Payor Contracting & Partnerships Senior Analyst

Position Details

The Multi-State and Multi-Site Dermatology Group, Optima Dermatology, is seeking a Payor Contracting & Partnerships Senior Analyst to enhance payor partnerships as a strategic advantage for the practice. The full-time position is based in Portsmouth, NH.

Responsibilities

• Model Payor positions in each market, considering revenue, utilization, provider types, and lines of business, and navigate challenging or fragmented data environments.
• Develop and execute on a strategy for each deal, and prepare presentations for payor meetings.
• Own all administrative and coordination functions associated with the department, including maintaining detailed notes of all communications with payors and utilizing Asana for project management.
• Manage all communications with payors, develop thoughtful presentations for all meetings, and map out clear negotiation strategies for each deal.
• Review and negotiate contracts through to signature, including managing Optima leadership review and approval, particularly for any terminations or contract extensions.
• Maintain detailed tracking of all Payor contract renewals and notices, and deal terms, and review these on a weekly basis with Optima leadership.
• Track and report on department Key Performance Indicators (KPIs) at regular cadences.
• Plan deals for the next twenty-four (24) months and develop target outcomes for each deal.
• Review chargemasters following the completion of deal negotiations, and update these at least every six (6) months to ensure charges are never less than the highest contracted rate.

Skills & Attributes

• Expertise in producing detailed analyses, modeling, collecting data, and designing data models.
• Experience leading or supporting complex negotiations.
• Strategic ability to develop, quantify, explain, and present valuable ideas to advance a negotiation.
• Highly proficient in developing and preparing PowerPoint (PPT) presentations.
• Excellent communication skills both verbally and in writing, translating to presentations, white papers, letters, and email correspondence with an eye toward moving a negotiation forward to a desired outcome.
• Strong organizational and detail-oriented skills, with the ability to manage multiple deadlines and close with key stakeholders.
• Results and outcomes-oriented.
• Strong work ethic and highly motivated; willing to take responsibility and work in a fast-paced environment.
• Technologically savvy with the aptitude to learn new systems and processes that drive efficiency, such as Salesforce (CRM), Asana (project management), Modernizing Medicine (practice management), Microsoft Office, including Excel (modeling), navigating SharePoint and other file management applications.
• Articulate and present well, with a compelling presence.
• Solution-oriented mindset.

Experience

• 2+ years of experience in an external-facing role with strong interpersonal skills and proven ability to establish a rapport with external stakeholders.
• Proven experience in payor contracting, either directly or in a supporting role, with preference given to Payor Network Management experience.
• Experience developing strategies with subsequent presentations and proposals.
• Strong project lead/management skills.

Capacity and Abilities

This role demands strong ownership, initiative, and the ability to perform effectively in a fast-paced environment. Successful candidates are comfortable working independently, navigating imperfect data and systems, and taking responsibility for driving work forward. Candidates should be prepared to invest significant time and effort to learn the role, develop analyses, presentations, and negotiation strategies that support successful outcomes.