Remote Data-Driven Managed Care Contracts Analyst

TalentLNX LLC

Northern (KY)

Remoto

USD 72.000 - 90.000

Tempo pieno

6 giorni fa

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Generatore di candidature

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Descrizione del lavoro

TalentLNX LLC is hiring a Managed Care Contract Analyst to maximize reimbursement through data-driven contract negotiation support and ongoing financial performance monitoring. This fully remote role within the US focuses on translating complex contract language into financial models and driving negotiation strategy.

The position requires 3+ years in managed care contracting or revenue cycle finance, expert Excel skills, and knowledge of DRG/APC methodologies.

Competenze

Bachelor’s degree in Healthcare Administration, Finance, Business, or related field.
Minimum 3 years of experience in managed care contracting, payer analytics, or revenue cycle finance.
Advanced Excel and financial modeling skills required; SQL or BI tool experience preferred.
Knowledge of Medicare, Medicaid, and commercial reimbursement methodologies (DRG, APC, fee schedule).
Familiarity with contract management platforms and claims adjudication logic.
Strong analytical and communication skills for stakeholder presentations.

Mansioni

Analyze payer contract terms, fee schedules, and reimbursement methodologies to identify financial impact and opportunities.
Build financial models to support contract negotiations including rate comparisons and scenario analysis.
Monitor contract performance against benchmarks and flag underpayments or reimbursement variances.
Maintain a contract management database with key terms, renewal dates, and escalation triggers.
Prepare executive-level summaries on contract performance, market trends, and competitive positioning.
Collaborate with legal, finance, and provider relations teams during contract renewals and new agreements.
Track regulatory changes affecting payer reimbursement including CMS rate updates and state mandates.
Support value-based contract analysis including shared savings calculations and quality incentive tracking.
Conduct fee schedule comparisons across payers to identify outliers and negotiation leverage points.