• Join the team to support BPM engagements — project scope to be defined by the client. • Remote position.

• End-to-end management of high-volume positions for the Retail VP channels. • Support in the execution of projects related to Talent Attraction. • Monitor the market and provide insights on talent pools and trends. • Candidate outreach and interviews: the mission is to find the best professionals who fit our culture, placing the right person in the right role. • Data and dashboard analysis, generating relevant insights about positions and areas of operation.

Role Description CTG is seeking an experienced Revenue Cycle Analyst – HB Contracting & Reimbursement. The Revenue Cycle Analyst specializes in Epic Resolute Hospital Billing (HB) Expected Reimbursement Contracts, Claims, and Remittance configurations. This role serves as the structural bridge between managed care payor negotiations and technical revenue execution. The analyst is responsible for translating complex payor contract matrices into system logic, eliminating financial leakage through automated variance detection, and maintaining end-to-end billing integrity from initial claim generation to final remittance posting. Key Responsibilities - Contract Architecture: Build, maintain, and model complex commercial and government payor contracts within the Epic BCC master file using advanced rule logic (CER). - Underpayment & Variance Mitigation: Configure Remittance Options Profiles (RMO) and automated workqueues (WQV) to intercept, flag, and route payment variances and underpayments for manual audit. - Claims Alignment: Maintain and update Claim Definition Files (CDF) to ensure outbound 837I files precisely format modifiers, codes, and rollups according to payor-specific adjudication rules. - Remittance Integration: Map Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) within the VCH master file to automate denial routing and minimize manual cash-posting touches. - Portfolio Implementation: Lead the end-to-end onboarding of new payor contract portfolios, executing strict regression testing, simulation modelling, and production pilot phases. Qualifications - Epic Resolute HB Expected Reimbursement Contracts (Core Expertise) - Epic Resolute Hospital Billing (HB) Administration (Foundational Setup) - Epic Resolute PB Reimbursement Contracts (Cross-functional Application) - Master File (INI) Technical Proficiency - BCC (Contracts): Expert capability in constructing contract hierarchies, line components, component groups, stopping conditions, and high-cost outlier thresholds. - CDF (Claim Definition File): Advanced skills in claim formatting, line item rollups, modifier positioning, and alternative form baselines (ABF). - RMO (Remittance Options Profile): Advanced capability in configuring tolerance thresholds, auto-acceptance parameters, and automated cash-posting logic. - VCH (Remittance Code Selection): Full proficiency in CARC/RARC code mapping to convert electronic 835 denial codes into automated system actions. - CER (Rule Engine): Comprehensive build experience writing criteria rules for account routing, claim validations, and variance tracking. - WQV (Workqueues): Structural knowledge of Hospital Account Workqueue routing rules, team segmentations, and supervisor dashboard triggers. Requirements - Excellent verbal and written English communication skills. - Ability to interact professionally with a diverse group. Benefits - Expected base salary ranges from $120,000 to $130,000. - Competitive benefit package offered.

Role Description CTG is seeking an experienced Revenue Cycle Analyst – PB Contracting, Claims, and Remittance. The Epic Proration and Contracting Analyst acts as the primary architect bridging healthcare finance and clinical configuration. This technical role is responsible for translating complex legal payer contracts, fee structures, and regulatory reimbursement policies into highly precise system automation within Epic Resolute Professional Billing (PB). By designing, testing, and maintaining contract portfolios and configuring outbound claims and inbound electronic remittance automation, this position maximizes cash flow, eliminates zero-balance blind spots, and engineers systemic solutions to automatically catch and mitigate insurance underpayments and denials. Qualifications - Epic Core Application Build (PB) - Epic Master Files: Proficient in configuring and linking Contract (CPD), Fee Schedule (FSC), and Procedure (EAP) master files. - Proration Logic: Mastery of configuring dynamic pre-claim proration to split complex financial liabilities between Payer Allowance and Patient Responsibility (copay, coinsurance, deductible). - Charge Routing Integration: Deep understanding of Epic Charge Router mechanisms to ensure accurate charge flows from clinical applications (EpicCare, OpTime) into the PB engine. - Lessor-Of Configuration: Expertise in writing logic comparing billed charges against allowable rates to calculate precise expected reimbursement values. - Claims & Remittance Automation - EDI Frameworks: Thorough knowledge of electronic data interchange processing and technical layout configurations. - Outbound Claims (837P): Expert capability in mapping and formatting professional billing charges into compliant ANSI X12 837P data streams. - Inbound Remittance (835): Advanced configuration of Electronic Remittance Advice (ERA) parsing and automated posting logic. - CARC/RARC Mapping: Specialized skill in mapping Claim Adjustment Reason Codes and Remittance Advice Remark Codes to drive automated billing actions. - Revenue Protection & Denial Mitigation - Variance Auditing: Advanced design of variance tolerance thresholds to identify discrepancies where Payer Allowed Amounts fall below Epic Expected Reimbursement. - Epic Rules Engine (CER / PAF): Mastery in writing complex, context-specific CER and PAF criteria to identify contract violations and isolate root-cause denials. - Workqueue (WQ) Engineering: Experience structuring specialized Contract Variance and Remittance Follow-Up Workqueues to segregate financial disputes from daily billing operational queues. - Bulk Appeal Routing: Implementation of single-click automated Follow-Up Activities to package dispute letters and appeal documentation directly from the user workspace. - Testing, Analytics & Data Operations - Remittance Simulation: Proven track record of executing mock 835 cycles in Sandbox/Test (TST) environments to validate newly built contract portfolios prior to Production (PRD) deployment. - SQL & Chronicles Reporting: Ability to run targeted audits on Chronicles data, identifying systemic payer patterns regarding underpayments and claim rejections. - Excellent verbal and written English communication skills and the ability to interact professionally with a diverse group are required. Requirements - CTG does not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services for this role. Benefits - The expected base salary for this position ranges from $120,000 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. Company Description CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge. Backed by more than 60 years’ experience and a commitment to being a reliable, results-driven partner, we work shoulder to shoulder with clients to shape digital together. Our vision is to be an indispensable partner to our clients and the preferred career destination for digital and technology experts. With more than 9,000 team members in over 15 countries, we combine global expertise with local insight to deliver innovative solutions. We operate across the Americas, Europe, and India, working with over 3,000 clients in many of today's highest-growth industries. Together, we shape what’s next—working shoulder to shoulder to deliver impactful solutions for our clients and society. Our culture is built by the people who work at CTG, the values we hold, and the actions we take.