Payor Contracting Senior Associate

About the Role

The Remote Payor Contracting Senior Associate will have primary responsibility for all matters related to payor contracting on behalf of the largest dermatology group in the country. This includes reviewing, understanding, and negotiating payor contract documents with a primary focus on securing rate increases.

Responsibilities

• Negotiate payor contracts to address all components: non-economic, operational, and financial terms, all with the goal of achieving employer targets.
• Analyze payor fee schedules against Medicare reimbursement, compare to competitor rates, and evaluate proposals for new rates.
• Collaborate with internal teams to implement contract terms, troubleshoot issues, and integrate new practices into existing agreements.
• Perform other related duties as assigned.

Requirements

• Bachelor’s Degree required; Master’s Degree preferred.
• 7+ years of significant experience negotiating payor contracts (payor- or provider-side).
• In-depth knowledge of provider reimbursement methodologies.
• Critical thinking skills, attention to detail, decisive judgment, and the ability to work with minimal supervision.
• Ability to undertake complex data analysis related to reimbursement models.
• Proficiency with Microsoft Word, Excel, and PowerPoint.
• Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.
• Must be able to work under strict deadlines.
• Demonstrated leadership experience; may coach Payor Contracting Associates.
• Ability to maintain confidentiality of information.

Skills

• Personality to establish and maintain positive working relationships with payor staff.
• Serve as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and responding to organizational change.

Physical Demands

• Manual dexterity for typing and computer use.
• Visual acuity for reading screens and documents.
• Verbal communication via phone or in person.

Pay

For this position, the base pay range is $115,000 - $130,000 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education, certifications, or training.