About The Position

The Provider Contracting Lead Analyst supports day‑to-day provider contracting and network activities. This role partners closely with internal teams and external providers to manage contracts, support value‑based arrangements, and maintain a competitive, high‑quality provider network.

Requirements

  • Bachelor’s degree preferred (Finance, Economics, Healthcare, or related field); equivalent experience considered
  • 1+ year provider contracting and negotiation experience required
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Nice To Haves

  • 1+ year provider servicing or provider relations experience preferred
  • Understanding of hospital, managed care, and provider business models preferred
  • Strong relationship‑building, communication, and presentation skills
  • Proven ability to work in a fast‑paced, matrix environment
  • Demonstrated financial, negotiation, and problem‑solving skills
  • Proficiency in Microsoft Office

Responsibilities

  • Manage submissions for provider contracting and fee‑for-service negotiations
  • Support development and management of value‑based provider relationships
  • Build and maintain strong provider partnerships aligned to market strategy
  • Serve as a key liaison between providers and internal partners (Claims, Medical Management, Credentialing, Legal, Compliance, Sales, Service, etc.)
  • Support network development initiatives and identify opportunities to improve value and cost performance
  • Prepare and analyze the financial impact of provider contracts and alternative terms
  • Draft and manage Healthcare Professional (HCP) agreements and ensure accurate implementation
  • Support contract loading, submissions, and network maintenance activities
  • Assist with provider service issue resolution and escalations
  • Maintain knowledge of local provider markets, competition, and dynamics
  • Support initiatives focused on total medical cost reduction and quality outcomes
  • Perform additional duties as assigned
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