Healthcare Contracting Analyst
Core
Produces financial and statistical reports, analytics, and models to support payer contract negotiations, reimbursement structures, and revenue optimization for healthcare contracts.
Role type
Healthcare Contracting Analyst
Builds
Payer contract models, financial strategies, and performance dashboards
Domain
Healthcare / Health Administration / Contract Management
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Financial analysis, contract rate evaluation, forecasting, data modeling, reconciliation, trend analysis, regulatory compliance interpretation, pricing strategy development, cost utilization analysis, scenario modeling
Preferred skills
Allscripts EPSi decision support tool proficiency, project management
Technologies
Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Allscripts EPSi
Responsibilities
Conduct in-depth reviews of contract cost and utilization; develop financial strategies for fee-for-service and alternative payment models; maintain departmental databases for contract financial performance; interpret regulatory changes and forecast impacts on members; create ad hoc pricing reports and benchmarking analyses; collaborate with clinical leaders and payers on negotiation scenarios; quantify impact of clinical initiatives on medical expenses.
Seniority
Mid-level, hands-on IC