Obtelecare Managed Care Contract Analyst

Managed Care Contract Analyst - Obtelecare

Annual Compensation Range: $65,000 - $75,000, full-time, benefit eligible Profession: Healthcare Revenue Cycle / Managed Care Contracting Location: Remote Travel: No routine travel required; occasional travel may be required for meetings, training, or business needs.

About the Role

We are seeking a detail-oriented Managed Care Contract Analyst to support Obtelecare managed care contracting, payer agreement analysis, reimbursement accuracy, and Revenue Cycle Management operations. This remote role is ideal for a healthcare contracting professional with strong analytical skills, experience interpreting payer agreements, and the ability to partner across RCM, operations, credentialing, payer enrollment, and payer relations teams.

Key Responsibilities

• Support managed care contracting strategies for Obtelecare programs, including payer research, opportunity tracking, contract implementation, and agreement maintenance.
• Review, interpret, and summarize payer agreements, reimbursement terms, billing requirements, credentialing requirements, payer enrollment details, state-specific provisions, and contract notice provisions.
• Evaluate fee schedules, reimbursement terms, payer behavior, underpayments, trends, and variances to support accurate reimbursement and financial performance.
• Maintain contract summary sheets, fee schedule crosswalks, payer lists, rosters, contract status reports, workflow metrics, and other contracting documentation.
• Partner with Revenue Cycle Management, operations, credentialing, payer enrollment, and payer representatives to resolve escalated claims, reimbursement, and contract interpretation issues.
• Create ad-hoc reports and data analyses related to payment trends, denials, payer performance, reimbursement variances, and contract-related opportunities.
• Maintain contract-related training materials, reference documents, and process guides to support onboarding and consistent payer requirement interpretation.
• Ensure contract documentation, payer information, and Protected Health Information are handled securely and in alignment with company policies and regulatory requirements.

What You Bring

• Minimum of 5 years of experience in managed care contracting, payer relations, provider relations, revenue cycle, or healthcare contracting.
• Strong understanding of Revenue Cycle Management, managed care contract language, reimbursement methodologies, payer operations, contract interpretation, and healthcare regulatory considerations.
• Ability to analyze complex payer agreements, identify reimbursement or process improvement opportunities, research payer issues, and recommend solutions.
• Excellent analytical, organizational, communication, documentation, and follow-up skills with strong attention to detail.
• Proficiency with Microsoft Word, Excel, and contract or revenue cycle systems.
• Bachelor's degree in business administration, accounting, finance, healthcare, or a related field preferred; equivalent work experience may be considered.
• Experience with healthcare analytics, contract modeling, reimbursement analysis, reporting tools, ECHO, data warehouse reporting, or advanced Excel is a plus.

Why Join OBHG:

Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating 20 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!

What We Offer - The Good Stuff:

• A mission based company with an amazing company culture
• Paid time off & holidays so you can spend time with the people you love
• Medical, dental, and vision insurance for you and your loved ones
• Health Savings Account (with employer contribution) or Flexible Spending Account options
• Employer Paid Basic Life and AD&D Insurance
• Employer Paid Short- and Long-Term Disability w Optional Short Term Disability Buy-up plan
• Paid Parental Leave
• 401(k) Savings Plan with match
• Legal Plan & Identity Theft Services
• Mental health support and resources

OB Hospitalist Group is an Equal Opportunity Employer and values diversity in the workplace.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.