Contract analyst serp_jobs.h1.location_city

A company is looking for a Senior Contract Definition Analyst - Healthcare (Remote). Key Responsibilities Analyze, define, and maintain hospital payer contracts using reimbursement methodologies Research payer websites and regulatory sources to stay current on adjudication rules Validate system-generated valuations against client-submitted claims and estimates Required Qualifications 4+ years of experience in the hospital industry with payer contracts Familiarity with hospital billing, claims management, and payer contracting In-depth knowledge of facility reimbursement models for inpatient and outpatient services Proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration preferred