Contract Analyst, Finance & Banking
Nashville, Davidson County, Tennessee, 37247, USA
Listed on 2026-10-19
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Finance & Banking
Financial Analyst -
Business
Financial Analyst
This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, , KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family!
Job Summary and QualificationsThe Contract Analystis responsible for translating managed care contract terms and modeling relevant parameters within available modeling tools to ensureaccuratereimbursement calculations, expected net revenue, and informed strategic pricing decisions. This role supports both operational contract modeling and pre-execution contract pricing by evaluating proposed payer terms, performing financial analyses, and partnering with Payer Contracting and internal stakeholders tooptimizereimbursement strategies whilemaintainingmodeling accuracy and compliance.
What you will do in this role:
- Model managed care contracts using available modeling tools.
- Ensureaccuratediscounts on patient accounts and proper reflection of expected net revenue.
- Complete testing of contract models by service line and document accuracy in modeled results.
- Perform prospective ("what-if") financial modeling to evaluate proposed managed care contract terms and assess their impact on reimbursement, profitability, trends, and other key financial metrics.
- Develop andmaintaincontract models used to evaluate reimbursement methodologies, support managed care agreements, analyze financial impact, and ensureaccurateimplementation and ongoing maintenance of contract terms.
- Translate contract language and reimbursement methodologies intoaccuratesystem models that support operational reimbursement and contract negotiations.
- Accurately apply service descriptions, service rules, reimbursement logic, and modeling parameters to ensure contract integrity and consistency.
- Perform quality assurance reviews of contract model changes related to rates, factors, and reimbursement methodologies to ensure modeling accuracy, consistency, and compliance with established standards.
- Design, develop, and support ad-hoc analyses and reporting initiatives as assigned by leadership.
- Utilize data mining and reporting tools to fulfill customer requests and support operational and strategic initiatives.
- Monitor the progress of pricing analyses and contract modeling activities, keeping management informed of project status, risks, and outcomes.
- Collaborate with Payer Contracting, Revenue Cycle, Finance, and operational stakeholders to resolve contract questions and provide analytical support during contract negotiations and implementation.
- Develop responsive relationships with internal customers by providing timely,accurateanalysesandmaintaininga high levelof customer service.
- Participate in departmental training and professional development opportunities to enhance technical, analytical, and industry knowledge.
- Contribute to continuous process improvement initiatives that increase modeling accuracy, operational efficiency, and reporting capabilities.
- Demonstrate commitment to organizational Mission, Values, and Code of Conduct while producing high-quality,accurate work.
What qualifications you will need:
- Bachelor’s Degree or Undergraduate Degree Required. Equivalentworkexperiencemaysubstituteforeducationrequirements.
- Minimum1+ years of related experience preferred.
- Working knowledge of managed care contracting, reimbursement methodologies, and contract modeling preferred.
- Experience with Microsoft Office, Excel, relational databases, reporting tools, and contract modeling applications preferred.
Parallon, offers a total rewards package that…
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