Provider Contracting Lead Analyst – Voluntary Out-of-Network Pricing

AnalystAnalystFull TimeRemoteSeniorTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

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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