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Payor Contracting Analyst

Healthcare Outcomes Performance Company (HOPCo) · hopco.com
Phoenix
Apply on Healthcare Outcomes Performance Company (HOPCo)’s site

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Straight from the company’s own careers site.

The job in short

Payor contract analysis.

Excel

Details

Found
37 d ago · posted 2026-10-02
Location
Phoenix, AZ

Full description

Remote position Benefits: • Competitive Health & Welfare Benefits • HSA with qualifying HDHP plans with company match • 401k plan after 6 months of service with company match (Part-time employees included) • Employee Assistance Program that is available 24/7 to provide support • Employee Appreciation Days • Employee Wellness Events Minimum Qualifications: • Minimum of three years of experience working in an analytic role in a healthcare environment (payor or provider) with an in-depth knowledge of physician reimbursement methodologies. • Intermediate to advanced-level MS Excel skills (pivot tables, vlookups, conditional formulas). • Experience using relational databases. • Bachelor’s Degree in Finance or Healthcare Administration preferred. Essential Functions • Demonstrate thorough knowledge of CMS regulations and reimbursement methodologies relevant to professional claims. • Familiarity with value-based care payment models and industry trends. • Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs. • Familiar with a variety of concepts, practices, and procedures in the field of managed care and practice management. • Possesses strong organizational skills and careful attention to detail. • Must be able to problem-solve and come forward with recommendations. • Must be able to stay on task with minimal supervision. • Excellent critical thinking, troubleshooting, and analytical skills. KNOWLEDGE • Knowledge of physician reimbursement. • Knowledge of provider billing practices. • Knowledge of CPT codes, modifier rules, CMS payment policies. SKILLS • Skill in effective data collection and analysis. • Skill in designing analyses and appropriate reports. • High-level attention to detail, accuracy, and organization skills. ABILITIES • Strong ability to prepared and understand functional and technical specifications. • Ability to analyze problems and interpret information and prioritize and reprioritize, as necessary. • Ability to work independently, and as part of a team. • Ability to multi-task, manages multiple projects, and meets tight deadlines.

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