Provider Contract Analyst - Provider Services

Health FirstMelbourne, FL
31d

About The Position

TheProviderContract Analystsupports the provider services teamby providing comprehensive analysis and implementation of physician and advanced practice provider(APP)contracts for the Health First Integrated Delivery Network (IDN). TheProviderContract Analyst verifies andmaintainsall compensation agreements, confirming they adhere tofederal, state regulatory requirement, are aligned withfair market value, andconsistent with the IDNs organizational compensation policies,proceduresand best practices.TheProviderContract Analyst will collaborate with Corporate Legal, Finance, as well as operational stakeholders tocompetently evaluate market data, support incentive design for physicians andAPP,deliver compliance-backedreporting that is actionable,transparent, and performance across the IDN.

Requirements

  • Bachelor's degree in Business or Healthcare Administration, ora relevantfield.
  • Three (3) years' experience in data analytics, provider contracting, or a related field.
  • None
  • None
  • Any one of the following:
  • Associate's degree and anadditionaltwo (2) years'experience in healthcare related positionsOR
  • High School Diploma and anadditionalthree (3) years' experience in healthcare related positions.
  • Experience working in clinical information systems such as Allscripts, Midas, Athena
  • Experience with Clinical Data Analysis
  • Excellent analytical, clinical research, and organizational skills
  • Proficiencywith data visualization and analytics tools
  • Intermediate to Expert level experience with Microsoft Office, (Excel,Wordand PowerPoint)
  • Excellent verbal and written communication skills with all levels of leaders and clinicians.
  • Ability to continually masternew technology, applications, and methodologies
  • Ability tomaintainpositive working relationships with all levels within the organization
  • Ability to work independently while navigating resources within a highly matrixed organization
  • Ability to work flexiblehoursto meet deadlines or attend early or late meetings

Responsibilities

  • Conducts annual marketanalysis, to evaluate physician and APPtrendsregardingcompensation, verifying consistent approaches with internal equity and externalcompetitiveness, whiledeveloping,communicating, and overseeingincentive metrics align withthe IDNs strategic goals.
  • Prepares contract offers, renewals, and amendments, confirming accuracy in compensation structure, incentiveplansand terms.
  • Collaborateswith Legal, Finance, and Complianceto verify all contracts adhere to applicable regulations (e.g., Stark Law, Anti-Kickback Statute, and IDN policies).
  • Tracks andmaintainsall contracts, renewals, and term expirations, ensuringa timelyand swift review and execution, while supporting Finance and Accounting teams with interpretingterms and payment procedures to ensureaccuratepay is administered to providers.
  • Partners with leadership to communicate contract status, amendments, and compliance requirements to key IDN stakeholders.
  • Works with IDN operational leadersand clinicians to define, monitor, and report on performance and quality metrics tied into incentive programs.
  • Participates in continuous improvement of the contracting and analytic processes, aiming to advance efficiency,compensationtransparency, and accuracy of data.
  • Receivesand responds to inquiries from physicians and APPsregardingcompensation and contract terms, providing exceptional servicewhilemaintainingconfidentiality.
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