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Provider Contract Analyst Jobs in Riverside, CA (NOW HIRING)

804 Technology

Contracts Administrator

Irvine, CA

$35 - $43/hr

Defines requirements, generates and provides input for proposals, negotiates pricing and terms ... and PO/Contract review and analysis. ESSENTIAL FUNCTIONS: * Administers moderately complex ...

Belcan

Contracts Administrator

Irvine, CA

$35.07 - $43/hr

Ability to read, analyze, and interpret policies and moderately complex contract terms and ... Belcan is a leading provider of qualified personnel to many of the world's most respected ...

Esri

Principal Contract Specialist

Redlands, CA

Lead the full lifecycle of complex services contracts, including RFP analysis, proposal development, negotiation, execution, and closeout * Provide strategic guidance to internal stakeholders on ...

Esri

Contract Specialist

Redlands, CA · On-site

Esri has a Relocation Assistance Program and can provide support with relocating to the Redlands ... Detail oriented, well organized, analytical, quick learner * Ability to work independently as well ...

NextDeavor Inc.

Contracts Administrator

Irvine, CA · On-site

... providing precision-engineered solutions for aerospace, industrial, and mobile markets ... Ability to read, analyze, and interpret moderately complex contract terms and conditions and ...

Esri

Principal Contract Specialist

Redlands, CA

$98K - $153K/yr

Lead the full lifecycle of complex services contracts, including RFP analysis, proposal development, negotiation, execution, and closeout * Provide strategic guidance to internal stakeholders on ...

Esri

Contract Specialist

Redlands, CA

$70K - $106K/yr

Respond to contract work requests promptly and provide quality, customer-focused support to ... Detail oriented, well organized, analytical, quick learner * Ability to work independently as well ...

Terran Orbital Corporation

Contracts Manager

Irvine, CA

$95K - $127K/yr

... business to provide for contract management following company policy. Reviews, interprets ... Demonstrated ability to take initiative for review and analysis for major proposal efforts to ...

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All JobsProvider Contract Analyst JobsProvider Contract Analyst Jobs in Riverside, CA

Provider Contract Analyst information

See Riverside, CA salary details

$41.2K

$79.2K

$122.1K

How much do provider contract analyst jobs pay per year?

As of Jun 23, 2026, the average yearly pay for provider contract analyst in Riverside, CA is $79,167.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $87,100.00 per year, depending on experience, location, and employer.

What is the difference between Provider Contract Analyst vs Claims Analyst?

AspectProvider Contract AnalystClaims Analyst
CredentialsTypically requires a bachelor's degree in healthcare administration, business, or related field; certifications like CPC or CPC-H are commonUsually requires a bachelor's degree; certifications like CPC or similar may be preferred
Work EnvironmentHealthcare organizations, insurance companies, or third-party administratorsInsurance companies, healthcare providers, or third-party payers
Employer & Industry UsageUsed in healthcare and insurance sectors to manage provider contractsUsed 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.

What are the key skills and qualifications needed to thrive as a Provider Contract Analyst, and why are they important?

To thrive as a Provider Contract Analyst, you need strong analytical skills, attention to detail, and a solid understanding of healthcare regulations and contract management, often supported by a bachelor’s degree in business, healthcare administration, or a related field. Proficiency with contract management software, Microsoft Excel, and knowledge of claims processing systems are typically required. Excellent communication, negotiation, and organizational skills help you collaborate with providers and internal teams effectively. These competencies ensure accurate contract analysis, compliance, and the successful management of provider agreements within healthcare organizations.

What are some common challenges faced by Provider Contract Analysts when negotiating contracts with healthcare providers?

Provider Contract Analysts often encounter challenges such as balancing the financial goals of their organization with the expectations and needs of healthcare providers. Navigating complex reimbursement structures, regulatory requirements, and ensuring contract compliance can be demanding. Additionally, effective communication and negotiation skills are essential, as analysts must frequently resolve disputes or clarify contract terms with providers. Staying organized and detail-oriented is key, as even small errors can impact reimbursement and provider relationships.

What are Provider Contract Analysts?

