Managed Care Contract Analyst

Prisma Health

. Coordinate system-wide hospital and physician services contracting initiatives and contract management .

Posted 10/12/2026full-timeRemote • South Carolina • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managed-care contracting, including strategy formulation, contract management, and compliance. Proficient in analyzing financial impacts and maintaining relationships with payers and internal stakeholders.

Highest-signal resume keywords

Managed-Care ExperienceContract ManagementNegotiation TechniquesDatabase ProficiencyHealthcare Administration

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Contracting StrategyContract Language ReviewPayer Contract ProcessingFinancial AnalysisMathematical Skills

Soft Skills

Problem-Solving SupportProactive CommunicationRelationship Development

Tools & Technologies

Word ProcessingSpreadsheetsDatabase Management

Industry Keywords

Health-Insurance IndustryManaged-Care ContractingProvider RelationsHealthcare Administration

About the role

Key responsibilities & impact

Coordinate system-wide hospital and physician services contracting initiatives and contract management
Formulate contracting strategy and manage contract terms and performance
Coordinate implementation and servicing of contracts across the entire system
Assist with system-wide managed care education and communication
Review contract language and recommend language, reimbursement changes, terms, and provisions with payors
Coordinate and assist in processing payer contracts and amendments within specified time frames
Implement contracts and amendments with team members and internal departments
Track and monitor contracts, amendments, and renewals in a database
Provide problem-solving support to affiliates and departments
Obtain and distribute payer manual changes, bulletins, benefit plan changes, and other payer documents
Conduct proactive communication, contract compliance, and educational sessions
Develop and maintain relationships with payers and internal customers
Analyze the financial and operational impact of procedural changes implemented by payers
Develop and maintain contracting decision-making and tracking tools
Participate in special projects assigned by the Director or Vice President of Contracting
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in Business or a related field
Three (3) years of managed-care experience
Experience in a contracting or provider relations role preferred
In lieu of the education and experience requirements: high school diploma and five (5) years of managed care experience in healthcare administration, health insurance, provider contracting, or a related field may be considered
Knowledge of the health-insurance industry, specifically managed-care contracting operations and negotiation techniques
Knowledge of office equipment (fax/copier)
Proficient computer skills (word processing, spreadsheets, database)
Mathematical skills