Provider Contracting & Reimbursement Analyst – Intermediate

Independent Health

. Analyze utilization, claims, membership, and cost data in support of the Network Contract Management department and corporate strategic initiatives .

Posted 9/22/2026full-timeBuffalo • New York • United StatesMid-LevelSenior💰 $65,000 - $75,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data analysis, statistical methodologies, and reimbursement models within the health care industry, with a strong ability to present actionable insights to management. Proficient in analytical tools and techniques that support strategic initiatives and enhance financial performance.

Highest-signal resume keywords

Data AnalysisStatistical AnalysisReimbursement MethodologiesHealth Care EconomicsAnalytical Tools Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisStatistical AnalysisBusiness ModelingHealth Care AnalyticsData ValidationTrend AnalysisCost AnalysisUtilization AnalysisReimbursement CodingData Modeling

Soft Skills

Attention to DetailCollaborationCommunication

Tools & Technologies

AccessExcelSQLSASMicrosoft Fabric

Industry Keywords

Health Care IndustryProvider Network ManagementReimbursement ModelsAlternative ReimbursementQuality Assurance

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Analyze utilization, claims, membership, and cost data in support of the Network Contract Management department and corporate strategic initiatives
Design and use analytical tools to draw statistically sound conclusions and present results to management
Interpret, analyze, and recommend courses of action concerning fair, equitable, and market-competitive reimbursement
Design and conduct analyses for provider contract negotiations, alternative reimbursement models, high-quality/high-value care, policy changes, government mandates, consolidations, and provider-community mergers
Independently design and conduct analyses by developing assumptions and constraints, interpreting results, drawing conclusions, and developing feasible alternatives
Present analytics results and recommendations to management regarding reimbursement and pricing
Create analytical tools supporting strategic initiatives and reimbursement and pricing decisions
Apply reimbursement methodologies and coding requirements such as DRG, CPT, and diagnosis codes across provider networks and services
Analyze provider networks, patterns and profiles, medical cost and utilization trends and drivers, and reimbursement and fee change models
Advise management on reimbursement and regulatory changes affecting financial performance
Participate in or lead analytics and research on alternative reimbursement initiatives and assess impacts on policies and procedures
Document procedures, steps, results, and findings
Validate data and ensure report/information accuracy through quality assurance and balancing procedures
Participate in or lead corporate initiatives involving data warehousing, data integrity, new administrative platforms, and treatment cost estimators
Collaborate with analysts and other departments

Requirements

What you’ll need

Bachelor’s degree required; an additional four (4) years of experience will be considered in lieu of degree
MBA or equivalent advanced degree preferred
Three (3) years of analytics experience OR an advanced degree plus two years of experience (research/internship experience qualifies) required
Experience in data analysis, statistical analysis, business modeling or health care analytics/health informatics preferred
Highly proficient in Access, Excel, and other analytical tools/programs (e.g., SQL, SAS, Microsoft Fabric)
Strong understanding of the health care industry, health care economics, and hospital, physician, and ancillary reimbursement methodologies preferred
Skilled in statistical concepts, methodologies, and applications related to health care analytics and provider network management
Ability to frame questions that create value for business partners
Extensive experience building and using statistically sound data modeling support tools to conduct trend analysis and determine cost and utilization drivers
Ability to define problems, collect data, establish facts, draw conclusions, transform data into actionable information, and clearly present results to upper management
Attention to detail and skill in data validation methodologies
Ability to work collaboratively with other departments
Excellent verbal and written communication skills
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable
Immigration or work visa sponsorship will not be provided for this position

Benefits

Comp & perks

Scorecard incentive eligibility
Full range of benefits
Generous paid time off
Career growth opportunities
Culture fostering growth, innovation and collaboration