About the role

  • Contract Analyst providing analytic support for healthcare network performance. Analyzing data, monitoring contracts, and supporting negotiations in a healthcare setting.

Responsibilities

  • Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future business, and new products
  • Utilize applications and tools to support network performance management reporting and analytic needs
  • Evaluate and monitor financial performance of key provider contracts for health plans
  • Perform financial analyses to identify medical cost improvement opportunities to develop and execute contracting action plans to achieve results
  • Perform contract analysis to support contract negotiations including assisting in development of contract modeling tool
  • Prepare network performance management reports to monitor and measure unit cost trends and network improvement opportunities
  • Perform detailed contract analysis for executed contracts to evaluate contract terms and rates are meeting expected targets
  • Research new business state payment methodologies and identify opportunities to improve unit cost management
  • Collect data requirements from internal and external analytic customers to prepare financial analysis or develop analytic tool/model
  • Performs other duties as assigned

Requirements

  • Bachelor's degree in Business, Finance, Accounting, related field, or equivalent experience
  • 2+ years of provider reimbursement and analysis, data/contract analysis and data mining or statistics, preferably in the healthcare industry
  • Working knowledge of SQL tools, analytical software (SAS, SPSS, etc), and Business Objects/Cognos preferred

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

Job title

Contract Analyst II

Job type

Experience level

JuniorMid level

Salary

$56,200 - $101,000 per year

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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