Financial Application Analyst II - Full Time - Days - Corporate

Financial Applications Analyst II

       The Financial Applications Analyst II (Epic PB/HB Contracts Analyst) is responsible for ensuring the accuracy, integrity, and financial performance of all Epic PB/HB expected reimbursement contracts. This role serves as a subject matter expert in complex Epic contract build, modeling, testing, and optimization, supporting both Managed Care and Revenue Cycle teams. The analyst interprets payer contract language, translates terms into Epic configuration, maintains ongoing contract updates, and reduces payment variances through precise build logic and continuous auditing. The position also supports contract modeling, Data Courier migrations, and cross‑functional collaboration to uphold revenue integrity across the organization.

• Builds, maintains, and optimizes all Epic PB/HB expected reimbursement contracts.

• Interprets payer contract language and translates terms into Epic rate matrices and contract logic.

• Completes regular Medicare/state/federal updates, APC changes, and COLA adjustments.
• Conducts contract audits, testing, and variance analysis using Epic tools and Alexandria reports.
• Manages Data Courier migrations and maintains accurate ticket tracking.

Revenue Integrity & Variance Reduction

• Identifies and resolves payment variances by improving contract configuration.
• Monitors Accounts Without Contracts and other key Epic reports.
• Re-evaluates contract performance and provides recommendations to stakeholders.

Managed Care Support

• Determines the root cause of account‑level reimbursement issues, prepares a summary for the manager when payer escalation is required, and proactively reviews build and data to identify improvement opportunities.
• Works closely with Managed Care to translate contract language, maintain accurate rate matrices, and contribute to the successful delivery of assigned initiatives.
• Assists with repricing models and contract modeling in CNV environments.
• Completes rate matrix and rate layouts
• Helps maintain Virtual Contract Drive 
• Supports managed care manager with all other related assignments 

Cross‑Functional Collaboration & Training

• Works closely with IT, PFS, Revenue Cycle, and Managed Care teams.
• Trains staff on Epic HB/PB contract build, testing, reporting, and data migration tools.
• Communicates clearly with stakeholders and escalates risks appropriately.

 

Required Experience & Skills

• 3+ years in applications development/support; 3+ years Epic complex contract build preferred.
• Deep expertise in Epic Resolute HB/PB Expected Reimbursement Contracts.
• Strong understanding of managed care contract structures and reimbursement methodologies.
• Experience with healthcare claims analysis, Microsoft Access, and Excel.
• Strong communication, analytical, and cross‑functional collaboration skills.

Preferred Certifications

• Epic Resolute Hospital Billing Expected Reimbursement Contracts Administration
• Epic Resolute Professional Billing Expected Reimbursement Contracts Administration
• Epic Data Courier Badge