Job Title: Provider Data and Contract Analyst
Job Type: Contract
Job Location: Remote
Overview
The Analyst will be responsible for identifying, reviewing, and organizing provider contract documentation that supports reimbursement methodologies for integration into an AI-enabled centralized rate repository. This work will directly support transformation initiatives by improving accessibility, consistency, and governance of provider reimbursement information.
The ideal candidate will have experience working with provider contracts and reimbursement structures, including payment methodologies for both facility and professional providers. A strong understanding of how contractual reimbursement terms impact claims adjudication and payment accuracy is highly preferred.
Responsibilities:
• Locate, review, and catalog provider contract documents and reimbursement schedules
• Analyze contract language related to reimbursement methodologies and payment terms
• Ensure documentation is accurately organized and prepared for ingestion into the centralized rate repository
• Collaborate with business and operational teams to validate reimbursement information
• Support efforts to improve data quality, transparency, and accessibility of provider payment information
Requirements:
• Bachelor’s degree or equivalent experience in related field, plus 3 years of work experience beyond degree
Preferred Qualifications:
• Experience with provider contracting, provider network management, or reimbursement analysis
• Knowledge of facility and professional claims payment methodologies
• Understanding of healthcare reimbursement models, fee schedules, and contract interpretation
• 1+ years of SQL experience
• General understanding of data warehousing and QA
• Strong analytical, organizational, and documentation skills
• Experience working with healthcare claims, payment operations, or provider data management is a plus
The projected hourly range for this position is $40 to $46.
On-Demand Group (ODG) provides employee benefits which includes healthcare, dental, and vision insurance. ODG is an equal opportunity employer that does not discriminate on the basis of race, color, religion, gender, sexual orientation, age, national origin, disability, or any other characteristic protected by law.