Senior Contract Performance Analyst

Main Line Health•Radnor, PA

2d•Hybrid

About The Position

At Main Line Health, payer performance and contract accuracy directly impact our ability to deliver high-quality patient care. As a Senior Contract Performance Analyst, you will play a critical role in identifying reimbursement gaps, uncovering trends, and holding payers accountable to contract terms. By translating complex data into actionable insights, you will drive resolution of financial variances and influence both operational and contracting strategies. Your work will strengthen revenue integrity, optimize financial outcomes, and support long-term organizational success.

Requirements

Bachelor’s degree in Finance, Business, Data Analytics, or related field (or equivalent experience)
5+ years of experience in healthcare revenue cycle, payer analytics, managed care contracting, or reimbursement analysis
Strong knowledge of payer reimbursement methodologies (DRG, APC, fee schedule, case rates, capitation)
Advanced Excel skills with experience in data analysis and financial modeling
Ability to interpret payer contracts and translate terms into payment logic and analysis
Understanding of claims adjudication workflows, denials, and EOB logic

Nice To Haves

Experience with Epic, contract management systems, or variance analytics platforms
Familiarity with CMS regulations, commercial payer policies, and Medicaid guidelines
Experience building dashboards or using BI tools (Power BI, Tableau, SQL)
Exposure to value-based care or alternative reimbursement models
Strong communication skills with ability to present complex data to non-technical stakeholders

Responsibilities

Analyze payer reimbursement variances including underpayments, denials, delays, and adjustments across the organization
Develop and maintain variance models, dashboards, and reporting to monitor trends by payer, service line, and contract
Evaluate payment accuracy against contract terms, fee schedules, and reimbursement methodologies
Identify systemic issues and drive root cause analysis, escalating trends requiring operational, technical, or contractual resolution
Translate complex contract language into actionable logic for variance analytics and reimbursement tools
Partner with Revenue Cycle teams to resolve discrepancies and improve billing, collections, and denial workflows
Provide data-driven insights to support managed care contracting strategy and negotiations
Present clear, actionable findings to leadership, highlighting payer performance and recommended actions
Track payer remediation efforts and measure financial and operational outcomes
Support payor settlement analysis and documentation
Collaborate cross-functionally with Revenue Cycle, Finance, Compliance, Contracting, and Information Services teams
Partner with operational leaders to drive process improvements and strengthen reimbursement performance
Engage directly with payer and vendor partners to support issue resolution and performance transparency
Gain exposure to system-wide financial strategy, payer contracting, and revenue optimization initiatives
Contribute to a highly analytical, collaborative environment focused on continuous improvement and innovation
Opportunity to expand advanced analytics, reporting, and business intelligence skills