Alabama Licensed Contract Analyst

Job Summary

Working remotely, the full-time Alabama Licensed Contract Analyst will analyze and maintain hospital payer contracts, ensuring accurate reimbursement methodologies and compliance with client expectations.

Key responsibilities

• Analyze, define, and maintain hospital payer contracts using Health's Contract Manager software
• Research payer websites and regulatory sources to stay current on adjudication rules and reimbursement policies
• Validate system-generated valuations against client-submitted claims, reconciling discrepancies as necessary

Required qualifications

• High School diploma or G.E.D. required; Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration preferred
• Minimum of 4 years' experience in the hospital industry with direct involvement in payer contracts and reimbursement methodologies
• In-depth knowledge of facility reimbursement models used by commercial payers, Medicare, and Medicaid
• Proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes
• Advanced proficiency in Microsoft Office, especially Excel