Strategic Provider Contracts Analyst

Lumeris Inc.; Arkansas; On-site; USD 85,000 - 114,000; Full time

Benefits offered by this job

Medical plans

Vision plans

Dental plans

PTO and leave

401k with company match

Employee Assistance Program

Learning and Development

Employee Discount Program

Job summary

Lumeris is seeking a Provider Contract Analyst to manage end-to-end contracting for providers (ancillary, professional, facility) in a dynamic team. The role emphasizes contract analysis, negotiation for not-too-complex agreements, and accurate administration within the provider network.

A core requirement is in-market presence in IL, KY, AR, or MO to support in-market operations and relationships with providers.

Qualifications

• 5+ years of relevant experience in a managed care, health plan, or provider organization.
• Practical knowledge of provider contract language, reimbursement methodologies, and managed care principles.
• 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.

Responsibilities

• Manage a dedicated portfolio of contracts with providers (ancillary, professional and facility), independently handling renewals and new standard agreements.
• Analyze and interpret contract terms, rate proposals, and reimbursement methodologies to ensure alignment with standards.
• Resolve moderately complex provider inquiries related to contract interpretation, reimbursement, and operational setup.
• Partner with the Provider Partnership Liaisons to ensure smooth onboarding for newly contracted providers.
• Own the integrity of contract data within the contract management system for downstream reporting.
• Identify and recommend opportunities to improve contracting processes, templates, and workflows.

Education

Bachelor's degree or equivalent experience

Tools

Contract management system

Job description

Lumeris is seeking a Provider Contract Analyst to manage end-to-end contracting for providers (ancillary, professional, facility) in a dynamic team. The role emphasizes contract analysis, negotiation for not-too-complex agreements, and accurate administration within the provider network.

A core requirement is in-market presence in IL, KY, AR, or MO to support in-market operations and relationships with providers.