See our open positions at cencalhealth.org/careers
Senior Healthcare Provider Contracting Analyst
Location
California
Posted
1 day ago
Salary
$121.0K - $181.5K / year
Seniority
Senior
Job Description
Senior Healthcare Provider Contracting Analyst
CenCal Health
• Perform detailed financial impact analysis for new provider contracts, renewals, amendments, and rate adjustments. • Develop provider reimbursement models and financial methodologies to support value based contract components. • Use advanced SQL to extract, transform, and analyze large Medicaid claims datasets. • Partner closely with Provider Contracting to support negotiations with data backed financial insights. • Document assumptions, methodologies, benchmarks, and reconciliation logic supporting provider contract financial reviews.
Job Requirements
- Bachelor’s degree in Finance, Accounting, Economics, Healthcare Administration, or related field.
- Minimum of five (5) years of progressively responsible healthcare financial analysis experience, preferably within healthcare, managed care, provider contracting, or health plan operations.
- Minimum of three (3) years of experience performing healthcare reimbursement analysis, provider payment modeling, or contract financial analysis.
- Experience supporting a Medicaid Managed Care Plan or Medicaid line of business.
- Advanced experience using SQL, including: complex joins, subqueries, aggregations, and performance conscious query design.
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