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Contract Data Analyst (Managed Care Contracting)

$68.39k - $98.59k

Pride Health

Job Description

Job Description

Contract Data Analyst (Managed Care Contracting)

Tulsa, OK (Onsite)
Direct Hire / Full-Time
Salary: $68,390.40 – $98,585.60 annually
Schedule: Monday – Friday | 8:00 AM – 5:00 PM
Relocation Assistance: Available for qualified candidates

Position Overview

A leading healthcare organization is seeking a Contract Data Analyst to support managed care contracting, reimbursement analysis, and contract performance initiatives. This role is responsible for analyzing healthcare payer contracts, developing contract projection models, monitoring reimbursement compliance, and supporting contract negotiation strategies.

The ideal candidate will have experience in healthcare contracting, provider reimbursement, financial analysis, and contract modeling, with strong analytical and communication skills. This position offers the opportunity to work closely with leadership, finance, revenue cycle, and operational teams to optimize contract performance and reimbursement outcomes.

Key Responsibilities

Contract Analysis & Negotiations

  • Analyze managed care contracts and assess operational and financial impacts.
  • Support contract negotiations by developing reimbursement models and financial projections.
  • Review and interpret contract language to identify risks, opportunities, and compliance requirements.
  • Assist in developing negotiation strategies for provider and facility agreements.
  • Resolve contractual disputes and reimbursement issues with insurance payers.

Financial & Reimbursement Analysis

  • Monitor contract performance and reimbursement compliance.
  • Audit payments and identify underpayments or discrepancies.
  • Conduct financial analyses of existing and proposed payer agreements.
  • Develop and maintain datasets required for contract evaluation and reporting.
  • Create reimbursement forecasts and contract performance reports.

Epic Contract Modeling

  • Develop, test, and maintain contract projection models within Epic.
  • Build and validate reimbursement methodologies for physician and hospital contracts.
  • Perform ongoing analysis to ensure contract models accurately reflect negotiated rates.
  • Troubleshoot and resolve programming or reimbursement calculation issues.
  • Partner with Epic and operational teams to implement contract model enhancements.

Collaboration & Process Improvement

  • Work cross-functionally with finance, revenue cycle, operations, and executive leadership.
  • Develop and maintain departmental processes for contract management and monitoring.
  • Present findings and recommendations to stakeholders and senior leadership.
  • Support continuous improvement initiatives related to contract performance and reimbursement accuracy.

Required Qualifications

Education

  • Bachelor's Degree in Business, Finance, Healthcare Administration, Economics, or a related field.

Experience

  • 3–4 years of experience in:
    • Managed Care Contracting
    • Health Plan Contracting
    • Provider Reimbursement
    • Contract Analysis
    • Financial Modeling

Technical Skills

  • Advanced Microsoft Excel
  • Microsoft Word
  • Power BI
  • Microsoft Access
  • Financial Analysis & Reporting
  • Contract Modeling
  • Data Analysis

Additional Requirements

  • Ability to obtain and maintain Epic Certification in assigned modules.
  • Strong analytical and problem-solving skills.
  • Excellent written and verbal communication abilities.
  • Ability to work independently and collaborate across multiple departments.
  • Strong attention to detail and organizational skills.

Preferred Qualifications

  • Experience with Epic contract modeling.
  • Healthcare system, hospital, clinic, or surgery center experience.
  • Knowledge of contract negotiations and reimbursement methodologies.
  • Experience with data warehouse applications and reporting tools.
  • Contract language interpretation and financial forecasting experience.

Key Skills

  • Managed Care Contracting
  • Provider Reimbursement Analysis
  • Contract Negotiation Support
  • Healthcare Financial Analysis
  • Contract Modeling
  • Epic Systems
  • Revenue Cycle Management
  • Data Analytics
  • Power BI
  • Microsoft Excel
  • Healthcare Contract Compliance
  • Reimbursement Auditing
  • Financial Forecasting
  • Process Improvement
  • Cross-Functional Collaboration

Why Consider This Opportunity?

  • Stable direct-hire position with a reputable healthcare organization.
  • Competitive salary and benefits package.
  • Opportunity to work on high-impact payer contracting initiatives.
  • Exposure to healthcare finance, reimbursement strategy, and Epic contract modeling.
  • Career growth within managed care and healthcare analytics.
Company Description

Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors.

Equal Employment Opportunity
[Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.

Fair Chance Employment
[Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.

Accommodations
We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Company Description

Pride Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k) retirement savings, life & disability insurance, an employee assistance program, legal support, auto and home insurance, pet insurance, and employee discounts with preferred vendors. \r\n\r\nEqual Employment Opportunity\r\n[Hiring Entity Name] is an equal opportunity employer. We do not discriminate on the basis of the race, religious creed, color, national origin, ancestry, physical disability, mental disability, reproductive health decision making, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, veteran or military status, or any other characteristic protected by applicable federal, state, or local law.\r\n\r\n \r\n\r\nFair Chance Employment\r\n[Hiring Entity Name] is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances.\r\n\r\n \r\n\r\nAccommodations\r\nWe are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential functions of this role, please contact us.

Vacancy posted 6 days ago
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