Managed Care Contract Analyst

Think Consulting; Charleston (SC); On-site; USD 85,000 - 110,000; Full time

Job summary

Think Consulting is seeking a Managed Care Contract Analyst to support contracting for telehealth and virtual care programs in Charleston, SC. The role analyzes payer agreements, supports implementation, and monitors reimbursement terms to drive financial and operational objectives.

The ideal candidate will have 5+ years in managed care contracting, strong analytical skills, and proficiency with Excel/Word.

Qualifications

• 5+ years of experience in managed care contracting, payer relations, revenue cycle management, healthcare reimbursement, or contract administration.
• Strong understanding of managed care contracting, reimbursement methodologies, payer operations, and revenue cycle processes.
• Experience supporting telehealth, virtual care, physician services, provider groups, healthcare delivery organizations, or related programs.
• Advanced analytical and problem-solving skills with strong attention to detail.
• Proficiency in Microsoft Excel, Word, and healthcare contract/revenue cycle systems.

Responsibilities

• Support managed care contracting initiatives for telehealth and virtual care programs by researching payers, tracking contracting opportunities, assisting with agreement execution, and maintaining contract records.
• Review, interpret, and summarize complex payer agreements by documenting key operational requirements, including reimbursement methodologies, credentialing requirements, enrollment provisions, billing guidelines, state-specific regulations, and contract notice provisions.
• Assess fee schedules and reimbursement structures across commercial, government, and managed care plans; maintain reimbursement tracking tools and documentation.
• Analyze reimbursement trends, variances, underpayments, and payer behavior, and collaborate with payers to support payment accuracy.
• Maintain, validate, and audit contract rate calculations for payer agreements; ensure rates are reflected for new/amended contracts.
• Develop and maintain reports related to contracting activity, payer participation, contract status, reimbursement trends, and metrics; provide recommendations to improve outcomes.
• Serve as a resource for payer and revenue cycle issues; resolve escalated claims, reimbursement, and interpretation concerns.
• Maintain contract-related reference materials, process documentation, and training resources for onboarding and consistency.
• Ensure PHI and contract documentation comply with policies and regulations.

Education

Bachelor's degree in Business, Finance, Healthcare Administration, Accounting, or related field

5+ years in managed care contracting or related field

Strong analytical and problem-solving skills

Experience with telehealth/virtual care contracts

Tools

Microsoft Excel

Microsoft Word

Job description

United States, South Carolina, Charleston

Aug 26, 2026

Position Summary

The Managed Care Contract Analyst plays a critical role in supporting managed care contracting activities for telehealth and virtual care programs. This position is responsible for analyzing, organizing, and maintaining payer agreements; supporting contract implementation; monitoring reimbursement terms; and facilitating effective communication between Revenue Cycle Management, operations, credentialing, payer enrollment, and payer representatives. The Analyst will leverage analytical, documentation, and problem-solving skills to support contract performance, reimbursement accuracy, compliance, and the organization's financial and operational objectives.

Key Responsibilities

Contract Management

• Support managed care contracting initiatives for telehealth and virtual care programs by researching payers, tracking contracting opportunities, assisting with agreement execution, and maintaining contract records.

Contract Analysis

• Review, interpret, and summarize complex payer agreements by documenting key operational requirements, including reimbursement methodologies, credentialing requirements, enrollment provisions, billing guidelines, state-specific regulations, and contract notice provisions.

Fee Schedule Evaluation

• Assess fee schedules and reimbursement structures across commercial, government, and managed care plans.


• Maintain reimbursement tracking tools and fee schedule documentation.


• Analyze reimbursement trends, variances, underpayments, and payer behavior, and collaborate with payers to support payment accuracy.

Rate Management

• Maintain, validate, and audit contract rate calculations for payer agreements.


• Ensure rates are accurately reflected for new, amended, and renegotiated contracts.


• Provide internal teams with guidance regarding reimbursement methodologies and contract interpretation.

Reporting & Analytics

• Develop and maintain reports related to contracting activity, payer participation, contract status, reimbursement trends, and operational metrics.


• Create analyses to monitor payment trends, denials, reimbursement variances, payer performance, and contract-related issues.


• Provide recommendations to improve reimbursement outcomes and operational efficiency.

Issue Resolution

• Serve as a key resource for payer and revenue cycle issues, researching and resolving escalated claims, reimbursement, and contract interpretation concerns in collaboration with internal stakeholders and payer representatives.

Training & Documentation

• Maintain contract-related reference materials, process documentation, and training resources to support onboarding and operational consistency.

Compliance

• Ensure contract documentation, payer information, and Protected Health Information (PHI) are maintained in accordance with organizational policies and healthcare industry regulations.

Required Qualifications

• 5+ years of experience in managed care contracting, payer relations, provider relations, revenue cycle management, healthcare reimbursement, or healthcare contract administration.


• Strong understanding of managed care contracting, reimbursement methodologies, payer operations, and revenue cycle processes.


• Experience supporting telehealth, virtual care, physician services, provider groups, healthcare delivery organizations, or related healthcare programs.


• Advanced analytical and problem-solving skills with strong attention to detail.


• Proficiency in Microsoft Excel, Word, and healthcare contract/revenue cycle systems.

Preferred Qualifications

• Bachelor's degree in Business, Finance, Healthcare Administration, Accounting, or a related field.


• Knowledge of telehealth reimbursement, provider-based services, multi-state payer contracting, and Medicare/Medicaid reimbursement structures.


• Experience with healthcare analytics, contract modeling, reimbursement analysis, reporting tools, data warehouses, and advanced Excel functions.

Equal Opportunity Employer, including disability and protected veteran status