Payer Contract Analyst

At Summit Orthopedics, the Payer Contract Analyst supports a patient-first organization focused on collaboration, service, and excellence.

Reporting to the Manager of Financial Planning & Analysis, this role interprets, models, maintains, and monitors payer contract reimbursement terms. The analyst partners with Revenue Cycle, Operations, and Finance to ensure payer contracts are accurately represented in the contract management system and that payments align with contractual intent.

Key responsibilities include:

• Serving as system administrator for Strata Decision Technology’s Contract Analytics platform
• Building and maintaining reimbursement models for payer contracts
• Translating contract language into expected reimbursement logic
• Analyzing payer proposals and policy changes to model financial impact
• Supporting payer rate negotiations, contract renewals, and underpayment audit processes
• Validating expected reimbursement calculations against actual payments and monitoring for compliance issues
• Assessing Price Transparency data and supporting regulatory compliance
• Preparing contract performance reports and payer scorecards
• Performing ASC case costing, profitability analysis, and special request analysis
• Preparing ad hoc reports and additional analyses as assigned