Senior Contract Analyst

About the role

A senior individual contributor ensuring outpatient and specialty audit teams work from accurate, current payer contracts and reimbursement policies, and documenting terms that create audit opportunity.

What you will do

• Act as the authoritative source for payer contracts and reimbursement policies used by audit programs
• Confirm audit teams hold the right contract version, amendments, fee schedules and effective dates
• Abstract audit-relevant terms such as carve-outs, device provisions, drug terms and bundling rules
• Maintain a payer policy library and update it as policies change or retire
• Escalate ambiguous contract language with a recommended reading

What they look for

• Strong organization and accuracy when handling large volumes of detail
• Independent judgment and sound escalation in complex situations
• Ability to explain complex contract and policy language to auditors and leadership
• Adaptability to shifting priorities in a fast-paced setting