Contract Analyst

Overview

Contract Analyst (Remote)

Overview

Who Are We

Payer Relations is part of the North American Dental Group (NADG) Resource Center, supporting The Professional Dental Alliance (PDA), a network of over 240 dental practices across 15 states. The Payer Relations team is responsible for managing strategic relationships between NADG and dental insurance plans, serving as the primary point of contact for health plan partners. This team leads contract negotiations, oversees contract performance, and drives payer strategy on behalf of NADG.


In addition, Payer Relations acts as a trusted resource across NADG, providing guidance on payer-related matters and supporting resolution of complex, non-routine issues in collaboration with internal teams and external partners. This position directly contributes to optimizing payer performance, improving reimbursement outcomes, and supporting the financial success of a growing network of dental practices.

Responsibilities

Responsibilities

Who You Are
As a Contract Analyst , you play a key role in supporting payer contracting strategy through data-driven insights and operational support. You will analyze reimbursement structures, model financial impacts, and maintain contract data to help ensure optimal payer performance and compliance.

• Analyze proposed contract rates by modeling reimbursement scenarios to assess financial impact and overall contract value
• Support annual UCR (Usual, Customary, and Reasonable) fee increase initiatives through data modeling and analysis
• Develop and maintain routine and ad hoc reports to support business decisions
• Maintain and update contract information within the contract management database
• Research and resolve claims discrepancies and fee-related issues
• Ensure compliance with all applicable local, state, and federal regulations, as well as NADG policies and standards

Note: This job description is not intended to be an exhaustive list of responsibilities. Duties may evolve based on business needs.

Qualifications

Qualifications

We're Excited About You If You Have:

• Bachelor's degree in healthcare, business, finance, or a related field
• 2-3 years of experience in payer relations, provider relations, or financial/contract analysis within a healthcare environment
• Equivalent experience (7-9 years directly related) may be considered in lieu of a degree
• Advanced Microsoft Excel skills (required)
• Strong understanding of performance metrics and reporting
• Excellent analytical skills with high attention to detail and the ability to translate data into insights
• Dental or health insurance experience (preferred, not required)
• Familiarity with procedural coding systems as they relate to payer contracting (preferred, not required)

Benefits Await!

We take pride in our ability to give our team members all the benefits they deserve. This is why we offer...

• Health, Dental and Vision Insurance (Full-time employees)
• Healthcare Spending Account
• Paid Time Off
• 401k
• Voluntary Life & Disability Insurance
• Referral Program
• Employee Discount Program

Equal Opportunity Employer

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, ancestry, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, or any other characteristic protected by law.

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