Contract Analyst
Core
Update contract management systems and schedules related to changes in managed care contracts and government reimbursement for system services.
Role type
Contract Analyst
Builds
Contract management systems and fee schedules
Domain
Healthcare / Managed Care Reimbursement
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Contract management, Payor contracting, Managed care reimbursement, Contract management systems, Change control processes, Payment review, System testing, Claims netting verification
Preferred skills
Healthcare billing, Accounts receivable, Epic reimbursement, Third-party reimbursement
Technologies
Contract management systems, Epic
Responsibilities
Implement additions, revisions, and updates to Contract Management system for managed care and governmental payers; Document all system changes via Change Control process; Test new contract builds and fee schedule updates; Conduct payment reviews to identify payer variances; Maintain payor files including contract agreements and amendments.
Seniority
Individual Contributor