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

• Ensure accurate modeling of reimbursement methodologies to support valuation of hospital claims.
• Collaborate with senior team members for new client implementations.
• Manage routine maintenance cases ensuring compliance with standards.
• Analyze and maintain hospital payer contracts including Medicare and Medicaid.
• Research payer websites and regulatory sources for current rules.
• Validate system-generated valuations against client-submitted claims.
• Participate in internal and client meetings for project agreement.
• Contribute to process improvement initiatives.

Requirements

• 3+ years' experience in the hospital industry.
• 2+ years' experience with hospital billing and claims management.
• 2+ years' knowledge of reimbursement models used by payers.
• Proficiency in coding systems including CPT, HCPCS, and ICD-10.
• Bachelor's degree in Healthcare Administration or related field preferred.

Benefits

• Great compensation package and bonus plan.
• Core benefits including medical, dental, vision, and 401K.
• Flexible work environment, ability to work remote.
• Flexible time off including volunteer time off and holidays.