Lumeris

Lumeris

Provider Contract Analyst

Arkansas · Full-time

No sponsorship$85k-$114kDetected 14 days ago
NegotiationContract ManagementAR/VROrganizational Skills

About the role

  • The Provider Contract Analyst is a key professional role on the contracting team, responsible for managing the end-to-end contracting process for providers (ancillary, professional and facility).
  • A core function of this job is local relationship management and establishing a strong community presence.
  • To achieve this, candidates must reside in their assigned market (e.g., IL, KY, AR, MO).

Responsibilities

  • Establish a strong community presence by actively 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.
  • 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.
  • Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person.

Requirements

  • Must reside within one of our key markets (e.g., IL, KY, AR, or MO) to facilitate required in-market provider engagement.
  • Bachelor's degree or equivalent experience required.
  • All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine.
  • If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
  • 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.
  • Community Engagement: This role requires regular in-market community presence, with an expectation of at least one day a week dedicated to local, in-person meetings with providers and community partners. The scheduling of this local activity is autonomous and managed by you in partnership with your leader. Occasional out-of-market travel (e.g., 2-4 times per year) is also required for mandatory team meetings and may involve overnight stays. All approved overnight hotel stays and personal vehicle mileage for business purposes are reimbursable according to company policy.
  • 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 is required.
  • 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.
  • Working Conditions
  • While performing the duties of this job, the employee works in normal office working conditions.
  • Pay Transparency:
  • Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.
  • The hiring range for this position is:

Compensation

  • Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role.
  • In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position.
  • $84,600.00-$113,775.00

Benefits

  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Learning and Development Opportunities

Company info

  • These rewards are based on a combination of company performance and individual achievements.

Visa & Work Authorization

  • We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
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This listing is sourced directly from Lumeris's careers page and normalized into a canonical job model.