Provider Contracts Analyst – Healthcare Network Negotiator

Lumeris

Arkansas

On-site

USD 85,000 - 114,000

Full time

3 days ago
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Benefits offered by this job

Medical, Vision and Dental Plans
Tax-Advantage Savings Accounts (FSA &
HSA)
Life Insurance and Disability In
Paid Time Off (PTO, Sick Time, Paid Le
Employee Assistance Program
401k with company match
Employee Resource Groups
Employee Discount Program
Learning and Development Opportunities
And much more…

Job summary

Lumeris is seeking a Provider Contract Analyst in Arkansas to manage the end-to-end contracting process for providers across ancillary, professional, and facility services. The role requires analyzing contract terms, negotiating for less complex agreements, and handling inquiries with minimal supervision to ensure a robust and cost-effective provider network.

Success depends on building trust-based relationships with provider partners and maintaining accurate contract data in the management

Qualifications

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

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 action and ensure alignment with standards.
  • Solve moderately complex provider inquiries related to contract interpretation, reimbursement, and operational setup.
  • Partner with Provider Partnership Liaisons to ensure smooth onboarding for newly contracted providers.
  • Own the integrity of contract data within the contract management system for accurate reporting and analysis.
  • Identify and recommend opportunities to improve contracting processes, templates, and workflows to increase efficiency and accuracy.

Skills

Contract analysis
Negotiation
Problem solving
Organization
Communication

Education

Bachelor's degree

Tools

Contract management system

Job description

Lumeris is seeking a Provider Contract Analyst in Arkansas to manage the end-to-end contracting process for providers across ancillary, professional, and facility services. The role requires analyzing contract terms, negotiating for less complex agreements, and handling inquiries with minimal supervision to ensure a robust and cost-effective provider network.

Success depends on building trust-based relationships with provider partners and maintaining accurate contract data in the management

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