Contract Mgmt Senior Consultant

Healthcare IT Leaders; Pennsylvania; On-site; USD 83,000 - 138,000; Full time

Job summary

Healthcare IT Leaders is seeking a Contract Management Senior Consultant for a 12-month staff augmentation engagement, with potential travel. The role focuses on configuring payer contract terms, modeling reimbursements, testing contract builds, and collaborating with revenue cycle and finance stakeholders to deliver reliable contract management solutions.

Candidates should bring senior-level experience in healthcare contracts, testing, and documentation, with strong communication skills to

Qualifications

• Senior-level experience configuring and maintaining healthcare contract management functionality
• Working knowledge of payer contracts, reimbursement methodologies, and calculation
• Experience in an acute care hospital or health system revenue cycle environment
• Ability to analyze payment variances and underpayment reporting
• Proficiency with testing, defect tracking, and build documentation practices
• Strong analytical and problem-solving skills with attention to detail
• Effective written and verbal communication with stakeholders
• Ability to work independently on a consulting engagement

Responsibilities

• Configure and maintain payer contract terms, fee schedules, and reimbursement rules within the contract management application
• Model expected reimbursement and validate calculated allowables against payer contract language
• Analyze payment variances, underpayments, and denial trends, and recommend corrective action
• Partner with revenue cycle, managed care, and finance stakeholders to translate contract requirements into system build
• Test and validate contract builds through the full testing cycle, documenting results and resolving defects
• Support upgrades, regression testing, and ongoing optimization of contract management functionality
• Develop documentation, workflow guides, and knowledge transfer materials for client staff
• Provide senior-level guidance to analysts and escalation support for complex configuration issues

Job description

Job Description

Healthcare IT Leaders is seeking a Contract Management Senior Consultant for a 12-month staff augmentation opportunity. Some travel may be required for this role.

Responsibilities

• Configure and maintain payer contract terms, fee schedules, and reimbursement rules within the contract management application
• Model expected reimbursement and validate calculated allowables against payer contract language
• Analyze payment variances, underpayments, and denial trends, and recommend corrective action
• Partner with revenue cycle, managed care, and finance stakeholders to translate contract requirements into system build
• Test and validate contract builds through the full testing cycle, documenting results and resolving defects
• Support upgrades, regression testing, and ongoing optimization of contract management functionality
• Develop documentation, workflow guides, and knowledge transfer materials for client staff
• Provide senior-level guidance to analysts and escalation support for complex configuration issues

Requirements

• Senior-level experience configuring and maintaining healthcare contract management functionality
• Working knowledge of payer contracts, reimbursement methodologies, and expected reimbursement calculation
• Experience in an acute care hospital or health system revenue cycle environment
• Demonstrated ability to analyze payment variances and underpayment reporting
• Proficiency with testing, defect tracking, and build documentation practices
• Strong analytical and problem-solving skills with close attention to detail
• Effective written and verbal communication with financial, operational, and technical stakeholders
• Ability to work independently on a consulting engagement and manage competing priorities

Healthcare IT Leaders is a national leader in IT workforce solutions, connecting healthcare provider, payer and life sciences organizations with experienced technology talent for consulting and full-time hiring. For more information, visit us on the web at www.healthcareitleaders.com .

Healthcare IT Leaders provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.