Hospital Contract Modeling Analyst

7 days ago


Houston, Texas, United States Memorial Hermann Health System Full time

At Memorial Hermann Health System, we strive for excellence in patient care and community service. If you're passionate about delivering high-quality, efficient healthcare services while creating exceptional experiences for our patients and employees, we invite you to apply for the Hospital Contract Modeling Analyst position.

About the Role

This role is responsible for building, loading, testing, and maintaining hospital third-party payer contracts in the contract modeling system. The analyst will analyze relevant data, translate it into reporting, and provide necessary determinations of adjustment to ensure maximization of values for contract negotiation purposes. The goal is to achieve optimal reimbursement while meeting the organization's financial and operational expectations.

The ideal candidate will have three years of experience in hospital contract modeling, preferably in Payment Integrity Compass (PIC) or Epic. They should possess effective oral and written communication skills, as well as the ability to analyze, problem solve, and apply critical thinking in a fast-paced environment. Strong organizational skills with the competency to work independently and part of a team are also required. Proficient Excel skills, including pivots and v-lookup functions, are essential for this role.

Key Responsibilities
  • Accurately loads, tests, and maintains executed hospital contracts in the contract modeling system.
  • Performs prospective modeling of proposed contracts, rate structure/value scenarios, and other changes impacting reimbursement to support payer negotiations.
  • Analyzes and determines the financial impact of government and commercial fee schedule/reimbursement changes to develop proposed adjustments.
  • Loads and maintains hospital contract reimbursement and terms in an internal database for applicable user and vendor accessibility.
  • Generates standard and ad-hoc reporting to facilitate critical decision-making specific to hospital reimbursement and associated impacts.
  • Supports Managed Care Contract Administrators with identification of opportunities, risks, errors, etc. in payer reimbursement proposals and counter-proposals.
  • Serves as a Subject Matter Expert (SME) in conjunction with the Managed Care Contract Administrator relevant to facility and/or professional contract reimbursement.
  • Collaborates with various internal stakeholder departments to address contract variances, discrepancies, and contributes to other third-party payer contract reimbursement-related projects.
What We Offer

We offer a competitive salary of $85,000 - $105,000 per year, depending on experience. In addition to a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) matching, and paid time off, we provide opportunities for professional growth and development through training and education programs.



  • Houston, Texas, United States SCG HEALTHCARE STAFFING Full time

    Job DescriptionWe are seeking a skilled Healthcare Reimbursement Analyst to join our team at SCG Healthcare Staffing. As a key member of our team, you will play a crucial role in managing hospital contracts, analyzing reimbursement data, and providing expert insights to support payer negotiations.Key Responsibilities:Accurately load, test, and maintain...


  • Houston, Texas, United States Jobot Full time

    Senior Financial Analyst Job DescriptionExciting opportunity with a growing company seeking a motivated and experienced Senior Financial Analyst to join our dynamic team.Key Responsibilities:Drive financial planning and forecasting: Develop and maintain complex financial models to support decision-making related to business issues, including valuation,...


  • Houston, Texas, United States SCG HEALTHCARE STAFFING Full time

    About the RoleThis is a highly specialized position within SCG Healthcare Staffing, requiring an individual with exceptional analytical and problem-solving skills to manage complex hospital contracts.Key ResponsibilitiesDevelop and maintain executed hospital contracts in the contract modeling system, ensuring accurate financial adjustments and netting...


  • Houston, Texas, United States My3Tech Full time

    Job Title: Senior Data Analyst and Snowflake ExpertWe are seeking a highly skilled and experienced Senior Data Analyst to lead a series of client projects at My3Tech. As a key member of our team, you will be responsible for leading the configuration of the Snowflake environment, designing best practices for data analysis, and working hands-on in extracting,...


  • Houston, Texas, United States WTS Energy Full time

    About the Role:WTS Energy, a leading solution supplier in the international Oil, Gas and Renewable Energy industries, is seeking a Business Analyst to support its Contracts & Operations Departments. The ideal candidate will have 4+ years of experience in Construction Accounting or Finance and a strong understanding of FAR/DFAR regulations.Job Summary:The...


  • Houston, Texas, United States Star Pipe Products Full time

    Job OverviewData Analyst - A Key Role in Business Decision Making    Star Pipe Products is seeking a skilled Data Analyst to support business decision making by analyzing sales and supply chain data. The successful candidate will have strong analytical skills, experience with machine learning concepts, and proficiency in Python and SQL.Key...

  • Commercial Analyst

    6 days ago


    Houston, Texas, United States Vitol Full time

    Job DescriptionJob Title: Commercial AnalystAs a Commercial Analyst at Vitol, you will play a crucial role in supporting the trading desk, ensuring a detailed position summary is kept for the trader and for the matrix as a whole. This involves consolidating various data from within the Vitol MIS infrastructure and external sources. You will also be...