Provider Contract Analysts are professionals who review, negotiate, and manage contracts between healthcare providers (such as doctors, hospitals, or clinics) and health insurance companies or managed care organizations. Their role involves analyzing contract terms, ensuring compliance with regulations, and supporting both parties in reaching mutually beneficial agreements. They also monitor contract performance and may assist with resolving disputes or issues related to contract execution. Attention to detail, strong communication skills, and knowledge of healthcare regulations are essential for this position.
What are popular job titles related to Provider Contract Analyst jobs in Riverside, CA? For Provider Contract Analyst jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Provider Contract Analyst jobs in Riverside, CA look for? The top searched job categories for Provider Contract Analyst jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Provider Contract Analyst jobs? Cities near Riverside, CA with the most Provider Contract Analyst job openings:
Provider Contract Analyst jobs near you
Epic Tapestry Claims Analyst

Epic Tapestry Claims Analyst

UnitedHealth Group

Redlands, CA • Remote

Full-time

Retirement

Posted 21 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 141 frontline employees who took The Breakroom Quiz

187th of 875 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Epic Tapestry Claims Analyst is responsible for the configuration, maintenance, and optimization of Epic Tapestry Claims and integrated third-party applications that support claims processing, benefits administration, and payer operations. This role ensures stable, compliant, and high-quality system performance across the claims ecosystem, with a strong focus on configuration accuracy, workflow alignment, and timely resolution of operational issues. The analyst partners closely with business stakeholders, technical teams, and vendors to support ongoing enhancements, break/fix activities, and regulatory updates.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Epic Tapestry Claims Configuration & Support
  • Configure, maintain, and optimize Epic Tapestry Claims components, including benefit plans, claims adjudication rules, provider contracts, fee schedules, accumulators, and related workflows
  • Analyze and troubleshoot claims processing issues, identifying root causes and implementing sustainable solutions
  • Support upgrades, releases, and environment changes, ensuring claims configuration remains accurate and compliant
  • Collaborate with operational leaders to translate business requirements into system configuration and functional design

Third-Party Application Management
  • Manage the setup, configuration, and ongoing support of integrated third-party applications used for claims processing, clearinghouse functions, eligibility, payment integrity, and related services
  • Coordinate with vendors on interface behavior, data mapping, file formats, and issue resolution
  • Monitor application performance, data flows, and integration points to ensure accuracy and reliability
  • Maintain documentation for system configuration, integration specifications, and operational procedures

Operational Support & Service Management
  • Use ServiceNow for incident management, break/fix work, change requests, and release coordination
  • Prioritize and resolve tickets within established SLAs, ensuring clear communication with end users and stakeholders
  • Participate in on-call rotation or after-hours support as needed for critical issues or deployments
  • Support change management processes, including impact analysis, testing, validation, and production migration

Collaboration & Stakeholder Engagement
  • Partner with Claims Operations, Revenue Cycle, Managed Care, and IT teams to ensure system alignment with business needs
  • Provide subject-matter expertise for projects, enhancements, and regulatory initiatives
  • Participate in cross-functional design sessions, workflow reviews, and optimization efforts

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Epic Tapestry Certification (Claims or closely related module)
  • 3+ years of hands-on experience supporting Epic Tapestry Claims configuration and/or claims processing systems
  • 3+ years of experience managing or supporting third-party integrated applications in a healthcare or payer environment
  • 3+ years of experience in claims adjudication, benefit structures, provider contracts, and payer workflows
  • 3+ years of experience with ServiceNow or similar ITSM platforms for incident, problem, and change management
  • 3+ years of experience analyzing complex data flows, troubleshoot integration issues, and interpret EDI transactions (e.g., 837, 835, 270/271)

Preferred Qualifications:
  • Experience with Epic Bridges, EDI, or interface engines (e.g., Corepoint, Rhapsody, Mirth)
  • Experience supporting regulatory or compliance-driven system changes
  • Background in managed care, payer operations, or revenue cycle
  • Familiarity with SQL, reporting tools, or data analysis techniques

Soft Skills:
  • Excellent communication skills and the ability to work effectively with both technical and non-technical stakeholders

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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