Provider Contract Analyst
About The Position
The Provider Contract Analyst is a professional member of the contracting team who manages the end-to-end contracting process for ancillary, professional, and facility providers. The role independently handles negotiations for renewals and new standard agreements, analyzes contract terms and reimbursement, resolves provider inquiries, and maintains accurate contract data. It contributes to a robust, cost-effective provider network through diligent negotiation, accurate contract administration, and proactive lifecycle management. The role requires residence in one of the company's key markets: Illinois, Kentucky, Arkansas, or Missouri, to support consistent in-market presence and strong provider relationships. The position works in normal office conditions. It is not member- or patient-facing. The hiring range is $84,600 to $113,775. Certain roles may qualify for performance-based incentives and/or equity, subject to eligibility and company and individual performance.
Requirements
- At least 5 years of relevant experience in managed care, a health plan, or a provider organization.
- Practical working knowledge of provider contract language, reimbursement methodologies, and managed care principles.
- Ability to interpret contract data and solve moderately complex problems with limited supervision.
- Strong organizational skills and ability to prioritize and manage competing deadlines.
- Bachelor's degree or equivalent experience.
- Residence in one of the key markets: Illinois, Kentucky, Arkansas, or Missouri.
- Authorization to work in the United States; visa sponsorship is not available.
Responsibilities
- Manage a portfolio of ancillary, professional, and facility provider contracts, independently handling negotiations for renewals and new standard agreements.
- Analyze and interpret contract terms, rate proposals, and reimbursement methodologies to determine appropriate action and ensure alignment with organizational standards.
- Resolve moderately complex provider inquiries about contract interpretation, reimbursement, and operational setup.
- Partner with Provider Partnership Liaisons to coordinate professional handoffs and onboarding for newly contracted providers.
- Maintain the integrity and accuracy of contract data in the contract management system for downstream reporting and analysis.
- Identify and recommend improvements to contracting processes, templates, and workflows to increase efficiency and accuracy.
Benefits
- Medical, vision, and dental plans
- Tax-advantage savings accounts (FSA and HSA)
- Life insurance and disability insurance
- Paid time off, sick time, paid leave, volunteer days, and wellness days
- Employee Assistance Program
- 401(k) with company match
- Employee Resource Groups
- Employee discount program
- Learning and development opportunities
- Certain roles may qualify for performance-based incentives and/or equity, depending on eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
