Contract Analyst I
$66K - $80K/yr
A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g ...
$66K - $80K/yr
A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g ...
$66K - $80K/yr
A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers ... Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g ...
Atlanta, GA · On-site
$67K - $81K/yr
Provide hands-on support to suppliers through sourcing events, resolving system or process issues ... contract award. * Advanced analytical capabilities, including bid evaluation, scenario modeling ...
Atlanta, GA · On-site
$67K - $81K/yr
Provide hands-on support to suppliers through sourcing events, resolving system or process issues ... contract award. * Advanced analytical capabilities, including bid evaluation, scenario modeling ...
Atlanta, GA · On-site
$66K - $80K/yr
Provide hands-on support to suppliers through sourcing events, resolving system or process issues ... contract award. * Advanced analytical capabilities, including bid evaluation, scenario modeling ...
Atlanta, GA · On-site
$66K - $80K/yr
Provide hands-on support to suppliers through sourcing events, resolving system or process issues ... contract award. * Advanced analytical capabilities, including bid evaluation, scenario modeling ...
Atlanta, GA · On-site
$80K - $101K/yr
Provider Contract/Cost of Care Analyst Senior Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and ...
Atlanta, GA · On-site
$80K - $101K/yr
Provider Contract/Cost of Care Analyst Senior Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and ...
Atlanta, GA · Hybrid
$80K - $101K/yr
Provider Contract/Cost of Care Analyst Senior Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and ...
Atlanta, GA · Hybrid
$80K - $101K/yr
Provider Contract/Cost of Care Analyst Senior Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and ...
Atlanta, GA · Hybrid
$80K - $102K/yr
Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support ...
Atlanta, GA · Hybrid
$80K - $102K/yr
Provider Contract/Cost of Care Analyst Senior Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
Atlanta, GA · Hybrid
$66K - $80K/yr
Analyze contractual terms to identify, escalate, and remediate risk issues * Oversee the full ... Provide procurement and contract advisory support to internal stakeholders * Build and maintain ...
Atlanta, GA · Hybrid
$66K - $80K/yr
Analyze contractual terms to identify, escalate, and remediate risk issues * Oversee the full ... Provide procurement and contract advisory support to internal stakeholders * Build and maintain ...
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$54K - $119K/yr
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
$54K - $119K/yr
... review and analysis of reports as part of negotiation and reimbursement modeling activities ... and parameters, or accuracy of provider contract or demographic information. Required ...
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
... of provider data using internal tools. * Manages contract performance and drives the development ... review and analysis of reports as part of negotiation and reimbursement modeling activities.
$38.6K - $45.4K
2% of jobs
$45.4K - $52.3K
5% of jobs
$52.3K - $59.2K
7% of jobs
$59.2K - $66.1K
5% of jobs
$66.7K is the 25th percentile. Wages below this are outliers.
$66.1K - $73K
51% of jobs
$77K is the 75th percentile. Wages above this are outliers.
$73K - $79.8K
6% of jobs
$79.8K - $86.7K
7% of jobs
$86.7K - $93.6K
3% of jobs
$93.6K - $100.5K
7% of jobs
$100.5K - $107.4K
2% of jobs
$107.4K - $114.2K
2% of jobs
$38.6K
$74.1K
$114.2K
| Aspect | Provider Contract Analyst | Claims Analyst |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CPC-H are common | Usually requires a bachelor's degree; certifications like CPC or similar may be preferred |
| Work Environment | Healthcare organizations, insurance companies, or third-party administrators | Insurance companies, healthcare providers, or third-party payers |
| Employer & Industry Usage | Used in healthcare and insurance sectors to manage provider contracts | Used across insurance and healthcare to process and analyze claims |
The Provider Contract Analyst focuses on negotiating, reviewing, and managing provider agreements, ensuring compliance and reimbursement terms. In contrast, the Claims Analyst primarily reviews and processes insurance claims, verifying accuracy and resolving discrepancies. While both roles require knowledge of healthcare billing and insurance processes, their core responsibilities differ significantly within the healthcare and insurance industries.
$66K - $80K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 8 days ago
7.6
Based on 11 frontline employees who took The Breakroom Quiz
153rd of 241 rated software companies
At Zelis, we Get Stuff Done. So, let's get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients.
At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
A Little About You
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.
Position Overview
This position requires an incumbent to analyze healthcare reimbursement contracts and load contract terms between payers and providers in an accurate and timely manner using proprietary software. This position reports to the Manager of Contract Configuration and will collaborate with the programming and development teams in the creation and vetting of calculation methods, database loads, or changes. This position is an internal resource to staff and clients and as such is expected to respond to client issues and cases in a timely manner.What You'll Do:
Set up basic contract loads: simplesingle caseagreements (SCAs), basic % of billed charges (BCs), basic % of Medicare, general carve-outcodesand basic fee schedule set up.
Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g., DRG, APC, CPT/HCPCS, ICD-10).
Load,maintain, and audit client contracts within the adjudication system.
Validate and test contract configurations for claims pricing accuracy.
Maintain feeschedulein contract databases and apply annual escalators for client auto renewals.
Link contracts to payer products, update andmaintainprovider groups within client databases to ensure seamless claims routing.
Handles confidential material on a regular basis andis responsible forprotecting the confidentiality of such information within the established guidelines of Company and law. (HIPAA Compliance)
What You'll Bring to Zelis:
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies.
While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule.
Base Salary Range
$54,000.00 - $68,400.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.
Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.
Sourced by ZipRecruiter
Software development
1,001 - 5,000 Employees
Bedminster, NJ, US
2016