{"schemaVersion":"jobsearcher.job.v1","id":"aa93bb80e2629ce8bdfaeff9","url":"https://jobsearcher.com/jobs/aa93bb80e2629ce8bdfaeff9","canonicalUrl":"https://jobsearcher.com/jobs/aa93bb80e2629ce8bdfaeff9","title":"Revenue Cycle Analyst | Remote","description":"Managed Care Underpayment & Contract Compliance SpecialistDrive systematic underpayment recovery and contract compliance validation across commercial, Medicare Advantage, and Medicaid managed care payer portfolios. This contract engagement applies deep revenue cycle expertise to evaluate automation-assisted payment variance detection and support the development of next-generation contract intelligence tools.$85/hr | Flexible | RemoteKey ResponsibilitiesIdentify and recover underpayments and payment variances across payer contracts, applying working knowledge of DRG-based, per diem, percent-of-billed charges, and fee schedule reimbursement methodologiesInterpret complex payer contract terms — including fee schedules, carve-outs, outlier provisions, and bundled payment structures — to validate claim payments and flag systematic discrepanciesConduct contract modelling and payment reconciliation to uncover patterns of underpayment across payer classes; develop and submit recovery correspondence accordinglyEvaluate model-generated underpayment alerts, contract compliance outputs, and payment variance analyses for clinical and financial accuracy, providing structured annotation and feedbackMonitor recovery performance metrics including identified underpayment volume, recovery rates, and payer dispute response timelinesIdentify contract language gaps and escalate renegotiation opportunities to managed care contracting leadershipCore RequirementsDemonstrated expertise in underpayment recovery, payment variance analysis, or managed care contracting with a track record in complex multi-payer environmentsDeep command of payer payment methodologies across DRG, per diem, percent-of-billed charges, and fee schedule structuresProven ability to conduct contract modelling, payer dispute resolution, and reconciliation at scaleProficiency in Excel-based financial analysis and familiarity with revenue cycle analytics platforms or contract management systemsWorking knowledge of HIPAA compliance requirements and timely filing standards applicable to underpayment recoveryExceptional written communication skills; ability to produce precise recovery correspondence and structured analytical documentationAdditional StrengthsCHFP, CRCR, or managed care contracting certification (Experian Health, Recondo, or equivalent platform experience a plus)Background in hospital, health system, or large physician group underpayment operations with exposure to executive-level underpayment reportingComfort evaluating and annotating automation-generated outputs within a structured feedback workflowApplications will be reviewed only via LinkedIn Easy Apply.#LI-CH","company":"Capitexai","rawCompany":"capitexai","isRemote":true,"isActive":false,"createdAt":"2026-07-04T10:55:45.446Z","occupations":[{"code":"13-2011.00","title":"Accountants and Auditors","slug":"accountants-and-auditors"},{"code":"13-2099.00","title":"Financial Specialists, All Other","slug":"financial-specialists-all-other"},{"code":"13-2031.00","title":"Budget Analysts","slug":"budget-analysts"}],"industries":[{"code":"541618","title":"Other Management Consulting Services","slug":"other-management-consulting-services"},{"code":"541611","title":"Administrative Management and General Management Consulting Services","slug":"administrative-management-and-general-management-consulting-services"},{"code":"541511","title":"Custom Computer Programming Services","slug":"custom-computer-programming-services"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Revenue Cycle Analyst | Remote","description":"Managed Care Underpayment & Contract Compliance SpecialistDrive systematic underpayment recovery and contract compliance validation across commercial, Medicare Advantage, and Medicaid managed care payer portfolios. This contract engagement applies deep revenue cycle expertise to evaluate automation-assisted payment variance detection and support the development of next-generation contract intelligence tools.$85/hr | Flexible | RemoteKey ResponsibilitiesIdentify and recover underpayments and payment variances across payer contracts, applying working knowledge of DRG-based, per diem, percent-of-billed charges, and fee schedule reimbursement methodologiesInterpret complex payer contract terms — including fee schedules, carve-outs, outlier provisions, and bundled payment structures — to validate claim payments and flag systematic discrepanciesConduct contract modelling and payment reconciliation to uncover patterns of underpayment across payer classes; develop and submit recovery correspondence accordinglyEvaluate model-generated underpayment alerts, contract compliance outputs, and payment variance analyses for clinical and financial accuracy, providing structured annotation and feedbackMonitor recovery performance metrics including identified underpayment volume, recovery rates, and payer dispute response timelinesIdentify contract language gaps and escalate renegotiation opportunities to managed care contracting leadershipCore RequirementsDemonstrated expertise in underpayment recovery, payment variance analysis, or managed care contracting with a track record in complex multi-payer environmentsDeep command of payer payment methodologies across DRG, per diem, percent-of-billed charges, and fee schedule structuresProven ability to conduct contract modelling, payer dispute resolution, and reconciliation at scaleProficiency in Excel-based financial analysis and familiarity with revenue cycle analytics platforms or contract management systemsWorking knowledge of HIPAA compliance requirements and timely filing standards applicable to underpayment recoveryExceptional written communication skills; ability to produce precise recovery correspondence and structured analytical documentationAdditional StrengthsCHFP, CRCR, or managed care contracting certification (Experian Health, Recondo, or equivalent platform experience a plus)Background in hospital, health system, or large physician group underpayment operations with exposure to executive-level underpayment reportingComfort evaluating and annotating automation-generated outputs within a structured feedback workflowApplications will be reviewed only via LinkedIn Easy Apply.#LI-CH","datePosted":"2026-07-04T10:55:45.446Z","dateModified":"2026-07-04T10:55:45.446Z","hiringOrganization":{"@type":"Organization","name":"Capitexai","sameAs":"https://jobsearcher.com"},"jobLocationType":"TELECOMMUTE","applicantLocationRequirements":{"@type":"Country","name":"US"},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"aa93bb80e2629ce8bdfaeff9"},"url":"https://jobsearcher.com/jobs/aa93bb80e2629ce8bdfaeff9"}}