Senior Payor Strategy Specialist

<div class="content-intro"><div id="message-list_1789419935.592809"> <div> <div> <div> <div> <div> <div> <div> <div> <div> <div> <div><strong>Of the 10 million Americans struggling with opioid misuse, only 1 in 10 receive treatment. </strong>This is an accessibility crisis, and we are on a mission to solve it by bringing life-saving care to the 89% currently left behind. Through a single app, <span><a href="https://partner.bicyclehealth.com/clinical-research" target="_blank">Bicycle Health</a></span> combines Medication for Opioid Use Disorder (MOUD) with behavioral healthcare, drug screening, therapy, and peer support.</div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div></div><p><strong>JOB OVERVIEW:</strong></p> <p>The <strong>Senior</strong> <strong>Payor Strategy Specialist </strong> 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. </p> <p><strong>Target Pay Range:</strong> $90,000-$105,000 - Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. </p> <p><strong>Benefits: </strong></p> <ul> <li>Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays</li> <li>Paid parental leave</li> <li>100% Employer Paid Medical, Dental, and Vision Insurance</li> <li>Employer Paid STD & LTD</li> <li>401k</li> <li>$50 monthly Remote Work Stipend</li> </ul> <p><strong>RESPONSIBILITIES:</strong></p> <ul> <li>Formulate and execute comprehensive payor strategies and business plans to drive departmental sales goals.</li> <li>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.</li> <li>Establish, scale and nurture regional and strategic account relationships at multiple levels with the partner. </li> <li>Maintain a strong focus on helping the market understand Bicycle Health’s unique value proposition. </li> <li>Utilize financial modeling to assess the sustainability of Payors rate structure and/or proposed rates for new accounts or account rate changes. </li> <li>Contract with new partners and negotiate sustainable rate schedules implementing bundled or value-based pricing strategies whenever possible. </li> <li>Ensure contract language is consistent with Bicycle Health’s interests.</li> <li>Implement Payor Contracts to maximize potential revenue and pull through opportunities. </li> <li>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.</li> <li>Complete all designated profiles and documentation on new deals to be reviewed.</li> <li>Document progress in sales support applications and communicate consistently regarding sales forecasting. </li> <li>Become a subject matter expert regarding payor contract implementation and strategic account management for assigned accounts. </li> <li>Partner with the internal team included Revenue Cycle Management, Licensing and Credentialing, Complianc