Contract Analyst

Work arrangement

• Work-from-home position; the employee must live and perform the work within 60 miles of an HCA Healthcare hospital in one of the listed states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, or VA.

Role overview

Duties

• Model managed care contracts; ensure account discounts and expected net revenue are accurate.
• Test models by service line and document results; model proposed terms and assess reimbursement, profitability, trends, and financial metrics.
• Develop and maintain models that support reimbursement methods, managed care agreements, financial impact analysis, and ongoing contract implementation.
• Translate contract language into system models; apply service descriptions, rules, reimbursement logic, and modeling parameters.
• Review model changes for rates, factors, and reimbursement methods to ensure accuracy, consistency, and compliance with standards.
• Produce ad hoc analysis and reports; use data mining and reporting tools to support customer requests and business initiatives.
• Track pricing and modeling work and report project status, risks, and outcomes to management.
• Partner with Payer Contracting, Revenue Cycle, Finance, and operational stakeholders to resolve questions and support negotiations and implementation.
• Build responsive relationships with internal customers, participate in training, and contribute to process improvement and accurate, high-quality work.

Qualifications

• Bachelor's or undergraduate degree required; equivalent work experience may substitute.
• At least one year of related experience is preferred.
• Working knowledge of managed care contracting, reimbursement methodologies, and contract modeling is preferred.
• Experience with Microsoft Office, Excel, relational databases, reporting tools, and contract modeling applications is preferred.

Benefits

• Benefits include medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage; counseling and referral services; paid time off and leave programs; disability coverage; and retirement resources.
• Education support includes tuition and student loan assistance, certification support, dependent scholarships, and a college partnership.
• Additional programs include family-building support, adoption assistance, life insurance, and supplemental health programs.