Provider Contract Analyst

Lumeris

2d•$84,600 - $113,775

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Provider Contract Analyst Position Summary: The Provider Contract Analyst is a key professional role on the contracting team, responsible for managing the end-to-end contracting process for providers (ancillary, professional and facility). This role moves beyond administrative support and requires the ability to analyze contract terms, handle negotiations for less complex agreements, and solve problems independently. The Provider Contract Analyst will apply their knowledge of managed care to ensure our provider network is robust, cost-effective, and accurately administered, directly contributing to the team's strategic goals through diligent negotiation, accurate contract administration, and proactive management of the provider contract lifecycle. Success in this role is built on deep, trust-based relationships with our provider partners. Therefore, a core requirement of this position is residence within one of our key markets (IL, KY, AR, or MO) to ensure a consistent and impactful in-market presence.

Requirements

5+ years of relevant experience in a managed care, health plan, or provider organization.
Practical, working knowledge of provider contract language, reimbursement methodologies, and managed care principles is required.
Skilled at interpreting contract data and solving moderately complex problems with limited supervision.
Strong organizational skills and the ability to prioritize and manage multiple competing deadlines.
Bachelor's degree or equivalent experience required.

Responsibilities

Manage a dedicated portfolio of contracts with providers (ancillary, professional and facility), independently handling the negotiation process 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.
Solve moderately complex provider inquiries related to contract interpretation, reimbursement, and operational setup, serving as a knowledgeable point of contact.
Partner with the Provider Partnership Liaisons to ensure a smooth, professional handoff and onboarding for newly contracted providers.
Own the integrity of contract data within the contract management system, ensuring accuracy for downstream reporting and analysis.
Identify and recommend opportunities to improve contracting processes, templates, and workflows to increase efficiency and accuracy.