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Managed Care Contract Analyst

Remote · USA Full-time New today
Company Description:

USPh (U.S. Physical Therapy) is one of the largest publicly traded, independent operators of leading physical and occupational therapy clinics dedicated to enhancing patient outcomes through a collaborative, partnership-driven model. We partner with close to 700 clinics nationwide, across 44 states, offering them the resources, operational support, and clinical expertise needed to thrive in today’s healthcare landscape.

By aligning with the USPh network, our partners benefit from operational support and a shared commitment to evidence-based care, all while maintaining their autonomy and local identity.  

We believe that the strength of our partnerships lies in the individuality of each partner. Our “OnePartner” model is designed to allow clinics to maintain their unique culture and identity, empowering them to foster meaningful relationships within their communities. By preserving their local roots, clinics can continue to build trust with patients and referral sources, while attracting top talent who value the chance to be part of a personalized, community-centered environment.

Job Description:

We are seeking a highly motivated, detail‑oriented, and autonomous professional with a positive attitude to join our Managed Care Operations team, focusing specifically on healthcare contract analysis and reimbursement methodologies. This Managed Care Analyst role is ideal for someone who thrives in a fast‑paced environment, enjoys analytical work, and is committed to supporting accurate and strategic managed care contracting.

Key Responsibilities

  • Interpret healthcare managed care contracts and government reimbursement methodologies to accurately build contract modeling calculations.
  • Prepare pre‑negotiation analyses to support the development of effective payer contract negotiation strategies.
  • Define, develop, and execute modeling and analytical processes for new and updated fee schedules and contracts.
  • Query EMR and Practice Management Systems to gather data required for precise and comprehensive analysis.
  • Collaborate with other Managed Care Operations teams on complex projects, providing analytical support as needed.
  • Assist in creating new modeling templates, tools, and analytical frameworks to enhance team efficiency and accuracy.
  • Perform additional analyses and job‑related duties as assigned
Qualifications:

• Ability to thrive in a dynamic, fast paced environment while demonstrating strong organization, attention to detail, flexibility, and consistent accuracy

• Ability to adapt effectively within both decentralized operations models and centralized department structures

• Minimum of two years of analytical experience in the healthcare industry, with extensive knowledge of healthcare reimbursement methodologies and concepts

• Strong oral and written communication skills, with the ability to work independently and apply a high degree of critical thinking

• Bachelor’s degree in economics, finance, or a related discipline preferred

• Proficiency in financial impact analysis, impact modeling, predictive modeling, and data manipulation

• Advanced Excel skills, including experience working with large datasets, building complex reports, using lookup formulas, creating pivot tables, and applying advanced functions/formulas

• Solid understanding of Medicaid and Medicare programs, as well as payer contract language

• Customer service oriented with the ability to build and maintain strong working relationships

• Proven ability to manage multiple projects simultaneously and meet established deadlines

Additional Information:

All your information will be kept confidential according to EEO guidelines.

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