Contract Compliance Analyst - Managed Care

Contract Compliance Analyst – Managed Care Join Maury Regional Health as a Contract Compliance Analyst and put your analytical skills, attention to detail, and knowledge of healthcare reimbursement to work supporting accurate insurance payments and effective managed care operations. Play an important role in identifying payment discrepancies, resolving reimbursement issues, and protecting the financial integrity of our health system while advancing our mission of delivering Clinical excellence.

Compassionate care. Every patient. Every day. Location Maury Regional Medical Center 1222 Trotwood Ave, Suite 400 Columbia, TN 38401 Shift Full-Time Day Shift, 7a - 3:30p Job Summary The Contract Compliance Analyst plays an essential role in supporting the financial integrity and reimbursement accuracy of Maury Regional Health through effective managed care contract oversight.

This position helps ensure insurance payments align with established contractual agreements while identifying opportunities to improve revenue recovery and payer accountability. As a valued member of the Managed Care team, the Contract Compliance Analyst contributes to financial performance, operational efficiency, and the organization's commitment to responsible stewardship of healthcare resources.

Responsibilities

Analyze account-level payment reports to identify reimbursement variances, underpayments, and other discrepancies between actual insurance payments and established managed care contract terms. Review patient account details, payer reimbursement methodologies, and contractual agreements to determine accurate expected payments and evaluate compliance with negotiated reimbursement terms.

Investigate payment discrepancies to identify root causes, including payer processing errors, contract interpretation issues, and other reimbursement-related concerns that affect payment accuracy. Initiate and coordinate internal or external escalation processes to resolve payment discrepancies, communicate with insurance companies regarding identified errors, and request appropriate claim reprocessing or payment corrections.

Monitor outstanding payment variances and pending accounts, perform timely follow-up with payers and internal departments, and track resolution progress to ensure identified reimbursement issues are addressed. Maintain current knowledge of payer policies, reimbursement guidelines, and managed care contract requirements while collaborating with internal teams to support contract performance, accurate reimbursement, and continuous improvement of departmental processes.

Qualifications

Associate Degree (Preferred) Bachelor's Degree (Preferred) 2 Years of Contract Compliance Experience (Preferred) Why Maury Regional Health Join an award-winning health system committed to serving the healthcare needs of southern Middle Tennessee! Benefit-eligible positions include: Comprehensive Medical, Dental, and Vision plans Employer-paid life insurance Retirement savings plan with employer-matching Paid Time Off (PTO) Educational Assistance, Tuition Reimbursement and Student Loan Forgiveness Career advancement navigation opportunities Adoption assistance services Financial planning programs Maury Regional Health is committed to the principles of Equal Employment Opportunity in all aspects of the employer/employee relationship.

Maury Regional Health grants equal employment opportunities to all qualified persons without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), national origins (including ancestry), genetic information, disability, age, military/national guard/veteran status, sexual orientation, gender identity, or gender expression, or other status protected by state or federal law.

Statements made by applicants for employment on this application form will be checked for accuracy. Maury Regional Health campuses are tobacco-free. All tobacco use is prohibited.