Managed Care Contract Analyst - TAL Healthcare : Job Details

Job Description Our client, a leading non-profit medical center in Westchester County, is seeking a detail-oriented and analytical Managed Care Analyst to support its growing revenue cycle operations. This role is essential to ensuring accurate reimbursement from third-party payers and maintaining contract compliance. You'll play a key role in data analysis, contract modeling, audit support, and payer relations-ultimately strengthening the organization's financial health and operational effectiveness. This is a high-impact role at a mission-driven medical center recognized for its commitment to community health and patient-centered care. You'll be working with an engaged team that values accountability, innovation, and continuous improvement in a collaborative and supportive environment. Responsibilities

• Contract Analysis & Payment Reconciliation
• Analyze reimbursement data based on contract structure and hospital-negotiated rates.
• Audit and reconcile plan payments to identify and report contract variances.
• Collaborate with payers to resolve discrepancies related to underpayments or non-compliance.
• Maintain escalation files and track outcomes of payer escalations.
• Contract Support & Maintenance
• Assist in testing, validating, and maintaining contract terms and fee schedules in both host systems and contract modeling software.
• Participate in the preparation of contract reference guides and summary documents for distribution across the revenue cycle team.
• Reporting & Data Analytics
• Collect, model, and analyze claims data to support contract negotiations and performance assessments.
• Prepare monthly reports and dashboards to monitor plan performance and financial impact.
• Identify trends and anomalies in reimbursement data to inform strategic decisions.
• Cross-Functional Collaboration
• Serve as a liaison between revenue cycle, managed care, finance, and payer representatives.
• Participate in Joint Operating Committee (JOC) calls with providers and take detailed meeting notes and follow-up actions.
• Provide updates and recommendations to leadership on contractual performance and payer behavior.
• Regulatory Monitoring
• Stay informed on state and federal regulations, payer policy changes, and industry standards.
• Communicate key regulatory updates to internal stakeholders and support compliance initiatives.
• Project Support & Continuous Improvement
• Assist with special projects, including contract modeling and performance improvement initiatives.
• Support quality assurance efforts related to contract modeling tools and reimbursement tracking.

Requirements

• Bachelor's degree in Business, Health Administration, or related field required.
• 2-4 years of experience in patient accounting, preferably in a hospital or healthcare setting.
• 3+ years of experience with contract analytics, payer reimbursement, or healthcare financial modeling.
• Advanced Excel skills required (pivot tables, formulas, data visualization).
• Familiarity with contract modeling software and hospital billing systems strongly preferred.
• In-depth understanding of the healthcare revenue cycle and third-party reimbursement.
• Strong analytical and problem-solving skills; ability to interpret payment methodologies.
• Excellent written and verbal communication skills, including ability to present complex findings clearly.
• Knowledge of hospital billing practices and compliance standards.
• Strong interpersonal skills and professionalism in cross-functional and payer-facing roles.
• Ability to manage multiple priorities and maintain composure under pressure.
• Integrity and discretion when handling confidential financial data.

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. #LI-NB1 Meet Your Recruiter Nancy Bookchin Director, Healthcare Recruitment Nancy is a dedicated recruiter who prioritizes the success of her clients and the career aspirations of her candidates. Learn more about Nancy, Tal Healthcare Employee Biography var isBannerImage = ''; // if isBannerImage is empty or undefined if(isBannerImage''){ jQuery('.jb-recruiter-profile-picture').css('left', '0'); jQuery('.jb-recruiter-profile-picture').css('bottom', '0'); }

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