[Hiring] Epic Certified Resolute HB/PB Contracts Management Analyst @Divurgent

Role Description

We are seeking an exceptional Epic Certified Resolute PB/HB Contract Management Analyst to lead a critical stabilization and optimization effort for a large health system's Epic revenue cycle environment. This is not a maintenance role—we need a true expert who can quickly assess a complex contract management environment, identify root causes of payment inaccuracies, and implement sustainable solutions. The ideal candidate has deep Epic Resolute PB/HB Contract Management expertise, understands the downstream financial impact of contract configuration, and has successfully supported large, multi-hospital health systems. This individual will play a key role in correcting significant reimbursement issues, standardizing contract builds across the enterprise, and improving the accuracy of revenue recognition.

• Analyze, design, build, test, and optimize Epic Resolute Hospital Billing (HB) and Professional Billing (PB) Contract Management functionality.
• Resolve a high-priority backlog of contract build requests, maintenance items, and payment issues.
• Perform a comprehensive assessment of the existing Contract Management build, identifying inconsistencies, duplicate logic, and opportunities for standardization across multiple facilities.
• Standardize contract configuration to improve enterprise reporting, reimbursement accuracy, and long-term maintainability.
• Configure and maintain government and commercial payer contracts, including complex reimbursement methodologies.
• Support Homecare and Hospice contract builds, ensuring compliance with unique reimbursement models and regulatory requirements.
• Troubleshoot payment variances by partnering with Revenue Integrity, Patient Financial Services, Managed Care, and operational stakeholders.
• Validate contract calculations through testing and payment reconciliation.
• Develop build standards, documentation, and governance recommendations to improve ongoing contract management processes.
• Provide strategic recommendations to improve reimbursement accuracy and optimize Epic Contract Management functionality.

Qualifications

• Epic Resolute Hospital Billing (HB) & Professional Billing (PB) Certifications.
• Extensive experience with Epic Resolute Contract Management.
• Proven experience building and maintaining complex government and commercial payer contracts.
• Strong understanding of reimbursement methodologies, fee schedules, DRGs, APCs, case rates, per diems, percent-of-charge contracts, and carve-outs.
• Experience supporting multi-hospital or integrated delivery networks.
• Demonstrated ability to troubleshoot complex reimbursement discrepancies and payment calculations.
• Strong analytical and problem-solving skills with exceptional attention to detail.
• Experience working directly with Revenue Cycle leadership, Managed Care, Finance, and operational stakeholders.

Requirements

• Highly Preferred: Experience with Homecare and Hospice billing.
• Revenue Integrity or Managed Care background.
• Experience leading enterprise contract standardization initiatives.
• Knowledge of reporting and analytics related to contract performance and reimbursement.

Benefits

• Financial, Health and Wellness, and Community and Culture benefits.
• Team coffee breaks and happy hours.
• Book club.
• Grill master competition.
• March Madness events.
• Divurgent Pets group.
• Team engagement programs.