Hospital Contract Definition Analyst, Healthcare - Remote

Overview

The Hospital Contract Definition Analyst plays a critical role in the implementation and maintenance of hospital payer contracts within Experian Health's Contract Manager system.

In Short

• Analyze and define hospital payer contracts.
• Model reimbursement methodologies for hospital claims.
• Collaborate with senior team members for client implementations.
• Research payer websites and regulatory sources.
• Validate system-generated valuations against client claims.
• Ensure contract terms are accurate and compliant.
• Respond to valuation-related support cases.
• Participate in internal and client meetings.
• Contribute to process improvements.

Requirements

• 3+ years' experience in the hospital industry.
• 2+ years' experience with hospital billing and claims management.
• 2+ years' knowledge of reimbursement models.
• 2+ years' proficiency in coding systems (CPT, HCPCS, etc.).
• Bachelor's degree in relevant fields is beneficial.

Benefits

• Great compensation package and bonus plan.
• Core benefits including medical, dental, and vision.
• Flexible work environment with remote options.
• Flexible time off including vacation and holidays.