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Revenue Cycle Contract Modeling Analyst Lead

CommonSpirit Health Chicago, Illinois
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The posted compensation range of $43.10 - $64.11 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Requisition ID 2026-480242 Employment Type Full Time Department Revenue Cycle Management Hours/Pay Period 80 Shift Day Weekly Schedule Monday-Friday 8-5 Remote Yes Category Accounting and Finance

Job Summary and Responsibilities

Job Summary / Purpose
Responsible for leading the efforts in building and testing the contract modeling calculation that applies the contractual adjustment at the time of billing and produces the Expected Payment within the AR/Revenue Cycle system (Meditech, PCON, Epic, PIC). This position provides technical guidance on complex modeling scenarios, manages related projects/tasks, and ensures the integrity of calculations, which are relied upon to estimate Net AR, a focus of the financial audit, and to identify and pursue underpayments.

Essential Functions
Essential Function

  • Contract Build and Modeling Leadership: Lead the input, building, testing, and maintenance of Payor contracts to accurately calculate net expected reimbursement and apply contractual adjustments at the time of billing for Epic, Meditech, PCON, and PIC.
  • Interpretation and Expertise: Serve as the subject matter expert in interpreting complex managed care contracts and government reimbursement methodologies to correctly create and validate contract modeling calculations
  • Quality Assurance & Oversight: Oversee and ensure the thorough and timely testing of all new and existing entries into the Contract Modeling/Revenue Cycle system to confirm accurate netting down of AR at the time of billing. This includes leading implementations and other expected reimbursement projects and processes
  • Strategic Collaboration: Proactively collaborate with Payor Strategy, RRC management, and other business partners regarding managed care contracts and government reimbursement changes that impact expected payment and system dictionaries/tables.
  • Mentorship and Guidance: Provide technical guidance and support to other team members on reimbursement calculation issues and complex contract modeling tasks
Job Requirements

Education and Experience

Bachelor's degree

5-7 years of related experience in contract modeling and experience in Managed Care, Patient Financial Services or Finance (required).

Must have extensive experience and knowledge with healthcare reimbursement methodologies and concepts.

Experienced in managing technical projects and implementations.

Licensure and Certifications

EPIC Certification (EPIC), Preferred

Where You'll Work

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

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Equal Opportunity

CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.