Senior Payer/Provider Contract Analyst - Remote

Jobgether; Oregon; Hybrid; USD 61,000 - 85,000; Full time

Benefits offered by this job

Remote work

Full-time

40-hour workweek

Professional development

Inclusive work environment

Job summary

Jobgether is seeking a Senior Payer/Provider Contract Analyst based in the United States to support complex payer relations and reimbursement activities within a dynamic healthcare environment.

You will investigate payer challenges, analyze reimbursement policies, and identify opportunities to improve revenue cycle performance, collaborating with clinical teams and external payers. The role emphasizes strategic insights through financial reporting and process improvements.

Qualifications

• Bachelor's degree or equivalent with 5+ years in medical billing, coding, or related field.
• Strong knowledge of healthcare revenue cycle operations and payer reimbursement methodologies.
• Experience resolving complex payer issues and denials.
• Understanding CMS guidelines and CPT is preferred.
• Excellent analytical and reporting skills.

Responsibilities

• Investigate and resolve complex payer-related issues, including prior authorizations and denials.
• Analyze reimbursement rates, monitor variances, and report recoveries.
• Lead discussions with payers and internal teams to resolve financial issues.
• Provide guidance on payer policies and contract terms.
• Develop financial reports and communicate trends to stakeholders.

Skills

Revenue cycle

Payer contracts

Analytical thinking

Problem solving

Communication

Education

Bachelor's degree

Tools

EPIC

Tableau

Excel

Job description

Jobgether is seeking a Senior Payer/Provider Contract Analyst based in the United States to support complex payer relations and reimbursement activities within a dynamic healthcare environment.

You will investigate payer challenges, analyze reimbursement policies, and identify opportunities to improve revenue cycle performance, collaborating with clinical teams and external payers. The role emphasizes strategic insights through financial reporting and process improvements.