Interpret healthcare managed care contracts and government reimbursement methodologies to accurately build contract modeling calculations.
Prepare pre‑negotiation analyses to support the development of effective payer contract negotiation strategies.
Define, develop, and execute modeling and analytical processes for new and updated fee schedules and contracts.
Query EMR and Practice Management Systems to gather data required for precise and comprehensive analysis.
Collaborate with other Managed Care Operations teams on complex projects, providing analytical support as needed.
Assist in creating new modeling templates, tools, and analytical frameworks to enhance team efficiency and accuracy.
Perform additional analyses and job‑related duties as assigned.

Minimum of two years of analytical experience in the healthcare industry
Extensive knowledge of healthcare reimbursement methodologies and concepts
Strong oral and written communication skills
Ability to thrive in a dynamic, fast paced environment while demonstrating strong organization, attention to detail, flexibility, and consistent accuracy
Ability to adapt effectively within both decentralized operations models and centralized department structures
Proficiency in financial impact analysis, impact modeling, predictive modeling, and data manipulation
Advanced Excel skills, including experience working with large datasets, building complex reports, using lookup formulas, creating pivot tables, and applying advanced functions/formulas
Solid understanding of Medicaid and Medicare programs, as well as payer contract language
Customer service oriented with the ability to build and maintain strong working relationships
Proven ability to manage multiple projects simultaneously and meet established deadlines
Bachelor’s degree in economics, finance, or a related discipline preferred.

Managed Care Contract Analyst

Key skills