Provider Contract Analyst - Remote

Overview

The Provider Contract Analyst manages contracts, including negotiations, development, renewal, and financial reimbursement, acting as a liaison between the organization and external entities.

In Short

• Manage contracts including negotiations and renewals.
• Ensure compliance with contractual terms.
• Respond to contractual and payment issues internally and externally.
• Conduct data analysis to improve services and care.
• Prepare reports summarizing compliance with agreements.
• Participate in training sessions for provider billing staff.
• Serve as an intermediary between the organization and external entities.
• Consult with Medical Director on medical necessity issues.
• Track and document compliance with contract terms.
• Provide support for final provider settlements.

Requirements

• Associate's Degree in relevant fields; Bachelor's preferred.
• 5 years of experience in healthcare administration preferred.
• Knowledge of third-party payment concepts.
• Experience with Microsoft Word, Excel, and PowerPoint.
• Strong analytical and organizational skills.
• Excellent communication and negotiation skills.
• Ability to perform under pressure.
• Willingness to continue educational coursework.
• Ability to identify and meet goals and objectives.
• Travel requirement: 0% - 25%.

Benefits

• Competitive salary range.
• Opportunity for professional development.
• Comprehensive benefits package.
• Work from home flexibility.
• Supportive work environment.