Obtelecare Managed Care Contract Analyst

Ob Hospitalist Group • ,

4d • $65,000 - $75,000 • Remote

About The Position

We are seeking a detail-oriented Managed Care Contract Analyst to support Obtelecare managed care contracting, payer agreement analysis, reimbursement accuracy, and Revenue Cycle Management operations. This remote role is ideal for a healthcare contracting professional with strong analytical skills, experience interpreting payer agreements, and the ability to partner across RCM, operations, credentialing, payer enrollment, and payer relations teams.

Requirements

• Minimum of 5 years of experience in managed care contracting, payer relations, provider relations, revenue cycle, or healthcare contracting.
• Strong understanding of Revenue Cycle Management, managed care contract language, reimbursement methodologies, payer operations, contract interpretation, and healthcare regulatory considerations.
• Ability to analyze complex payer agreements, identify reimbursement or process improvement opportunities, research payer issues, and recommend solutions.
• Excellent analytical, organizational, communication, documentation, and follow-up skills with strong attention to detail.
• Proficiency with Microsoft Word, Excel, and contract or revenue cycle systems.
• Bachelor’s degree in business administration, accounting, finance, healthcare, or a related field preferred; equivalent work experience may be considered.

Nice To Haves

• Experience with healthcare analytics, contract modeling, reimbursement analysis, reporting tools, ECHO, data warehouse reporting, or advanced Excel is a plus.

Responsibilities

• Support managed care contracting strategies for Obtelecare programs, including payer research, opportunity tracking, contract implementation, and agreement maintenance.
• Review, interpret, and summarize payer agreements, reimbursement terms, billing requirements, credentialing requirements, payer enrollment details, state-specific provisions, and contract notice provisions.
• Evaluate fee schedules, reimbursement terms, payer behavior, underpayments, trends, and variances to support accurate reimbursement and financial performance.
• Maintain contract summary sheets, fee schedule crosswalks, payer lists, rosters, contract status reports, workflow metrics, and other contracting documentation.
• Partner with Revenue Cycle Management, operations, credentialing, payer enrollment, and payer representatives to resolve escalated claims, reimbursement, and contract interpretation issues.
• Create ad-hoc reports and data analyses related to payment trends, denials, payer performance, reimbursement variances, and contract-related opportunities.
• Maintain contract-related training materials, reference documents, and process guides to support onboarding and consistent payer requirement interpretation.
• Ensure contract documentation, payer information, and Protected Health Information are handled securely and in alignment with company policies and regulatory requirements.

Benefits

• Paid time off & holidays
• Medical, dental, and vision insurance
• Health Savings Account (with employer contribution) or Flexible Spending Account options
• Employer Paid Basic Life and AD&D Insurance
• Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
• Paid Parental Leave
• 401(k) Savings Plan with match
• Legal Plan & Identity Theft Services
• Mental health support and resources

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree