Provider Contract Analyst in United States at Jobgether

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Provider Contract Analyst in the United States.

This role sits at the intersection of healthcare contracting, finance, and provider relations, focusing on post-acute care settings such as home health, hospice, and skilled nursing facilities. You will play a key role in managing the full contract lifecycle, ensuring agreements are financially sound, compliant, and effectively executed across stakeholders. Acting as a primary liaison between internal teams and external providers, you will help resolve contract, reimbursement, and claims-related issues. The position also involves supporting provider communications, contributing to negotiations, and ensuring operational alignment across health plan requirements. You will analyze data, monitor compliance, and support financial accuracy in provider settlements. This is a highly collaborative and detail-oriented role with meaningful impact on care delivery, provider performance, and financial integrity.

In this role, you will manage end-to-end provider contracting activities while ensuring compliance, financial accuracy, and effective communication between all stakeholders involved in post-acute care services.

• Oversee the full contract lifecycle including negotiation, development, renewal, and ownership changes for provider agreements
• Monitor contract compliance by tracking terms, conducting audits, and documenting adherence to contractual obligations
• Analyze claims and medical record data to identify trends, ensure accuracy, and support financial recovery initiatives
• Prepare recurring and ad hoc reports summarizing contract performance and compliance for internal and external stakeholders
• Serve as the primary liaison between providers and internal teams to resolve contract, billing, and reimbursement issues
• Support provider education and training to ensure understanding of billing guidelines and contractual requirements
• Assist with provider settlements, including documentation, processing, and resolution of financial discrepancies
• Collaborate with sales, customer service, and clinical teams to address inquiries related to service appropriateness and medical necessity
• Participate in contract-related discussions with health plans and contribute to agreement drafting and negotiation support

This position requires a strong foundation in healthcare administration, finance, or a related discipline, along with experience handling provider contracts, claims data, and cross-functional collaboration in a healthcare environment.

• Associate’s degree in Business, Finance, Healthcare Administration, Information Management, or related field (Bachelor’s preferred)
• 5+ years of experience in healthcare administration, healthcare finance, delivery operations, or a related field
• Strong understanding of healthcare reimbursement, third-party payment models, and provider contracting principles
• Experience working with claims data, medical terminology, and coding concepts
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and data analysis tools
• Strong analytical skills with the ability to interpret complex data and identify actionable insights
• Excellent communication, negotiation, and interpersonal skills for provider and stakeholder engagement
• Ability to manage multiple priorities under strict deadlines while maintaining accuracy and professionalism
• Strong organizational skills and attention to detail in compliance and documentation-heavy work
• Willingness to pursue continued education and occasionally travel for training or business needs

• Competitive salary range: $68,400 – $105,900 annually (based on experience and location factors)
• Remote work flexibility with preference for candidates in the Western Pennsylvania region
• Comprehensive healthcare coverage and employee benefits package
• Exposure to healthcare contracting, finance, and provider operations at scale
• Opportunity to work across clinical, financial, and operational teams in a highly collaborative environment
• Professional development opportunities and continued learning support
• Involvement in meaningful work impacting post-acute care delivery and provider networks