Provider Contract Analyst

Job Summary

Working remotely, the Provider Contract Analyst will manage professional and institutional reimbursement processes for medical and dental provider contracts, focusing on contract methodologies, pricing analysis, and system configuration during standard business hours.

Key responsibilities

• Provide analysis and documentation to support pricing requirements and contract design
• Interpret medical/insurance codes and support testing and audit requirements
• Participate in client meetings and facilitate discussions to enhance decision-making and process improvements

Required qualifications

• High School Diploma or GED
• 3-5 years of experience in the insurance industry
• Strong understanding of pricing methodologies for medical insurance claims
• Knowledge of CPT/HCPCS procedure codes, revenue codes, and ICD-10
• High aptitude for working with numbers and coordinating team activities