At Sinai Chicago, we take healthcare personally. Our commitment goes beyond medicine—we deliver care with dignity, respect, and purpose to the communities we serve. We are seeking a strategic and highly skilled Manager, Epic Managed Care Contract Builder to join our team and drive revenue optimization and contract excellence in a complex safety net environment.
About the Role
The Manager, Epic Managed Care Contract Builder serves as a strategic reimbursement architect and operational leader, responsible for building, validating, and optimizing complex hospital payer contracts in Epic.
This role plays a critical part in ensuring accurate reimbursement, regulatory compliance, and alignment with organizational financial goals—while supporting the unique needs of a safety net health system.
Key Responsibilities
Strategic Contract Architecture
- Design and build complex facility contracts in Epic (DRG, APC, case rates, per diem, value-based models, etc.)
- Translate payer agreements into executable system logic with financial modeling
- Partner with Finance and Managed Care leadership to evaluate contract performance and revenue impact
- Identify and resolve revenue leakage
Advanced Testing & Validation
- Develop rigorous testing strategies using real claims scenarios
- Validate reimbursement accuracy and resolve discrepancies
- Approve contract builds prior to implementation
Safety Net Reimbursement Expertise
- Build contracts aligned with Illinois Medicaid managed care, supplemental payments, and public funding structures
- Support DSH, UPL, and other reimbursement programs
Leadership & Governance
- Serve as a senior subject matter expert and mentor
- Lead cross-functional collaboration across Finance, Revenue Cycle, IT, and Compliance
- Establish build standards and governance protocols
Monitoring & Optimization
- Analyze reimbursement variances and improve contract performance
- Oversee contract updates, renewals, and optimizations
Compliance & Audit Support
- Ensure adherence to payer agreements and regulatory requirements
- Maintain detailed documentation and support audits
Qualifications
- Bachelor’s degree in Healthcare Administration, Finance, IT, or related field
- 7+ years of experience in hospital revenue cycle, managed care, or Epic applications
- Hands-on experience with Epic Resolute Hospital Billing & Contract Management
- Strong knowledge of hospital reimbursement methodologies
- Experience in safety net hospitals or public health systems required
- Illinois Medicaid expertise strongly preferred
- Epic certification(s) preferred
What You Bring
- Strategic systems thinking and analytical expertise
- Deep contract interpretation knowledge
- Focus on revenue optimization and operational excellence
- Strong leadership and cross-functional collaboration skills
- Executive-level communication ability
Why Join Sinai Chicago?
We offer a comprehensive benefits package including:
- Medical, dental, vision & prescription coverage
- Life insurance & disability plans
- HSA & FSA options
- Student loan assistance
- 403(b) retirement plan
- Employee Assistance Program
Plus, you’ll be part of a mission-driven organization committed to health equity and community impact.
Our Values
At Sinai Chicago, we live by:
Teamwork | Respect | Quality | Integrity | Safety | Role Model
📣 Apply Today
Be part of a team transforming healthcare delivery and financial performance in a meaningful way.
👉 Apply now at: www.sinaichicago.org
Manager, Epic Managed Care Contract Builder – Hospital Facility in Chicago at Sinai Chicago
This position is listed as contract and onsite. It was posted 4 days ago.