Managed Care Contract Analyst – Data Validation

Wheeler Staffing Partners; Dallas (TX); On-site; USD 41,328 - 53,726; Part time

Job summary

Wheeler Staffing Partners in Dallas, TX is seeking an experienced Managed Care Analyst for an open-ended contract on-site. The role supports contract management and pricing system implementation by reviewing, validating, and preparing managed care contracts for system conversion.

The ideal candidate has extensive healthcare contract management, payer terminology, and advanced Excel skills, with the ability to interpret complex contracts and ensure accuracy before loading data into the new

Qualifications

• Minimum of five (5) years of experience in managed care, healthcare contract management, or revenue cycle operations.
• Strong knowledge of managed care contracts, reimbursement methodologies, and payer terminology.
• Experience interpreting complex healthcare contract language.
• Advanced Microsoft Excel skills, including Pivot Tables, VLOOKUP, XLOOKUP, and basic formulas.
• Strong analytical, critical thinking, and problem-solving skills.
• Excellent organizational and time management skills with the ability to manage multiple priorities simultaneously.
• Strong written and verbal communication skills.
• Ability to work independently while collaborating effectively with cross-functional teams.

Responsibilities

• Review managed care contracts, amendments, and supporting documentation to ensure all required information is complete for system implementation.
• Interpret complex contract language, reimbursement methodologies, and payer terms.
• Validate fee schedules, rate tables, and contract attachments for completeness and accuracy.
• Confirm reimbursement provisions, payment methodologies, and contractual obligations are properly documented.
• Identify missing, inconsistent, or unclear contract information and collaborate with internal stakeholders to resolve discrepancies.
• Prepare contracts and supporting documentation for accurate loading into the contract management system.
• Validate CPT, HCPCS, and ICD-10 billing codes associated with reimbursement terms.
• Review UB-04 billing information and healthcare documentation to ensure contract compliance.
• Maintain detailed documentation of contract reviews, approvals, and validation activities.
• Ensure confidential healthcare and contract information is handled with accuracy and discretion.
• Support quality assurance efforts by identifying potential errors before system implementation.

Skills

Excel

Analytical skills

Communication

Independent work

Cross-functional collaboration

Payer terminology

Tools

Power Query

VBA

SQL

Job description

Wheeler Staffing Partners in Dallas, TX is seeking an experienced Managed Care Analyst for an open-ended contract on-site. The role supports contract management and pricing system implementation by reviewing, validating, and preparing managed care contracts for system conversion.

The ideal candidate has extensive healthcare contract management, payer terminology, and advanced Excel skills, with the ability to interpret complex contracts and ensure accuracy before loading data into the new