Payor Contracting Senior Associate - Remote

Remote, USA Full-time
Overview: 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, including but not limited to: reviewing, understanding, and negotiating payor contract documents. The primary focus will be on securing rate increases. Responsibilities: • Negotiate payor contracts to address all components of payor contracts: 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, trouble shoot issues, and integrate new practices into existing agreements. • Perform other related duties as assigned. Qualifications: Required Competencies and Skills: • Significant experience negotiating payor contracts (payor- or provider-side). • In-depth knowledge of provider reimbursement methodologies. • Possess 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. • Personality to establish and maintain positive working relationships with payor staff. • 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. Serve as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and in response to organizational change. May coach Payor Contracting Associates. • Ability to maintain confidentiality of information. Education and Skills: • Bachelor's Degree • Master's Degree • 7-10 Years of experience Physical Demands • Manual dexterity for typing and computer use • Visual acuity for reading screens and documents • Verbal communication via phone or in person For this position, the base pay range is $110,000-$120,000 per year. This position is eligible for our annual incentive program. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education, certifications or training. Apply tot his job
Apply Now

Similar Jobs

Managed Care Contracts Sr Analyst

Remote, USA Full-time

[Hiring] Payor Contracting Specialist @Maxor National Pharmacy Services, LLC

Remote, USA Full-time

(US) Network Activation Rep - Acute & Payer (12 Month Contract)

Remote, USA Full-time

Contract Compliance Analyst – Healthcare Revenue Cycle (REMOTE)

Remote, USA Full-time

PAYROLL SUPERVISOR (HYBRID-CHARLOTTE, NC)

Remote, USA Full-time

Program Manager- Payroll Testing - (Hybrid)

Remote, USA Full-time

Secondary Math Teacher job at Pearson Virtual Schools in ID

Remote, USA Full-time

Healthcare Assessor​/Coach

Remote, USA Full-time

Digital Print Technician - ( Regular Full-Time ) Owantonna, MN

Remote, USA Full-time

Pearson – HR Business Partner II (Remote) – Columbia, MD

Remote, USA Full-time

Chief Legal Officer/General Counsel Coach

Remote, USA Full-time

Experienced Customer Support Specialist for blithequark – Delivering Exceptional Service for Apple Products and Services in a Remote Work Environment

Remote, USA Full-time

We’re Hiring: Account Executive at an Award-Winning Boutique PR Agency

Remote, USA Full-time

eServices Management Analyst 3 /Local Only/Mostly Remote/

Remote, USA Full-time

[Remote] Bilingual Representative II, Customer Service Operations

Remote, USA Full-time

Experienced and Beginner-Friendly Remote Chat Support Specialist – Earn $25-$35/hr in a Dynamic and Supportive Virtual Environment at arenaflex

Remote, USA Full-time

Principal Backend Engineer | Fully Remote | $200K | Full-Time

Remote, USA Full-time

Biotech & Life Science Patent Prosecution Agent Or Scientist

Remote, USA Full-time

Experienced Data Entry and Quality Control Specialist – Remote Work Opportunity with arenaflex, No Prior Experience or Degree Required

Remote, USA Full-time

Senior SQL Server Database Administrator (DBA) - EviCore - Hybrid

Remote, USA Full-time
Back to Home