Payor Contracting Senior Associate - Remote

Remote 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 Full-time

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

Remote Full-time

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

Remote Full-time

Contract Compliance Analyst – Healthcare Revenue Cycle (REMOTE)

Remote Full-time

PAYROLL SUPERVISOR (HYBRID-CHARLOTTE, NC)

Remote Full-time

Program Manager- Payroll Testing - (Hybrid)

Remote Full-time

Secondary Math Teacher job at Pearson Virtual Schools in ID

Remote Full-time

Healthcare Assessor​/Coach

Remote Full-time

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

Remote Full-time

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

Remote Full-time

Quality Engineer II (US)

Remote Full-time

Experienced Customer Support Representative for E-commerce Giant – Remote Work Opportunity with Competitive Hourly Wage and Immediate Start

Remote Full-time

Experienced Remote Customer Sales Agent – Dynamic Home-Based Opportunity for Results-Driven Professionals

Remote Full-time

Account Manager

Remote Full-time

Ulta Beauty is hiring: Specialty Artist - MAC i...

Remote Full-time

**Experienced Entry-Level Chat Support Specialist – Remote Online Customer Service Representative**

Remote Full-time

Experienced or Entry-Level Remote Data Entry Specialist for Logistics and Supply Chain Management at blithequark

Remote Full-time

Experienced Part-Time Amazon Online Associate – Remote Customer Support, Order Management, and Product Knowledge Role with Comprehensive Training and Growth Opportunities

Remote Full-time

Experienced Remote Customer Care Advisor – Financial Services and Risk Management Specialist at Blithequark

Remote Full-time

Business Analytics & Insights - Pharma Trade Operation

Remote Full-time
← Back to Home