Epic Professional Billing (PB) Claims Analyst

CTG is seeking to fill an Epic Program Director opening for our client in California.

Location : Remote

Duration : 18 months

Duties :

The Epic Program Director will oversee the build, configuration, testing, and support of Epic Professional Billing (PB) Claims functionality, with a focus on Behavioral Health and Ambulatory service lines.

Key responsibilities include :

• System Configuration & Build : Configure and maintain Epic PB Claims functionality, including claim edit rules, charge review workqueues, and payer-specific logic. Build and optimize workflows to meet unique Behavioral Health and Ambulatory billing requirements across multiple states.
• Claims Management & Troubleshooting : Monitor claim generation for accuracy and compliance, investigate claim errors, rejections, and denials, and implement corrective actions or system enhancements.
• Testing & Optimization : Develop test plans, conduct system testing for new builds, upgrades, and enhancements, and validate end-to-end claims processing, including 837P file generation and 835 remittance mapping.
• Stakeholder Collaboration : Liaise with revenue cycle leadership, billing managers, coding, and compliance teams to translate business requirements into Epic configurations. Provide training, documentation, and support to end users as needed.

Skills :

Experience :

Preferred Experience :

Education :

Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required.

CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services for this role.

To Apply :

To be considered, please apply directly to this requisition using the link provided. For additional information, please contact Dallas Bell at Dallas.Bell@ctg.com . Kindly forward this to any other interested parties. Thank you!

The expected base salary for this position ranges from $115,000 to $130,000. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. In addition to salary, a competitive benefit package is also offered.

About CTG

CTG, a Cegeka company, is at the forefront of digital transformation, providing IT and business solutions that accelerate project momentum and deliver desired value. Over nearly 60 years, we have earned a reputation as a faster and more reliable, results-driven partner. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. CTG leverages the expertise of over 9,000 team members in 19 countries to provide innovative solutions. Together, we operate across the Americas, Europe, and India, working in close cooperation with over 3,000 clients in many of today's highest-growth industries. For more information, visit www.ctg.com.

Our culture is a direct result of the people who work at CTG, the values we hold, and the actions we take. In other words, our people define our culture. It's a living, breathing thing that is renewed every day through the ways we engage with each other, our clients, and our communities. Part of our mission is to cultivate a workplace that attracts and develops the best people, reflected by our recognition as a Great Place to Work Certified™ company across many of our global operations.

CTG will consider for employment all qualified applicants including those with criminal histories in a manner consistent with the requirements of all applicable local, state, and federal laws.

CTG is an Equal Opportunity Employer. CTG will assure equal opportunity and consideration to all applicants and employees in recruitment, selection, placement, training, benefits, compensation, promotion, transfer, and release of individuals without regard to race, creed, religion, color, national origin, sex, sexual orientation, gender identity and gender expression, age, disability, marital or veteran status, citizenship status, or any other discriminatory factors as required by law. CTG is fully committed to promoting employment opportunities for members of protected classes.