Contract System Management Analyst - Remote

Option Care Health, Inc.; Lincoln (NE); Remote; USD 46,000 - 77,000; Full time

Benefits offered by this job

Medical, Dental, & Vision Insurance

401K Retirement Savings Plan with 公司匹配

Tuition Reimbursement

Job summary

Option Care Health, Inc. is seeking a Contract Management professional to prepare third party payer agreements for loading in CPR Plus and the pharmacy management system.

You will build and maintain payer contracts, update pricing and business rules, and collaborate with Contracting, Pricing, Trade, and Revenue Cycle Management to maximize profitability and accuracy. The role requires HCPCS coding knowledge and advanced Excel skills, with travel up to 10% for business.

Qualifications

• Bachelor’s degree or equivalent experience in Revenue Cycle Management or Contract Management.
• 5+ years in revenue cycle management, contract management, or home infusion intake.
• Experience with HCPCS coding and third party payer guidelines.

Responsibilities

• Create and load third party payer contract records, including plans and pricing terms.
• Maintain and update pricing, coding, and business rules across payer contracts.
• Collaborate with Contracting, Pricing, Trade, and Revenue Cycle Management for site integration.
• Audit third party pricing tables to improve revenue cycle outcomes.
• Train Contract System Management Specialists and provide detailed system reports.

Skills

Excel advanced (VLOOKUP, pivot tables)

Analytical problem solving

Cross-functional teamwork

HCPCS coding

Drug pricing sources (AWP/ASP/WAC)

PowerPoint

Education

Bachelor’s degree

High School Diploma + 5 years Revenue Cycle/Contract Management experience

Tools

CPR Plus

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Job description

Extraordinary Careers. Endless Possibilities.With the nation’s largest home infusion provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team members including 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team members.Join a company that is taking action to develop an inclusive, respectful, engaging and rewarding culture for all team members. At Option Care Health your voice is heard, your work is valued, and you’re empowered to grow. Cultivating a team with a variety of talents, backgrounds and perspectives makes us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a culture that attracts, hires and retains the best and brightest talent in healthcare.Job Description Summary:Responsible for preparing third party payer agreements to load in the pharmacy management system for Option Care. Responsible for building the third party payer agreements in the pharmacy operations system (CPR Plus). Research, understand, and interpret the applicable billing rules, billing units, and terms and conditions of the agreement in order to drive success in billing and collecting on the services provided by Option Care. Supports the Managers and Directors within the Commercial Contracting group facilitating a cross functional and collaborative working relationship with Contracting, Pricing, Trade, and Revenue Cycle Management. Collaborate closely with the Contract Operations Department, as well as Revenue Cycle Management and the CMCs.Job Description:Job Responsibilities (listed in order of importance and/or time spent)Create and build the record for third party payer contract agreements. This includes creating insurance plans, researching and inputting business rules, and loading the contract pricing terms for implementationMaintain assigned payer agreements. Update and execute any changes to pricing, coding, or business rules.Responsible for working with the Contracting and Revenue Cycle Management on site integration to insure proper insurance plans are accounted for, and assigned to the correct locationIdentify contracts that are not generating revenue to see if there is an opportunity to purge records and reduce insurance plan selection errorsAudit third party agreement pricing tables to ensure accuracy to improve Revenue Cycle Management successCollaborate with Pricing team when trends are identified to insure proper insurance plan was utilized so that we are maximizing profitability by reducing bad debt and other payer adjustmentsCollaborate with IT and Revenue Cycle Management on System Upgrades that could impact contract build, as well as make recommendations on system enhancement opportunitiesCollaborate with Revenue Cycle Management to insure proper insurance plans are set up, and able to be utilized by CMCProvide detailed advanced system reports for revenue cycle management and pricing teams as it relates to payer pricing strategies that are being input into the systemAssist with training of Contract System Management SpecialistsSupervisory ResponsibilitiesDoes this position have supervisory responsibilities? (i.e. hiring, recommending/approving promotions and pay increases, scheduling, performance reviews, discipline, etc.) NoBasic Education and/or Experience RequirementsBachelor’s degree, or High School Diploma with at least 5 years of experience in Revenue Cycle Management, Contract Management, Home Infusion intake, or home infusion pharmacy technician.Basic QualificationsAbility to work in a deadline driven environmentStrong analytical and problem solving skillsAbility to function individually as well as in cross-functional teams. Ability to identify improvement and growth opportunitiesAdvanced level skill in Microsoft Excel with an ability to do VLOOKUP up, basic formulas, and pivot table work.Experience with analyzing and reporting data ability to identify issues, model trends, or exceptions to drive improvement of results and find solutionsExperience with HCPCS coding, and Drug Pricing Sources (AWP, ASP, WAC)Intermediate level skill in Microsoft PowerPoint and Microsoft WordTravel Requirements: (if required)Willing to travel up to 10% of the time for business purposes (within state and out of state)Preferred Qualifications & Interests (PQIs)CPR Plus experienceContract Management experienceExperience with Medicare, Medicaid, PBM, and other third party payer payment guidelinesThis job description is to be used as a guide for accomplishing Company and department objectives, and only covers the primary functions and responsibilities of the position. It is in no way to be construed as an all-encompassing list of duties.Due to state pay transparency laws, the full range for the position is below:Salary to be determined by the applicant's education, experience, knowledge, skills, and abilities, as well as internal equity and alignment with market data.Pay Range is $46,069.64-$76,767.74Benefits:-Medical, Dental, & Vision Insurance-Paid Time off-Bonding Time Off-401K Retirement Savings Plan with Company Match-HSA Company Match-Flexible Spending Accounts-Tuition Reimbursement-myFlexPay-Family Support-Mental Health Services-Company Paid Life Insurance-Award/Recognition ProgramsOption Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.Posted: Oct 01, 2026