Provider Contracting Analyst

QuartzMadison, WI
4d

About The Position

Quartz is seeking a highly analytical and collaborative Provider Contracting Analyst to help shape reimbursement strategies that drive both financial performance and high-quality patient care. In this role, you will leverage data, contract analysis, and financial modeling to evaluate and negotiate provider agreements that are both competitive and sustainable. Working closely with cross-functional partners including Sales and Actuarial, you will transform complex data, market insights, and industry trends into actionable strategies that inform key business decisions. As part of a provider-aligned organization, you’ll operate in a collaborative environment focused on building strong partnerships and long-term value. This role is ideal for someone who enjoys diving deep into data, solving complex problems, and contributing to strategic initiatives that have a measurable impact across the organization. Benefits: Work in a collaborative, provider-aligned environment Engage in strategic, data-driven work Directly influence financial outcomes and patient care Starting salary based upon skills and experience: $77,200 to $96,500 annually plus robust total rewards package

Requirements

  • Bachelor’s degree with 2 years of experience with provider reimbursement methodologies, provider contractual terms, or related field using financial analysis, including construction of financial models and reports
  • Or Associate’s degree with 5 years of experience with provider reimbursement methodologies, provider contractual terms, or related field using financial analysis, including construction of financial models and reports
  • Or High School equivalency with 8 years of experience with provider reimbursement methodologies, provider contractual terms, or related field using financial analysis, including construction of financial models and reports
  • Advanced excel experience

Responsibilities

  • Support Provider Network Management (PNM) operations by developing expertise in reimbursement methodologies and contributing to provider negotiation strategies
  • Analyze data and claims to identify trends, assess market alignment, and support new and renegotiated provider agreements
  • Review and evaluate existing and proposed provider contracts, identifying outliers and opportunities for improvement
  • Serve as a subject matter expert on reimbursement processes, guiding internal teams and resolving complex issues
  • Ensure accuracy and compliance by validating claims against contract terms and addressing discrepancies through root-cause analysis
  • Partner with leadership to implement process improvements that enhance provider experience and operational efficiency
  • Collaborate cross-functionally to support provider relationships, satisfaction, and strategic initiatives
  • Represent Provider Network Management (PNM) in internal discussions and drive continuous improvement through proactive problem-solving

Benefits

  • Work in a collaborative, provider-aligned environment
  • Engage in strategic, data-driven work
  • Directly influence financial outcomes and patient care
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