Senior Contract Analyst - REMOTE

Job Summary

Under the strategic direction of the Manager of Payer Analytics, the Senior Analyst of Payer Analytics will drive payer contracting strategy by performing in‑depth contract analytic design, execution, and interpretation. The role involves deep dive analytics into payer performance and proposed contract terms to guide decisions on how to structure payer contracts, design and interpret standard reporting, and conduct ad‑hoc drill‑downs for specific business issues.

The analyst will interact with CEOs, executives across three hospital sites, revenue cycle, payer relations, and other leadership teams.

• Strategy and Insights (20%):
  Work with payer relations team on analytic design, execution, and interpretation; deliver and present analytics to business leaders; provide perspective on new analytics to support payer reimbursement and performance; proactively pursue automation or new technology; consult on Medicare and commercial reimbursement policies; maintain customer expectations and alignment with analytic needs; serve as expert on payer contract financial terms and modeling;
  
  design and interpret analytics, lead training, and respond to questions across departments.
• Contract Maintenance (50%):
  Load, update, and maintain contracts in collaboration with a vendor; develop and maintain workflows to ensure error‑free contract modeling; model the effect of fee‑schedule updates on revenue and Medicare percentage; identify, interpret, and recommend on unclear or proposed contract terms.
• Analytic Support (30%):
  Discuss business needs with customers, influence design of analysis, and execute joint specifications; analyze data and generate business insights; present findings in digestible format; use SQL and data‑visualization tools such as Tableau or PowerBI; merge data from multiple databases efficiently.

• Education:
  
  Bachelor’s degree in Business, Healthcare, Computer Science, or a related field;
  Master’s degree in Business Administration or comparable field preferred.
• Experience:
  
  3 or more years in a managed care/healthcare environment with exposure to contract management and program development; EPIC experience and EPIC Hospital and Professional contract certification.
• Technical
  
  Skills:
  
  Proficiency in ETL, Tableau, PowerBI, and SQL; knowledge of claims processing systems and guidelines; experience with reimbursement methodologies for Medicare and commercial insurance; regulatory knowledge concerning payer contracts.
• Soft Skills:
  
  Strong analytical abilities, attention to detail, and documentation skills; excellent written and verbal presentation skills; ability to translate information to diverse audiences; strong stakeholder relationship building; flexibility and adaptability to achieve initiative and organizational goals.

Vanderbilt Health is committed to fostering an environment where everyone has the chance to thrive and is committed to the principles of equal opportunity. EOE/Vets/Disabled.