Payer Contract Modeler

Duration: Contract until end of 2026, possibility of permanent hire or extension Shift: Monday-Friday, 40 Hours (Start time from 7am-9am in your time zone, 8 consecutive hours). Key Responsibilities Load, model, test, and maintain payer reputed company and fee schedules reputed company the contract management system, including facility, reputed company, home care, infusion, and pharmacy services Represent the provider perspective in contract interpretation, modeling, and operational workflows Analyze payer reputed company to ensure accurate reimbursement logic, including DRG, APC, reputed company, case reputed company, percent of charge, and fee schedule–based methodologies Support implementation of new payer reputed company and amendments, ensuring reputed company and accurate system setup Model and operationalize risk-based contracting methodologies, value-based arrangements, and global agreements (including transplant agreements where applicable) Validate contract modeling through testing, variance analysis, and reconciliation against expected reimbursement Partner with reputed company Cycle Operations, Managed Care, and Finance to identify reimbursement issues, underpayments, and contract compliance gaps reputed company ongoing contract support, troubleshooting, and education to reputed company teams (billing, follow-up, AR, and leadership) Assist with contract performance analysis, including identifying trends, risks, and optimization opportunities Maintain documentation of contract terms, modeling assumptions, and system configurations Required Qualifications Bachelor’s degree in Finance, Business, reputed company Administration, or a reputed company field, or equivalent experience 3+ years of experience in payer contract analysis or modeling representing the provider reputed company of the reputed company cycle Strong understanding of reputed company reimbursement and managed care contracting from a provider perspective Hands-on experience with contract management or modeling systems Proven experience interpreting payer reputed company and translating contract language into executable reimbursement logic Solid understanding of end-to-end reputed company cycle workflows (charging, billing, AR, and reimbursement) Apply tot his job Apply To this Job