Payer Contract Analyst

At Summit Orthopedics, we recognize the impact each member of the Summit Family has on one another and on our patients every day. Join a patient-first environment where our values — B etter together, O wn it, N imble, E xcellence, and S ervice — are lived down to our BONES. At Summit, team members feel respected, valued, and connected to meaningful work, contributing to a collaborative, community-centered culture built on mutual respect and enjoyment.

Under the direct supervision of the Manager of Financial Planning & Analysis, the Payer Contract Analyst will be responsible for interpreting, modeling, maintaining and monitoring payer contract reimbursement terms. The role will partner with Revenue Cycle, Operations and Finance to ensure payer contracts are accurately represented in contract management system and that payments align with contractual intent.

Serves as System Administrator of Strata Decision Technology’s Contract Analytics platform

Sign-on bonuses included in job postings are intended to support external recruiting efforts and generally do not apply to current Summit employees who transfer or move into another position within Summit.

Summit Orthopedics provides the Twin Cities, Greater Minnesota and Western Wisconsin with the full spectrum of orthopedic care including sub-specialty clinics, walk-in care at our Orthopedic Urgent Care clinics, imaging, bracing, therapy, surgery, and post-surgical stays at our Care Suites. Our expert team of physicians, surgeons, physician assistants, certified athletic trainers and therapists are part of the 1100+ employees who partner to provide quality care designed to support a healthier, more active lifestyle.

Summit Orthopedics is committed to providing equal opportunity to all employees and applicants for employment in accordance with all applicable laws and regulations of federal, state and local governing boards and/or agencies.

Responsibilities

• Builds and maintains reimbursement models for payer contracts

Translates contract language into expected reimbursement logic

• Analyzes payer proposals or policy changes and models financial impact
• Supports payer rate negotiations, contract renewals and underpayment audit process
• Validates expected reimbursement calculations against actual payments and monitors for compliance or issue escalation
• Assesses Price Transparency data and assists with ensuring Summit is compliant with regulations

Prepares contract performance reports and payer scorecards

• Performs Ambulatory Surgery Center (ASC) case costing, profitability analysis and special requests, providing recommendations for place of service
• Prepares ad hoc reports and analysis, and performs other duties, as assigned

Pay

• Summit's hiring range for this position is $67.811.43 to $84,764.29 annually.
• The hired candidate may be eligible to receive additional compensation in the form of bonuses, differentials and/or deferred compensation.
• In addition to our base salary, we offer a comprehensive total rewards package that aligns with our vision of leading a healthy and active lifestyle.
• If you are hired at Summit, your final base salary compensation will be determined based on factors such as skills, education, experience, and internal equity.

Benefits

• This includes medical, dental, vision, disability, life insurance, paid time off and 401(k)/profit sharing retirement plan.