In-Market Provider Contract Analyst - Arkansas

Lumeris; Fayetteville (AR); On-site; USD 85,000 - 114,000; Full time

Benefits offered by this job

Medical, Vision and Dental Plans

Tax-Advantage Savings Accounts (FSA &

HSA)

Life Insurance and Disability

Paid Time Off (PTO, Sick Time, Paid Le

ave, Volunteer & Wellness Days

Employee Assistance Program

401k with company match

Employee Resource Groups

Employee Discount Program

Learning and Development Opportunities

Job summary

Lumeris is seeking a Provider Contract Analyst to manage end-to-end contracting for providers (ancillary, professional, facility). The role involves analyzing terms, negotiating for less complex agreements, and ensuring accurate contract administration within the managed care framework.

Success relies on strong relationships with provider partners and in-market presence in our key markets. The position is located in Arkansas with a full-time schedule and a base salary in the hiring range.

Qualifications

• 5+ years of experience in a managed care, health plan, or provider organization.
• Practical, working knowledge of provider contract language, reimbursement methodologies, and managed care principles.
• Ability to interpret contract data and solve moderately complex problems with limited supervision.
• Strong organizational skills and the ability to prioritize and manage multiple deadlines.
• Bachelor's degree or equivalent experience.

Responsibilities

• Manage a dedicated portfolio of contracts with providers (ancillary, professional and facility), independently handling renewals and new standard agreements.
• Analyze and interpret contract terms, rate proposals, and reimbursement methodologies to determine appropriate action and ensure alignment with organizational standards.
• Solve moderately complex provider inquiries related to contract interpretation, reimbursement, and operational setup.
• Partner with the Provider Partnership Liaisons to ensure smooth onboarding for newly contracted providers.
• Own the integrity of contract data within the contract management system, ensuring accuracy for downstream reporting and analysis.
• Identify and recommend opportunities to improve contracting processes, templates, and workflows to increase efficiency and accuracy.

Skills

Provider contracts

Negotiation

Managed care

Data interpretation

Organizational skills

Bachelor's degree

Education

Bachelor's degree or equivalent

Job description

Lumeris is seeking a Provider Contract Analyst to manage end-to-end contracting for providers (ancillary, professional, facility). The role involves analyzing terms, negotiating for less complex agreements, and ensuring accurate contract administration within the managed care framework.

Success relies on strong relationships with provider partners and in-market presence in our key markets. The position is located in Arkansas with a full-time schedule and a base salary in the hiring range.