Provider Contract Analyst — In-Market Healthcare Negotiator

Lumeris; Arkansas; Hybrid; USD 85,000 - 114,000; Full time

Benefits offered by this job

Medical, Vision and Dental Plans

401k with company match

Employee Assistance Program

Paid Time Off (PTO)

Learning and Development Opportunities

Job summary

Lumeris is seeking a Provider Contract Analyst in Arkansas to manage end-to-end contracting for providers, including negotiations for renewals and standard agreements. The role emphasizes analyzing contract terms, reimbursement methodologies, and ensuring data integrity within the contract management system.

The position requires 5+ years in managed care, strong contract interpretation skills, and the ability to work independently in a hybrid in-market setting across IL, KY, AR, or MO.

Qualifications

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

Responsibilities

• Manage a dedicated portfolio of contracts with providers (ancillary, professional and facility), independently handling the negotiation process for 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, serving as a knowledgeable point of contact.
• Partner with the Provider Partnership Liaisons to ensure a smooth, professional handoff and 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

Managed care experience

Provider contracts

Data interpretation

Negotiation

Education

Bachelor's degree

Job description

Lumeris is seeking a Provider Contract Analyst in Arkansas to manage end-to-end contracting for providers, including negotiations for renewals and standard agreements. The role emphasizes analyzing contract terms, reimbursement methodologies, and ensuring data integrity within the contract management system.

The position requires 5+ years in managed care, strong contract interpretation skills, and the ability to work independently in a hybrid in-market setting across IL, KY, AR, or MO.