Contract Analyst

HCA Healthcare, Inc.; Nashville (TN); Remote; USD 60,000 - 90,000; Full time

Job summary

HCA Healthcare, Inc. is seeking a Contract Analyst to translate managed care contract terms and model parameters to ensure accurate reimbursement calculations and informed pricing decisions.

You will support contract modeling across operations, evaluate payer terms, perform financial analyses, and collaborate with Payer Contracting and Finance to optimize reimbursement while maintaining accuracy and compliance.

Qualifications

• Bachelor’s Degree or Undergraduate Degree Required. Equivalent work experience may substitute for education requirements.
• Minimum 1+ years of related experience preferred.
• Working knowledge of managed care contracting, reimbursement methodologies, and contract modeling.
• Experience with Microsoft Office, Excel, relational databases, reporting tools, and contract modeling applications preferred.

Responsibilities

• Model managed care contracts using available modeling tools.
• Ensure accurate discounts on patient accounts and proper reflection of expected net revenue.
• Complete testing of contract models by service line and document accuracy in modeled results.
• Perform prospective (what-if) financial modeling to evaluate proposed managed care contract terms and assess impact.
• Develop and maintain contract models used to evaluate reimbursement methodologies and support negotiations.
• Translate contract language and reimbursement methodologies into accurate system models.
• Accurately apply service descriptions, service rules, reimbursement logic, and modeling parameters.
• Perform quality assurance reviews of contract model changes to ensure accuracy and compliance.
• Design, develop, and support ad-hoc analyses and reporting initiatives.

Skills

Managed care contracting

Reimbursement methodologies

Contract modeling

Education

Bachelor’s Degree

Tools

Microsoft Office

Excel

Relational databases

Reporting tools

Contract modeling applications

Job description

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family!

Job Summary and Qualifications

The Contract Analystis responsible fortranslating managedcare contractterms and modeling relevant parameters within available modeling tools to ensureaccuratereimbursement calculations, expected net revenue, and informed strategic pricing decisions. This role supports both operational contract modeling and pre-execution contract pricing by evaluating proposed payer terms, performing financial analyses, andpartnering withPayer Contracting and internal stakeholders tooptimizereimbursement strategies whilemaintainingmodeling accuracy and compliance.

What you will do in this role:

• Model managed care contracts using available modeling tools.
• Ensureaccuratediscounts on patient accounts and proper reflection of expected net revenue.
• Complete testing of contract models by service line and document accuracy in modeled results.
• Perform prospective ("what-if") financial modeling to evaluate proposed managed care contract terms and assess their impact on reimbursement, profitability, trends, and other key financial metrics.
• Develop andmaintaincontract models used to evaluate reimbursement methodologies, support managed care agreements, analyzefinancial impact, and ensureaccurateimplementation and ongoing maintenance of contract terms.
• Translate contract language and reimbursement methodologies intoaccuratesystem models that support operational reimbursement and contract negotiations.
• Accurately apply service descriptions, service rules, reimbursement logic, and modeling parameters to ensure contract integrity and consistency.
• Perform quality assurance reviews of contract model changes related to rates, factors, and reimbursement methodologies to ensure modeling accuracy, consistency, and compliance with established standards.
• Design, develop, and support ad-hoc analyses and reporting initiatives as assigned by leadership.
• Utilize data mining and reporting tools to fulfill customer requests and support operational and strategic initiatives.
• Monitor the progress of pricing analyses and contract modeling activities, keeping management informed of project status, risks, and outcomes.
• Collaborate with Payer Contracting, Revenue Cycle, Finance, and operational stakeholders to resolve contract questions and provide analytical support during contract negotiations and implementation.
• Develop responsive relationships with internal customers by providingtimely,accurateanalysesandmaintaininga high levelof customer service.
• Participate in departmental training and professional development opportunities to enhance technical, analytical, and industry knowledge.
• Contribute to continuous process improvement initiatives that increase modeling accuracy, operational efficiency, and reporting capabilities.
• Demonstrate commitment to organizational Mission, Values, and Code of Conduct while producing high-quality,accuratework.

What qualifications you will need:

• Bachelor’s Degree or Undergraduate Degree Required. Equivalentworkexperiencemaysubstituteforeducationrequirements.
• Minimum1+ years of related experience preferred.
• Working knowledge of managed care contracting, reimbursement methodologies, and contract modeling preferred.
• Experience with Microsoft Office, Excel, relational databases, reporting tools, and contract modeling applications preferred.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support,including free counseling and referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education supportthrough tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." – Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.