Senior Contract Analyst

Machinify

. Serve as the single source of truth for payer-provider contracts and reimbursement policies supporting outpatient and specialty audit programs .

Posted 10/8/2026full-timeRemote • United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Expertise in payer-provider contract management and reimbursement policies, with strong analytical skills to interpret and abstract complex contract terms. Proficient in maintaining contract inventories and tracking tools to support audit programs and identify process improvements.

Highest-signal resume keywords

Healthcare Payment IntegrityPayer-Provider ContractingOutpatient Reimbursement KnowledgeAdvanced Excel SkillsAI Tools Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract InterpretationReimbursement MethodologiesAudit Opportunity IdentificationVersion ControlFee Schedule AnalysisPolicy Gap IdentificationChange ControlQuality ChecksReporting on Concept CoverageMatrix Maintenance

Soft Skills

CommunicationProblem-SolvingCollaboration

Tools & Technologies

ExcelAI Tools

Industry Keywords

Managed CareClaims AuditingRevenue CycleOutpatient Payment SystemsCarve-Out Structures

About the role

Key responsibilities & impact

Serve as the single source of truth for payer-provider contracts and reimbursement policies supporting outpatient and specialty audit programs
Validate contract versions, amendments, fee schedules, and effective dates before audits
Build and maintain contract inventory with version control, renewal tracking, and audit trails
Identify missing, expired, or outdated contracts and drive resolution
Review contracts and abstract audit opportunities, including carve-out payments, implant and device provisions, high-cost drug terms, stop-loss and outlier thresholds, lesser-of language, bundling and packaging rules, and exclusions
Translate contract language into documentation auditors can apply consistently
Flag ambiguous or conflicting language and escalate recommended interpretations
Maintain payer reimbursement policy library and monitor policy updates, retirements, and effective-date changes
Identify policy gaps and maintain linkage among concepts, policies, and clients
Maintain the outpatient and specialty concept matrix for each client, including active, paused, or excluded concepts
Establish matrix update cadence, change control, and quality checks
Provide reporting on concept coverage gaps and expansion opportunities
Partner with Client Success teams to obtain updated contracts and policies from clients
Track outstanding client requests through resolution
Communicate contract, policy, and concept changes to audit teams
Identify process improvements and support scaling of contract intake and abstraction workflows

Requirements

What you’ll need

Bachelor's degree or equivalent professional experience
5+ years of experience in healthcare payment integrity, provider contracting, managed care, claims auditing, or revenue cycle
Demonstrated ability to read, interpret, and abstract payer-provider contract terms and reimbursement methodologies
Strong working knowledge of outpatient reimbursement, including OPPS/APC, fee schedules, percent of charges, and carve-out structures
Working knowledge of payer reimbursement policies and ability to connect policy language to audit concepts
Familiarity with AI tools such as Claude for contract, policy, and payer research
Advanced Excel skills and experience building and maintaining complex tracking tools or matrices

Benefits

Comp & perks

Equal employment opportunity workplace
Employment at will
Reasonable accommodation available during the application or recruitment process
E-Verify participation as required by applicable law