Data Analyst - Managed Care

SpringPoint Technologies is recruiting a Contract & Data Analyst for a healthcare organization in Tulsa. This position supports managed care contracting through financial analysis, reimbursement modeling, and payment compliance reviews across hospital and physician services.

The analyst will evaluate existing and proposed payer contracts, develop reimbursement projections, and provide insights that support negotiations and improve financial performance.

• Analyze managed care contract terms and communicate their financial and operational impact.
• Develop financial models and reimbursement projections for existing and proposed payer contracts.
• Build, maintain, and test contract projection models in Epic.
• Evaluate contract performance and compare actual payer payments against expected reimbursement.
• Investigate underpayments and payment discrepancies; collaborate with internal teams and payers to resolve issues.
• Support payer negotiations through rate analysis, financial projections, and contract recommendations.
• Maintain accurate datasets and prepare reports on reimbursement trends and contract performance.
• Collaborate with managed care, finance, revenue cycle, and Epic application teams.

• Completed bachelor's degree in business or a related field required.
• Healthcare industry experience required.
• Approximately 3-4 years of relevant experience in payer contracting, reimbursement analysis, or healthcare financial modeling preferred.
• Strong analytical skills and proficiency in Microsoft Excel.
• Ability to interpret contract terms, investigate discrepancies, and communicate findings clearly.
• Strong attention to detail and ability to manage multiple priorities.

• Provider fee schedules, contract rate analysis, or expected reimbursement calculations.
• Hospital or physician billing and reimbursement.
• Epic, particularly reimbursement contract configuration or modeling.
• Microsoft Access, Power BI, or SQL.
• Existing Epic certification is not required  selected candidate must be willing to obtain and maintain assigned Epic certification.