Managed Care Contracting Analyst
nimble•Chesterfield, MO
•Onsite
About The Position
The Managed Care Contracting Analyst is responsible for implementing and maintaining nimble’s managed care contracting strategy in a multi-state environment, and we are looking for candidates to join the Managed Care Department who are eager to learn in a fast-paced environment!
Requirements
- Strong analytical and critical thinking skills with the ability to interpret complex data and synthesize into client-ready insights
- Excellent communication and presentation skills — ability to explain data-driven recommendations to non-technical stakeholders
- Highly organized and detail-oriented; able to manage multiple priorities and deadlines in a fast-paced environment
- Familiarity with managed care contracts, reimbursement methodologies, and payer systems strongly preferred
- Proficiency in Excel and financial modeling tools
- Bachelor's degree in Healthcare Administration, Business, Finance, or a related field preferred
Nice To Haves
- Demonstrated experience negotiating externally with payers or acting as a liaison between payers and providers is highly preferred
Responsibilities
- Manage and maintain accurate files for each pending and executed managed care contract; provide timely network updates to clients
- Serve as the external negotiator with payers on behalf of healthcare facilities and individual providers, handling all aspects of outreach, communication, and contracting logistics
- Analyze contract terms, reimbursement structures, and financial impact using data models and payer data
- Develop clear, actionable recommendations based on your analysis and present findings directly to the provider client
- Partner closely with clients to understand their goals and challenges, and tailor negotiation strategies accordingly
- Assist in resolving billing or contractual issues with insurance carriers, advocating on the client’s behalf
- Evaluate, negotiate, and renegotiate managed care contracts with health plans, hospitals/health systems, IPAs, government programs, and other payers
- Load and validate payer contract terms, rates, and fee schedules into client systems with accuracy and consistency
- Ensure organized documentation and version control for all contract files and related payer communications
- Track and interpret regulatory updates, policy changes, and market trends that may affect client reimbursement
- Support additional client projects, including payer escalations, audits, and strategic network decisions
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
