Alabama Licensed Contract Analyst

Working remotely, the full-time Alabama Licensed Contract Analyst will analyze and maintain hospital payer contracts, ensuring accurate reimbursement methodologies and compliance with client expectations. Key responsibilities Analyze, define, and maintain hospital payer contracts using Health's Contract Manager software Research payer websites and regulatory sources to stay current on adjudication rules and reimbursement policies Validate system-generated valuations against client-submitted claims, reconciling discrepancies as necessary Required qualifications High School diploma or G.E.D. required; Bachelor's degree in Healthcare Administration, Finance, Accounting, or Business Administration preferred Minimum of 4 years' experience in the hospital industry with direct involvement in payer contracts and reimbursement methodologies In-depth knowledge of facility reimbursement models used by commercial payers, Medicare, and Medicaid Proficiency in coding systems including CPT, HCPCS, DRG, and ICD-10 codes Advanced proficiency in Microsoft Office, especially Excel