Senior Payor Strategy Specialist

The posting, as Bicycle Health wrote it

Of the 10 million Americans struggling with opioid misuse, only 1 in 10 receive treatment. 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, Bicycle Health combines Medication for Opioid Use Disorder (MOUD) with behavioral healthcare, drug screening, therapy, and peer support.

JOB OVERVIEW

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.

Target Pay Range: $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.

Benefits

• Discretionary 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

RESPONSIBILITIES

• 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 pr

[…]
our while. If you spend time interviewing with our team, we’re happy to share personalized feedback to help you in your career journey—if that’s something you’d find helpful!

Curious about how the Talent Team uses AI? Learn more.

Candidates must be currently authorized to work in the United States on a full-time basis and physically reside within the US. Bicycle Health does not offer visa sponsorship now or in the future for this role.

Notice to Recruitment & Staffing Agencies : Bicycle Health is not utilizing outside recruitment, staffing agencies, or search firms at this time. We do not accept unsolicited resumes, and any unsolicited submissions will be considered the property of Bicycle Health with no agency fees owed. We respectfully request that agencies do not email or contact our employees regarding open roles. Thank you!

Recruitment Scam Notice
We are aware of fraudulent recruiting messages circulating that claim to represent our company. Please note:

• All official communication from our recruiting team will come from an @bicyclehealth.com email address.
• We will never ask you to pay fees, purchase equipment, or provide financial information as part of our hiring process.
• We will never request your Social Security number or banking information before an offer of employment is made.
• We only conduct interviews through legitimate, scheduled channels and will never make job offers via text message or chat apps.

If you believe you have been contacted by someone misrepresenting our company, please report it to careers@bicyclehealth.com .

Bicycle Health is an Equal Opportunity Employer and considers applicants for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other basis forbidden under federal, state, or local law.