Managed Care Contract Analyst

Job Description

Location: Remote (US-based)

We are seeking a Managed Care Contract Analyst to maximize reimbursement through data-driven contract negotiation support and ongoing financial performance monitoring for a national payer. This position is a full-time, direct hire opportunity available on a fully remote basis within the US.

This role is ideal for a finance-minded healthcare professional who understands reimbursement methodologies and can translate complex contract language into financial models that drive negotiation strategy. You will be the analytical engine behind the organization’s managed care function, providing the insights leadership needs to make informed decisions about payer partnerships. This is an individual contributor role; you will operate with a high degree of autonomy from a remote home-based office, partnering with finance and provider relations teams as needed.

Responsibilities:

• Analyze payer contract terms, fee schedules, and reimbursement methodologies to identify financial impact and opportunities
• Build financial models to support contract negotiations including rate comparisons and scenario analysis
• Monitor contract performance against benchmarks and flag underpayments or reimbursement variances
• Maintain a contract management database with key terms, renewal dates, and escalation triggers
• Prepare executive-level summaries on contract performance, market trends, and competitive positioning
• Collaborate with legal, finance, and provider relations teams during contract renewals and new agreements
• Track regulatory changes affecting payer reimbursement including CMS rate updates and state mandates
• Support value-based contract analysis including shared savings calculations and quality incentive tracking
• Conduct fee schedule comparisons across payers to identify outliers and negotiation leverage points

Qualifications:

• Bachelor’s degree in Healthcare Administration, Finance, Business, or related field required
• Minimum 3 years of experience in managed care contracting, payer analytics, or revenue cycle finance
• Advanced Excel and financial modeling skills required; SQL or BI tool experience preferred
• Knowledge of Medicare, Medicaid, and commercial reimbursement methodologies (DRG, APC, fee schedule)
• Familiarity with contract management platforms and claims adjudication logic
• Strong analytical and communication skills for stakeholder presentations

Schedule:

Fully remote within the US. Standard business hours, Monday through Friday.

Salary Range: The salary range for this position is approximately $72,000 – $90,000 annually ($34.62 – $43.27 per hour), based on experience and qualifications.

Interview Process:

• Selected candidates will participate in a multi-step interview process, including an initial screening with TalentLNX followed by interviews with department leadership.

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and a diverse, inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.