Senior Payor Strategy Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop and implement detailed payor strategies and business plans to achieve departmental sales objectives.

• Oversee the complete lifecycle of intricate payout contracts, letters of agreement, and contract modifications, which includes initiating, negotiating, renegotiating, and executing them.

• Build, enhance, and maintain regional and strategic account relationships at various levels with partners.

• Articulate Bicycle Health’s distinct value proposition to the market.

• Utilize financial modeling to evaluate payor rate sustainability and proposed rates for new accounts or rate adjustments.

• Establish contracts with new partners and negotiate sustainable rate schedules, implementing bundled or value-based pricing strategies whenever feasible.

• Ensure that contract language reflects Bicycle Health’s interests.

• Execute payor contracts to optimize potential revenue and pull-through opportunities.

• Strengthen existing relationships by renegotiating rates, introducing value-based models, and expanding go-to-market strategies.

• Complete required profiles and documentation for new agreements.

• Record progress in sales support applications and maintain consistent communication regarding sales forecasting.

• Act as a subject matter expert in payor contract implementation and strategic account management.

• Collaborate with Revenue Cycle Management, Licensing and Credentialing, Compliance, Marketing, Operations, Enrollment, and other stakeholders to ensure contract alignment and execution.

• Maintain regular and reliable attendance.

• Perform additional duties as assigned.

⛳️ Requirements

• Bachelor's degree preferred.

• Over 5 years of business development experience in the payor sector; experience in value-based care is advantageous.

• Established relationships with and experience in selling value-based products/services to Regional Payors.

• Ability to review contracts, respond effectively, and negotiate mutually beneficial deals with Payors.

• Previous experience collaborating with Revenue Cycle Management teams and in contract implementation.

• Excellent communication and creative problem-solving skills.

• Highly collaborative, goal-driven, and confident team player.

• Capable of receiving feedback and enhancing skill sets in a dynamic environment.

• Self-motivated with the ability to work independently, escalate issues appropriately, and navigate ambiguity comfortably.

• Proficient in documentation and familiar with CRM systems; strong attention to detail is essential.

• Ability to manage multiple tasks concurrently and efficiently.

• Strong prioritization skills to achieve both long-term and short-term objectives.

• Consistent access to a private workspace with high-speed internet, professional surroundings for frequent video conferencing, and a workstation suitable for remote work.

🏝️ 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.