Provider Contracting Lead Analyst – Voluntary Out-of-Network Pricing
Location
United States
Posted
28 days ago
Salary
$71.4K - $119K / year
Seniority
Senior
Bachelor Degree3 yrs expEnglish
Job Description
• Resolve voluntary out-of-network pricing disputes using MRC, Fair Health, and Medicare methodologies
• Analyze pricing data to identify trends, variances, and improvement opportunities
• Develop tools, reporting, and insights to support manual and external pricing operations
• Collaborate with Claims, Call Center, and matrixed teams to improve pricing accuracy and workflows
• Present clear, actionable findings to internal stakeholders
• Ensure pricing strategies align with fair reimbursement and cost containment goals
Job Requirements
- 3–5 years of experience in healthcare analytics, provider pricing, or cost containment
- Strong knowledge of MRC, Fair Health, and Medicare pricing
- Advanced analytical skills with proficiency in Excel and reporting tools
- Ability to manage multiple priorities independently in a production environment
- Bachelor’s degree preferred or equivalent relevant experience
Benefits
- health-related benefits including medical, vision, dental, and well-being and behavioral health programs
- 401(k)
- company paid life insurance
- tuition reimbursement
- a minimum of 18 days of paid time off per year
- paid holidays
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