  • Houston, Texas, United States Houston Methodist Cypress Hospital Full time

    About Houston Methodist Cypress HospitalHouston Methodist Cypress Hospital is a state-of-the-art medical facility located in the heart of the rapidly growing U.S. 290 corridor, scheduled to open in 2025.We are committed to providing high-quality patient care and excellent customer service. Our team is dedicated to making a positive impact on the lives of our...


  • Houston, Texas, United States INSPYR Solutions Full time

    Job OverviewWe are seeking a highly skilled Senior Business Compliance Data Analyst to join our team at INSPYR Solutions in Houston, TX.About the RoleThis is a 12+ month contract position that requires strong analytical and problem-solving skills, as well as excellent communication and collaboration abilities.ResponsibilitiesGather and analyze diverse sets...


  • Houston, Texas, United States Protouch Staffing Full time

    Job Summary:Protouch Staffing is seeking two Registered Nurses with three years of experience for a thirteen-week contract. This role involves working in a busy Level 1 Trauma hospital with a hybrid schedule of staffing and teaching responsibilities.About the Role:The ideal candidate must be open to floating and flexible on scheduling, with previous travel...


  • Houston, Texas, United States Saxon Global Full time

    **Job Title:** Senior Data Analyst**Job Summary:** We are seeking a highly skilled Senior Data Analyst to join our team at Saxon Global. The ideal candidate will have a strong background in data modeling, data analysis, and data visualization. They will be responsible for working with data architects and engineers to design, develop, and implement data...


  • Houston, Texas, United States Texas Orthopedic Hospital Full time

    Job SummaryAs a Registered Nurse House Supervisor at Texas Orthopedic Hospital, you will assume authority and responsibility for hospital operations in the absence of Administration with backup of a 24-hour Administrator on-call.Key Responsibilities:Assists in the development, planning, and achievement of Texas Orthopedic Hospital goals by communicating the...


  • Houston, Texas, United States Openwork Full time

    Business Analyst/Project Manager (Senior) Job DescriptionOpenwork is currently assisting Harris County in their search to fill a Business Analyst/Project Manager (Senior) position.Job SummaryAs a Business Analyst, you will identify, define, and document business processes and software requirements for 2 strategic enterprise projects, the e Learning...

  • Tax Analyst

    2 months ago


    Houston, Texas, United States Arthur Lawrence Full time

    About the Role:Arthur Lawrence is seeking a highly skilled Tax Analyst to join our team in Houston, TX. As a Tax Analyst, you will be responsible for providing financial analysis and reporting to support business decisions.Key Responsibilities:Prepare and review financial reports, including tax returns and financial statementsDevelop and maintain financial...


  • Houston, Texas, United States Houston Methodist Hospital Full time

    We hold ourselves and the careers we build to a higher standard.About UsHouston Methodist Hospital has earned worldwide recognition since its founding in 1919. We are affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation's leading centers for medical education and research. Our hospital was...


  • Houston, Texas, United States CAPCO Full time

    About the Role:CAPCO is looking for a skilled Risk Management Analyst to join our team. In this role, you will play a key part in developing and evaluating procedures, controls, and user requirements to identify gaps between the current state and future state.Key Responsibilities:Develop and evaluate procedures, controls, and user requirements to identify...


  • Houston, Texas, United States Positive Life Learning Full time

    Job OverviewWe are seeking a highly skilled and experienced Senior Behavior Analyst to join our team at Positive Life Learning. As a Senior Behavior Analyst, you will be responsible for providing support to individuals and their families by coordinating and providing services in Applied Behavior Analysis, function analyses and assessment, behavior...


  • Houston, Texas, United States INSPYR Solutions Full time

    Job Title: Senior Application Support Analyst (Sage/SysPro)Location: Houston, TX - REMOTEJob Description OverviewThis is a long term contract opportunity for a Senior Application Support Analyst to join our team at INSPYR Solutions. The role will involve providing expert-level technical support and maintenance for Sage and SysPro applications.Key...


  • Houston, Texas, United States Park Lawn Memorial Group, LLC. Full time

    About Us:Park Lawn Memorial Group, LLC. is a leading provider of funeral and cemetery services in the United States and Canada.Salary:$80,000 - $110,000 per year.Job Description:We are seeking a highly motivated and experienced Strategic Growth Analyst to join our Corporate Development team. This role will play a crucial part in driving business growth...


  • Houston, Texas, United States Mclaurin Aerospace Full time

    Role OverviewWe are seeking a highly skilled Senior Trajectory Analyst to join our team at Mclaurin Aerospace, supporting NASA's Genesis Development and Analysis Team. This position will work on the JETS II contract team at NASA Johnson Space Center in Houston, TX.