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CenCal Health

See our open positions at cencalhealth.org/careers

Senior Healthcare Provider Contracting Analyst

AnalystAnalystFull TimeRemoteSeniorTeam 201-500Since 1983H1B No SponsorCompany SiteLinkedIn

Location

California

Posted

1 day ago

Salary

$121.0K - $181.5K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishSQL

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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