Senior Healthcare Contract Analyst

Job Summary

A company is looking for a Senior Contract Definition Analyst - Healthcare (Remote).

Key Responsibilities

• Analyze, define, and maintain hospital payer contracts using reimbursement methodologies
• Research payer websites and regulatory sources to stay current on adjudication rules
• Validate system-generated valuations against client-submitted claims and estimates

Required Qualifications

• 4+ years of experience in the hospital industry with payer contracts
• Familiarity with hospital billing, claims management, and payer contracting
• In-depth knowledge of facility reimbursement models for inpatient and outpatient services
• Proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes
• Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration preferred