Provider Data and Contract Analyst

Provider Data And Contract Analyst

We are looking for a Provider Data and Contract Analyst to support a long-term contract opportunity within the health insurance industry. In this role, you will examine provider agreements and reimbursement materials, organize critical payment information, and help strengthen the accuracy and accessibility of contract data used across the organization. This position will work closely with operational and business partners to improve data governance and prepare reimbursement documentation for inclusion in an AI-enabled centralized rate repository.

Responsibilities:

• Review provider agreements, reimbursement exhibits, and related records to identify payment terms and methodology details.
• Organize and maintain contract documentation so reimbursement information is structured, traceable, and ready for centralized repository intake.
• Interpret contractual language affecting provider payments, including terms tied to facility and physician reimbursement approaches.
• Partner with business and operational teams to confirm reimbursement details and resolve documentation gaps or inconsistencies.
• Support data quality initiatives by validating the completeness, consistency, and usability of provider payment information.
• Catalog fee schedules and supporting materials in a way that improves transparency and ongoing governance of reimbursement data.
• Contribute to transformation efforts by helping standardize how provider contract information is captured and referenced.
• Assist with analysis related to how reimbursement terms influence claims adjudication and payment accuracy.