Senior Reimbursement & Contract Variance Specialist

cvhp; Glendora (CA); On-site; USD 44,000 - 68,000; Full time

Job summary

cvhp seeks a Sr. Contract Variance Specialist to identify payment variances at the account level, interpreting contract terms and applying reimbursement methods for multiple payers.

You will review proration calculations, ensure proper allocation of payments, and support revenue recovery through contract analysis. The role requires 7–10 years in commercial insurance collections, strong Excel skills, and the ability to work independently while collaborating with the Reimbursement Strategy

Qualifications

• High School diploma or equivalent required.
• 7–10 years in commercial insurance collections with claims submission and appeals.
• Strong knowledge of managed care reimbursement methodologies and hospital billing.
• Excellent analytical and communication skills; proficient with MS Office, especially Excel.

Responsibilities

• Identify payment variances at the account level based on contracted payers.
• Review and validate proration calculations and adjustments.
• Analyze underpayments and discrepancies; collaborate with supervisor to resolve issues.
• Support revenue recovery and reimbursement optimization through contract analysis.

Skills

Contract variance analysis

Reimbursement analytics

Payer contract interpretation

Excel proficiency

Education

High School diploma or equivalent

Tools

Excel

Job description

cvhp seeks a Sr. Contract Variance Specialist to identify payment variances at the account level, interpreting contract terms and applying reimbursement methods for multiple payers.

You will review proration calculations, ensure proper allocation of payments, and support revenue recovery through contract analysis. The role requires 7–10 years in commercial insurance collections, strong Excel skills, and the ability to work independently while collaborating with the Reimbursement Strategy