Contract Analyst

About the Role

What you will do

• Work with customers to understand their contract management and modeling needs
• Model Contracts, Update Amendment, Fee Schedules for Hospital and Physician based contracts

• Model government payer contracts and update Medicare factors periodically
• Own new customer implementations to obtain all contracts, fee schedules and other pricing related documentation from customer and in an organized manner share with offshore team for contract modeling
• Work along with offshore team to assure pricing modeling is timely progressing and team is focus on top priorities
• Be responsible for the development, coordination, and analysis of payer contracts including commercial, and government payers
• Be responsible for overall strategy and execution of alternative payment model reimbursement methods
• Collaborate with offshore manager regarding internal pricing strategies
• Monitor and analyze performance of payer agreements (including commercial, work comp, and government) for volume, strategic initiatives, and payer compliance issues
• Organize contracts in an easy-to-identify fashion on the network or contracting database
• Accurately create, assemble, and communicate all reports, detailed analyses, and trends needed by various internal and external customers
• Identify over/under payments, market, business, and reimbursement trends for the organization to maximize collections and improve efficiency
• Act as main point of contact for internal and external questions around contract management
• Collaborate with internal departments on their business needs and proactively offer suggestions to increase efficiencies related to contracting
• Coordinate the delivery of all documents necessary for new payor contracts

What you will bring

• 5+ years of previous experience in a healthcare organization with a focus on contract management and modeling
• 5+ years' experience with validating and loading contracts
• Excellent oral and written communication and interpersonal skills
• Excellent analytical skills required to present analyzed data and models in excel, power point among other tools
• Experience with contract modeling and contract loading
• The ability to work well under pressure with an ability to focus on multiple priorities while maintaining focus, attention to detail, and connecting all the dots
• Demonstrated leadership progression
• Strong contract review and interpretation skills
• Able to handle day-to-day administrative routine, as well as, constantly changing, competing projects, urgent situations, sometimes simultaneously
• Microsoft Excel expertise

What we would like to see

• Knowledge of provider contracting, financial arrangements, and fee schedules, including understanding of healthcare reimbursement methodologies and guidelines