Provider Contract Analyst

Provider Contract Analyst

Position Summary – The Provider Contract Analyst is a key professional on the contracting team, responsible for managing the end‑to‑end contracting process for providers (ancillary, professional, and facility). The role requires analytical thinking, negotiated agreements for less complex contracts, and independent problem solving to ensure a robust, cost‑effective provider network.

• Establish a strong community presence by proactively building and maintaining collaborative relationships with providers and community leaders through autonomous, regular in‑person engagement within your assigned market.
• Manage a dedicated portfolio of contracts with providers (ancillary, professional, and facility), independently handling the negotiation process for renewals and new standard agreements.
• Contribute to the overall contracting strategy by managing contract assignments for providers located outside of your primary market as business needs require, ensuring equitable workload distribution and team success.
• Analyze and interpret contract terms, rate proposals, and reimbursement methodologies to determine appropriate action and ensure alignment with organizational standards.
• Solve moderately complex provider inquiries related to contract interpretation, reimbursement, and operational setup, serving as a knowledgeable point of contact.
• Partner with the Provider Partnership Liaisons to ensure a smooth, professional handoff and onboarding for newly contracted providers.
• Own the integrity of contract data within the contract management system, ensuring accuracy for downstream reporting and analysis.
• Identify and recommend opportunities to improve contracting processes, templates, and workflows to increase efficiency and accuracy.
• Maintain a minimum of one in‑market day per week dedicated to local, in‑person meetings with providers and community partners; occasional out‑of‑market travel (2‑4 times per year) may be required for mandatory team meetings.

• Must reside within one of the key markets (IL, KY, AR, or MO) to facilitate required in‑market provider engagement.
• 5+ years of relevant experience in a managed care, health plan, or provider organization.
• Practical, working knowledge of provider contract language, reimbursement methodologies, and managed care principles.
• Skilled at interpreting contract data and solving moderately complex problems with limited supervision.
• Strong organizational skills and the ability to prioritize and manage multiple competing deadlines.
• Bachelor’s degree or equivalent experience required.
• Ability to travel 2‑4 times per year for mandatory team meetings; overnight stays reimbursed in accordance with company policy.

The employee works primarily in normal office working conditions but may be required to travel out of market for mandatory team meetings.

Base salary range: $84,600.00 – $. Certain roles may qualify for performance‑based incentive and/or equity, depending on position.

• Medical, Vision, and Dental Plans
• Tax‑Advantaged Savings Accounts (FSA & HSA)
• Life Insurance and Disability Insurance
• Paid Time Off (PTO), Sick Time, Paid Leave, Volunteer & Wellness Days
• Employee Assistance Program
• 401(k) with company match
• Employee Resource Groups
• Employee Discount Program
• Learning and Development Opportunities

Lumeris is an EEO/AA employer M/F/V/D.

The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.