[Hiring] Senior Payor Strategy Specialist @Bicycle Health

Role Description

The Senior Payor Strategy Specialist is responsible for driving the expansion and sustainability of our strategic payor footprint across assigned geography and/or accounts: Medicare, Medicaid, Commercial, Military, Managed Care Organizations (MCOs), Accountable Care Organizations (ACOs) and more.

• Formulate and execute comprehensive payor strategies and business plans to drive departmental sales goals.
• End-to-end lifecycle - initiating, negotiating, renegotiating and executing complex payout contracts, letters of agreement and contract revisions, as prioritized by claims volume, market trends and/or corporate leadership.
• Establish, scale and nurture regional and strategic account relationships at multiple levels with the partner.
• Maintain a strong focus on helping the market understand Bicycle Health’s unique value proposition.
• Utilize financial modeling to assess the sustainability of Payors rate structure and/or proposed rates for new accounts or account rate changes.
• Contract with new partners and negotiate sustainable rate schedules implementing bundled or value-based pricing strategies whenever possible.
• Ensure contract language is consistent with Bicycle Health’s interests.
• Implement Payor Contracts to maximize potential revenue and pull through opportunities.
• Expand upon existing relationships to increase the value of the account by renegotiating rates, introducing value-based models, and/or expanding go-to-market efforts.
• Complete all designated profiles and documentation on new deals to be reviewed.
• Document progress in sales support applications and communicate consistently regarding sales forecasting.
• Become a subject matter expert regarding payor contract implementation and strategic account management for assigned accounts.
• Partner with the internal team included Revenue Cycle Management, Licensing and Credentialing, Compliance, Marketing, Operations, Enrollment and all other stakeholders to ensure contract alignment and execution.
• Regular and predictable attendance is expected.
• All other duties as assigned.

Qualifications

• Bachelor’s degree preferred.
• 5+ years of business development experience in the payor sector. Value-based care experience is a plus.
• Existing relationships with, and experience selling value-based products/services to Regional Payors.
• Ability to review contracts, respond with readiness, and negotiate win-win deals with Payors.
• Prior experience working with Revenue Cycle Management teams and contract implementation.
• Strong communicator who can proactively identify potential challenges and think creatively about solutions.
• Team player that is highly collaborative, goal-oriented, and confident.
• Ability to receive feedback and take constructive steps to improve skill sets as needed in a fluid and changing environment.
• Self-starter who thrives when given autonomy but able to escalate as appropriate and is comfortable with ambiguity.
• Skilled at documentation and familiar with use of a CRM, attention to details.
• Able to manage multiple tasks simultaneously and effectively.
• Possesses prioritization skills to meet long-term and short-term goals.
• Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.

Requirements

• This is a full-time (40hrs per week) remote position.

Benefits

• 3 Weeks PTO + 8.5 days of additional sick time + 10 paid holidays.
• Paid parental leave.
• 100% Employer Paid Medical, Dental, and Vision Insurance.
• Employer Paid STD & LTD.
• 401k.
• $50 monthly Remote Work Stipend.

Company Description

Bicycle Health is a telemedicine group that specializes in the evidence-based treatment of individuals with Opioid Use Disorder using buprenorphine. We’ve grown our clinical staff of medical providers caring for patients, across 32 states, and we employ a large ancillary staff for support with technologic and administrative needs, clinical and behavioral support, and care coordination. Our innovative model has achieved clinical outcomes that exceed expectations for standard-of-care in-person treatment nationally. Our mission is to increase access to high quality, affordable, convenient and confidential Opioid Use Disorder treatment for all.