Provider Contracting Lead Analyst

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee contract negotiations with providers, ancillary providers, and health systems, guided by the manager and senior colleagues.

• Develop financial models and assess provider contract conditions to facilitate timely decision-making and performance expectations.

• Utilize internal contracting systems and protocols to aid in contract administration and execution.

• Establish and sustain relationships with both current and prospective providers.

• Track provider relationships and the competitive landscape in the designated market to pinpoint risks, gaps, and opportunities.

• Leverage provider network expertise to enhance contracting strategies, fortify Commercial networks, and promote value-driven arrangements.

• Collaborate with Provider Service, Provider Data Management, Fee Schedule Management, Legal, Network Analytics, Compliance, Sales, regional leadership, and other teams.

• Convey analyses, recommendations, progress updates, and risks to internal partners and provider stakeholders.

⛳️ Requirements

• A minimum of two years’ experience in Commercial provider contracting, network operations, provider pricing, or a related field.

• Strong analytical abilities and financial insight, including the capacity to evaluate contract terms and support data-driven decisions.

• Excellent written, verbal, listening, presentation, and relationship management skills.

• Demonstrated initiative, problem-solving skills, the ability to influence outcomes, and achieve results in a fast-paced environment.

• Ability to work collaboratively across teams, prioritize competing demands, and manage multiple projects simultaneously.

• Strong commitment to integrity, reliable follow-through, and exceptional customer service.

• Proficient in Microsoft Office applications.

• Willingness to travel occasionally.

• Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or a related discipline is preferred.

• Experience in negotiating contracts with ancillary providers or health systems is preferred.

• Familiarity with provider contracting, network management, or pricing systems is preferred.

• Understanding of Commercial provider networks, local market dynamics, and value-oriented contracting is preferred.

• For remote work, a cable broadband or fiber optic internet connection with a minimum of 10Mbps download and 5Mbps upload speed is required.

🏝️ Benefits

• Eligibility for an annual bonus plan.

• Medical insurance coverage.

• Vision insurance coverage.

• Dental insurance coverage.

• Access to well-being and behavioral health programs.

• Participation in a 401(k) plan.

• Company-sponsored life insurance.

• Tuition reimbursement opportunities.

• A minimum of 18 days of paid time off annually.

• Paid holidays.

• Leaves of absence available.

• Flexible remote work or home-based work arrangements.

• Commitment to a tobacco-free workplace policy.