Provider Contracting Lead Analyst – Voluntary Out-of-Network Pricing

Role Overview

• Resolve voluntary out-of-network pricing disputes using MRC, Fair Health, and Medicare methodologies
• Analyze pricing data to identify trends, variances, and improvement opportunities
• Develop tools, reporting, and insights to support manual and external pricing operations
• Collaborate with Claims, Call Center, and matrixed teams to improve pricing accuracy and workflows
• Present clear, actionable findings to internal stakeholders
• Ensure pricing strategies align with fair reimbursement and cost containment goals

Requirements

• 3–5 years of experience in healthcare analytics, provider pricing, or cost containment
• Strong knowledge of MRC, Fair Health, and Medicare pricing
• Advanced analytical skills with proficiency in Excel and reporting tools
• Ability to manage multiple priorities independently in a production environment
• Bachelor’s degree preferred or equivalent relevant experience

Benefits

• health-related benefits including medical, vision, dental, and well-being and behavioral health programs
• 401(k)
• company paid life insurance
• tuition reimbursement
• a minimum of 18 days of paid time off per year
• paid holidays