Hybrid Reimbursement Analyst – Provider Contracting

Superior Dental Care, Inc.; Cleveland (OH); Hybrid; USD 60,000 - 100,000; Full time

Benefits offered by this job

On-site fitness centers

Gym membership reimbursement

On-site cafeteria

Employee bonus program

401(k) with company match

Job summary

Medical Mutual seeks a Provider Reimbursement Analyst to support contracting analytics and financial decision making. The role involves analyzing utilization, cost, and contract valuation data, updating rate loads, and forecasting trends in a collaborative, hybrid environment.

Responsibilities span from basic to advanced modeling, data extraction, and supporting rate strategies in coordination with Network Management and senior analysts.

Qualifications

• Bachelor’s degree in business or healthcare administration, finance, accounting, or related field.
• Equivalent education and experience directly related to the role may substitute for a degree.

Responsibilities

• Analyze utilization, cost, contract valuation, and financial impact data as directed. Translate findings into clear, actionable insights.
• Update provider rates and perform quality assurance on rate loads completed by other analysts.
• Forecast contract rates and utilization trends. Build basic financial models and ‘what-if’ scenarios using claims data.
• Support rate strategy development and analyze emerging payment models to inform contracting decisions.

Job description

Medical Mutual seeks a Provider Reimbursement Analyst to support contracting analytics and financial decision making. The role involves analyzing utilization, cost, and contract valuation data, updating rate loads, and forecasting trends in a collaborative, hybrid environment.

Responsibilities span from basic to advanced modeling, data extraction, and supporting rate strategies in coordination with Network Management and senior analysts.