• Configures, maintains, and optimizes Epic Contract Management to reflect payer contracts, rates, and reimbursement rules.
• Translates contract language into Epic system build for appropriate modeling of terms, conditions, and reimbursement methodologies.
• Conducts contract load validation, modeling, and testing to ensure accuracy of expected reimbursement calculations.
• Collaborates with Managed Care teams to review new and updated payer contracts, ensuring accurate system representation.
• Partners with Revenue Integrity and Finance to monitor underpayments, variances, and trends, providing insights for recovery and process improvement.
• Develops, maintains, and distributes reports and dashboards to support contract performance monitoring.
• Provides end-user support, training, and documentation related to Epic Contract Management functions.
• Acts as liaison between IT and operational stakeholders, ensuring system solutions meet business needs.
• Maintains knowledge of industry best practices, CMS regulations, and payer reimbursement methodologies.
• Leverages Epic analytics platforms such as System Pulse, Galaxy, and others to assist with driving operational outcomes for the health system.
• Models the principles of a Just Culture and Organizational Values.  
• Performs other duties as assigned. Must be HIPAA compliant 

• Epic Resolute Contract Management certification preferred.

• Must possess, or be able to obtain within 90 days, the computer skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.  

• Bachelor?s degree in Business, Finance, Healthcare Administration, Information Systems, or related field (or equivalent experience) required.? 

The posted salary range for this position applies to Colorado and may be adjusted based on geographic location. Vail Health considers a variety of factors in making compensation decisions, including but not limited to experience, education, licensure and/or certifications, geographic location, market demand and other business and organizational needs. 

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

About Vail Health

Vail Health, formerly Vail Valley Medical Center, is a nonprofit community health care system serving patients and guests from around the world. Locally operated and governed by a volunteer board of directors, Vail Health includes a 56-bed hospital, accredited by the Joint Commission. Our 24/7 emergency department in Vail is a Level III Trauma Center with a nearby helipad for necessary medical transports. Vail Health provides a wide array of services and access points including Beaver Creek Medical Center, urgent care clinics in Avon and Gypsum, our Edwards medical campus, Eagle Healthcare Center and a multispecialty clinic in Frisco. Howard Head Sports Medicine offers physical therapy services at 10 locations and works closely with our internationally renowned orthopaedic partners at The Steadman Clinic and Vail-Summit Orthopaedics. In addition, Vail Health's Shaw Cancer Center and Sonnenalp Breast Center are the region’s only fully accredited cancer treatment center and comprehensive breast center. The Vail Clinic, which was founded in 1965, officially became “Vail Valley Medical Center” in 1980, its first year as a full-service hospital. At that time, we had one primary locatio...n and 25 physicians. Today, Vail Health has locations in nine towns, nearly 1,000 employees, 260 physician partners and 85 volunteers. Vail Health is an equal-opportunity employer. The hospital is handicap accessible and adheres to the Americans with Disabilities Act. Smoking is prohibited in our facilities. This includes e-cigarettes.

Show more

Show less

Connections working at Vail Health