Hershey, Pennsylvania
Hershey, Pennsylvania
Framingham, Massachusetts
Moorestown, New Jersey
Jamaica Plain, Massachusetts
Denver, Colorado
Posted: 20-Apr-26
Location: Denver, Colorado
Categories:
Internal Number: R15819
We're with you for life’s journey. At Denver Health, purpose isn’t just something we believe in-it’s something we live every day, for life’s journey.
Our Values
Respect | Belonging | Accountability | Transparency
Department
Payer ContractingJob SummaryUnder the general supervision of the Contract Payer Manager, the Payer Contract Analyst is responsible for overseeing and managing all Payer contracts on behalf of Denver Health & Hospital Authority. The Payer Contract Analyst reviews and manages all payer contract terms for both internal and external stakeholders. This position works closely with the Contract Payer Manager to ensure processes are in place and contractual measures are met. The Payer Contract Analyst collaborates with internal and external stakeholders to understand payer specific data, contractual requirements and operational issues.
Essential Functions:
- Develops and maintains contract management resources and tools. (10%)
- Builds and manages the contract management software system for the department. (10%)
- Accurately enters contract-related data into contract management system to maintain and manage contract records and monitor contract compliance. (10%)
- Ensures all resources are updated with the new contract information and the new information is communicated to all appropriate staff prior to contract effective date. (10%)
- Interprets third party payer contract language and understands contract details and the major provisions of agreements as they relate to day to day operations (e.g. timely filing limits, refunds, rate schedules, term notices, facility credentialing requirements, etc.). (10%)
- Develops strong relationships with internal and external customers and serves as an escalation point between third party payers and internal departments such as Revenue Cycle, Registration, Patient Access and Medical Staff Office to resolve issues related to contracting, billing, payments, registration and provider roster issues. (5%)
- Negotiates single case agreements to capture financial reimbursement from non-contracted entities. (5%)
- Assists in specific contract negotiations, financial modeling and contract follow up for special projects. (5%)
- Ensures the department possesses relevant knowledge of Payer Enrollment requirements of various third party payers, Medicare and Medicaid, and maintains the delegated payer credentialing status. (5%)
- Collaborates with Medical Staff Office to collect and submit accurate information for the provider directories; updates, audits and sends provider rosters to commercial payers in compliance with NCQA standards. (5%)
- Oversees, updates and maintains provider credentialing databases, such as CAQH. (5%)
- Maintains Denver Health facility and clinic credentialing with third party payers.. (5%)
- Promotes professional growth and development through leadership activities and continuing education and training. (5%)
- Maintains involvement in local/regional/national professional organizations. (5%)
- Maintains current knowledge of payer and market industry changes and trends and communicates results to the department and other staff. (5%)
Education:
- Bachelor's Degree Business Administration, Health Care Administration, or related health care field. Required
Work Experience:
- 4-6 years Minimum five or more years of recent healthcare, insurance or practice management experience. Required and
- 1-3 years Minimum three years of contract management experience. Required
Licenses:
Knowledge, Skills and Abilities:
- Strong knowledge of Managed Care contracts is required. Advanced understanding of CPT, HCPCS, ICD-10 and various reimbursement methodologies such as Medicare/ Medicaid and third party billing requirements. Extensive knowledge and experience with Medicare/ Medicaid regulations.
- Excellent verbal and written communication, leadership, delegation, collaboration and interpersonal skills.
- Strong working knowledge of billing and collection processes and functions, general revenue cycle management strategies and industry best practices.
- Detail Oriented and have a strong ability to multi-task with ability to exercise judgment in differing situations.
- Utilizes software applications and working knowledge of the following information systems to include accessing information, updating, correcting and/ or deleting data. General knowledge related to various software applications and their capabilities. Microsoft Office applications: Word, Excel, Access, PowerPoint and Outlook and other applications as needed.
- Ability to be resourceful, customer-service oriented and independently problem-solve is required.
- Ability to independently define problems and develop relative solutions, collect data, establish facts, and draw valid conclusions.
- Proficient in Microsoft Word and Excel with excellent computer skills.
Shift
Work Type
RegularSalary
$64,600.00 - $93,700.00 / yrBenefits
At Denver Health, we take care of the people who take care of our community. Our benefits are built to support your life, your family, and your future - with generous paid time off, fully paid parental leave, exceptional retirement contributions, comprehensive health coverage, and nationally recognized well-being programs. We invest in your growth through tuition assistance, career advancement pathways, and professional development - while also offering meaningful financial advantages through loan forgiveness eligibility and employer contributions. When you join Denver Health, you’re joining a mission-driven organization that invests in you.
Here is a small list of our benefit programs:
Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
100% paid parental leave up to 6 weeks
Immediate eligibility for retirement plans with employer contribution up to 9.5%
Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
Free RTD EcoPass (public transportation)
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer
About Denver Health
Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver’s 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, the Public Health Institute at Denver Health, Denver Health Medical Plan and Denver Health Foundation.
As Colorado’s primary, and essential, safety-net health care system, Denver Health is a mission-driven organization that has provided millions in uncompensated care for the uninsured each year.
Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer.
Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Applicants will be considered until the position is filled.