Exact Sciences · 7 hours ago
Contract Compliance Analyst III
Madison, WI
Full-time, Contract
Onsite
Mid Level
$51K/yr - $84K/yr
3+ years expExact Sciences is dedicated to changing how the world prevents, detects, and guides treatment for cancer. The Contract Compliance Analyst III will facilitate contract implementation and revenue activities, ensuring compliance with reimbursement processes and collaborating with various teams to optimize operational goals.
BiotechnologyHealth DiagnosticsManufacturingMedical
No H1B
Responsibilities
Develop communication for contracts, amendments, and notifications for the internal Revenue Cycle Team (RCT) customers and collaborate with the Field Managed Care team in negotiations with payers for operational optimization
Play a role in the development and maintenance of a contract database and contract management system, working with the credentialing and legal teams
Collaborate with finance and analytics to identify, analyze, and determine next steps to address negative revenue pull-through scenarios specific to payers and across payer segments; including Medicare Advantage, Blues, Medicaid, etc
Collaborate with RCT Managers and specialists to develop and leverage relationships with billing operations staff and payers when resolving claim adjudication issues, both contractual and non-contractual
Support execution of pull-through plans to meet quarterly/annual revenue recovery goals
Identify broad revenue opportunities that span a particular customer segment; including utilizing Content Management Systems (CMS) for noncontracted Managed Medicare non-payments and the Employer Coalition initiative
Consistently identify opportunities to recover revenue
Collaborate with the Managed Care team to identify and prioritize plan(s) utilizing key payers for targeted efforts to impact coverage policy decisions
Facilitate conversations with appropriate Exact personnel early in the contracting process to provide an overview of the account to avoid delay in implementation down the road
Strong attention to detail and organizational skills
Strong analytical skills
Ability to drive to results with a high emphasis on quality
Ability to present recommendations supported by analytical evaluations
Strong ability to prioritize and multi-task
Ability to integrate and apply feedback in a professional manner
Excellent communication, both written and verbal, across internal and external personnel
Ability to collaborate and work effectively as a team member
Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork
Support and comply with the Quality Management System team’s policies and procedures
Maintain regular and reliable attendance
Ability to act with an inclusion mindset and model these behaviors for the organization
Ability to work designated schedule
Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day
Ability to work on a computer and phone simultaneously
Ability to use a telephone through a headset
Qualification
Required
3+ years of experience in billing/reimbursement, coverage, claims, and appeals
Demonstrated understanding of public and private Managed Care payers and reimbursement process
Demonstrated understanding of market-related issues, contract basics, product coverage, and pull through rationale
Proficient with Excel and Epic or similar database; demonstrated ability to maintain competency levels
Demonstrated ability to perform the Essential Duties of the position with or without accommodation
Applicants must be currently authorized to work in country where work will be performed on a full or part-time basis. We are unable to sponsor or take over sponsorship of employment visas at this time
Strong attention to detail and organizational skills
Strong analytical skills
Ability to drive to results with a high emphasis on quality
Ability to present recommendations supported by analytical evaluations
Strong ability to prioritize and multi-task
Ability to integrate and apply feedback in a professional manner
Excellent communication, both written and verbal, across internal and external personnel
Ability to collaborate and work effectively as a team member
Uphold company mission and values through accountability, innovation, integrity, quality, and teamwork
Support and comply with the Quality Management System team's policies and procedures
Maintain regular and reliable attendance
Ability to act with an inclusion mindset and model these behaviors for the organization
Ability to work designated schedule
Ability to work on a mobile device, tablet, or in front of a computer screen and/or perform typing for approximately 90% of a typical working day
Ability to work on a computer and phone simultaneously
Ability to use a telephone through a headset
Preferred
Knowledge of and/or experience with government Managed Care payers
Knowledge of billing and coding
Benefits
Paid time off (including days for vacation, holidays, volunteering, and personal time)
Paid leave for parents and caregivers
A retirement savings plan
Wellness support
Health benefits including medical, prescription drug, dental, and vision coverage
Company
Exact Sciences
Exact Sciences offers a portfolio of cancer screening and diagnostic tests that span from early detection to treatment monitoring.
5001-10000 employees
Funding
Current Stage
Public CompanyTotal Funding
$2.75B2025-06-20Acquired
2024-04-11Post Ipo Debt· $620.7M
2023-02-23Post Ipo Debt· $500M
Leadership Team
Kevin Conroy
Chairman & CEO
Aaron Bloomer
Executive Vice President, CFO
Recent News
2026-01-23
legacy.thefly.com
2026-01-23
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