Job Details

Strategic Opportunity Analysis Own and refine the opportunity model that quantifies and prioritizes payor negotiation opportunities. Enhance model functionality and outputs to improve decision-making. Oversee and guide all opportunity assessment analytics, ensuring accuracy and business impact. Payor Negotiations & Contracting Lead negotiations with payors across plan types (PPO, HMO, leased networks, etc.) to achieve optimal fee schedules and contract terms. Develop negotiation packets and strategies that drive targeted payors into active discussions. Establish recurring negotiation cycles with key payors to maintain competitive reimbursement. Evaluate underperforming agreements; recommend continuation, renegotiation, or termination. Monitor existing contracts to ensure compliance, minimize provider risk, and maintain best-in-class terms. Payor Relationship Management Build and maintain strong, collaborative relationships with payors. Conduct regular performance reviews to identify op...Director, Relations, Relationship, Healthcare, Operations, Business Services, Compliance