The Healthcare Finance Data and AI team translates healthcare data into measurable healthcare financial performance.
This role is dedicated to managed care contracting.
Learn to read payer contracts (commercial and government).
Model reimbursement terms in existing tools and enhance those tools with automation using SQL and Python.
Partner with contracting, revenue integrity, and patient financial services teams to ensure modeled rates and rules align with contract language and adjudication behavior.
Turn findings into clear, executive-ready recommendations.
Learn and interpret payer contracts.
Validate modeled results by reconciling remittance advice and historical payments; investigate and resolve discrepancies with root cause analysis.
Maintain a controlled library of contract models.
Build/optimize ETL/ELT pipelines to ingest fee schedules and contract artifacts; implement QA/validation checks.
Use advanced SQL to automate contract lookups, grouper logic, case mix normalization, and variance analytics.
Use Python for parsing artifacts, applying calculation engines, regression/variance checks, and generating validation reports.
Develop Power BI/Tableau dashboards for contract performance.
Own analytics workstreams; present findings that connect contract mechanics to RCM KPIs.
Work with Managed Care/Finance, Revenue Integrity/CDM, PFS, and IT/Data teams to align interpretation, data sources, and operationalization.
Support pursuits showcasing contract modeling capabilities and automation.
Enhance contract modeling tooling and contribute reusable assets.

Requirements

Bachelor's degree is required
Minimum ONE (1) year of experience in healthcare analytics, consulting, or adjacent healthcare services with measurable data driven outcomes (revenue cycle management exposure strongly preferred)
Experience building production-grade ETL/ELT processes and implementing data quality frameworks
Proficiency with BI/visualization tools (Power BI or Tableau) and strong Excel skills
Excellent communication—able to translate technical and contractual details into concise, executive-ready insights
Detail oriented, self-directed, collaborative teammate comfortable leading workstreams

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave and Adoption Assistance
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Student Loan PayDown
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
Mobility Stipend

Applicant Tracking System Keywords

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

Hard Skills & Tools

SQLPythonETLELTPower BITableaudata quality frameworksroot cause analysisvariance analyticscontract modeling

Soft Skills

communicationdetail orientedself-directedcollaborativeleadershipanalytical thinkingproblem solvingpresentation skillsteamworkexecutive communication