
Collaborate with Managed Care, Revenue Cycle, and IT teams to ensure accurate implementation of contract terms.
Maintain clear documentation of contract build logic and assumptions.
Participate in system upgrades, enhancements, and optimization efforts related to contract management.
Support reporting and analytics related to reimbursement trends and contract performance.

At SSM Health, we believe in providing our employees with a fulfilling career. We strive to create an environment where individuals can grow both personally and professionally. Our company values diversity, innovation, and collaboration, and we are committed to making a positive impact on the communities we serve.

Joining SSM Health means becoming part of a team that is dedicated to providing exceptional patient care and making a difference in people's lives. Our employees are passionate about what they do, and their commitment to our mission is what sets us apart.

Remote work: This position may be eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance.

*Candidates must reside in MO, IL, OK, or WI

Job Summary:

Performs analysis and reporting regarding financial operations and information.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

Exhibits technical and operational proficiency in performing financial analysis.
Performs statistical, cost and financial analysis of data extracted from various internal sources.
Assists with budget preparation and financial planning processes.
Serves as consultant to all levels of management to provide decision support for initiatives, policies and procedures.
Performs other duties as assigned.

EDUCATION

Bachelor's degree or equivalent combination of experience and education

EXPERIENCE

Three years' experience

PHYSICAL REQUIREMENTS

Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
Frequent keyboard use/data entry.
Occasional bending, stooping, kneeling, squatting, twisting and gripping.
Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

None

Department:

8764010033 System Revenue Management

Work Shift:

Day Shift (United States of America)

Scheduled Weekly Hours:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

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SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.