Contract & Reimbursement Analyst II

Elevate Patient Financial Solutions has an exciting career opportunity available as a Contract & Reimbursement Analyst. This position will be a remote based role. The Full Time schedule for this role will be Monday - Friday- hours will be determined with manager based on Time Zone . As part of the Revenue Cycle Analytics (RCA) department, the Contract and Reimbursement Analyst II supports hospital pricing analytics, including reviewing, clarifying, and entering contract terms; confirming rates; building stop‑loss definitions; and ensuring payer product line accuracy within the pricing portal. ESSENTIAL DUTIES AND RESPONSIBILITIES Contract Review & Pricing Support Ensures latest contract rates and terms are available. Requests clarification from clients on missing information or reimbursement interpretations. Builds stop‑loss definitions. Confirms correct plan code affiliations. Identifies payer product line evolution and updates the pricing portal accordingly. Special Projects Creates price uploads following model approval. Builds client pricing transparency files for online publication under federal requirements. Assists with room‑rate and lesser‑of analyses. Quality Assurance Support Compares annual pricing models to ensure data integrity Troubleshoots process issues for root cause Assists with creation and implementation of QA programs Communicates updates, issues, and concerns to leadership. Communicates with clients to confirm contract terms and intentions. Performs other duties as assigned. Remote and Hybrid positions require a home internet connection that meets the company’s upload and download speed criteria To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or abilities. Required Education Bachelor’s degree or equivalent experience Required Knowledge 3–5 years of hospital managed care contracting experience Extensive expertise in reimbursement methodologies across hospitals, physicians, ancillary services, and health plans Comprehensive understanding of DRGs, CPTs, Revenue Codes, Charge Codes, and ICDs, as well as advanced analytical concepts and procedures In-depth knowledge of Medicaid and Medicare fee schedules Proficient in data-mining products and principles Solid background in healthcare finance and business principles Required Skills Exceptional abilities in organizing and keeping thorough records Outstanding skills in both spoken and written communication Advanced proficiency in interpreting and analyzing contracts Skilled in using Microsoft Office tools such as Excel, Word, Outlook, Visio, and Teams Excellent at delivering presentations and building relationships Capable of juggling multiple tasks, applying analytical thinking, making decisions, mapping data, and solving complex problems High competence in processing patient accounts Effective project management, strong problem-solving, and mathematical capabilities Required Attributes Demonstrates excellent logic, reasoning, and attention to detail; maintains a professional, assertive, and collaborative approach. Quick learner with strong judgment and robust financial acumen. Possesses high self-awareness; works independently with initiative and a focus on results, while also committed to collective success in a team environment. Benefits ElevatePFS believes in making a positive impact not only within our industry but also with our employees –the organization’s greatest asset! We take pride in offering comprehensive benefits in a vast array of plans that contribute to the present and future well-being of our employees and their families. Medical, Dental & Vision Insurance 401K (100% match for the first 3% & 50% match for the next 2%) 15 days of PTO 7 paid Holidays 2 Floating holidays 1 Elevate Day (floating holiday) Pet Insurance Employee referral bonus program Teamwork: We believe in teamwork and having fun together Career Growth: Gain great experience to promote to higher roles The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, location, specialty and training. This pay scale is not a promise of a particular wage. The job description does not constitute an employment agreement between the employer and Employee and is subject to change by the employer as the needs of the employer and requirements of the job change. ElevatePFS is an Equal Opportunity Employer