Senior Payor Strategy Specialist

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Bicycle Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

📡 Telecommunications

Healthcare • Healthcare Insurance • Telecommunications

Bicycle Health is the #1 telehealth treatment program for Opioid Use Disorder in the U. S. , providing safe, confidential, and cost-effective treatment entirely online. This innovative company allows patients to access experienced healthcare professionals through a secure app, offering Medication Assisted Treatment (MAT) and support services tailored for those struggling with opioid addiction. With a focus on patient care, Bicycle Health has helped over 30,000 patients and is recognized as a TIME100 Most Influential Company for its impact in the addiction treatment space.

📋 Description

• Formulate and execute comprehensive payor strategies and business plans to drive departmental sales goals. • Manage the end-to-end lifecycle of complex payout contracts, letters of agreement, and contract revisions, including initiating, negotiating, renegotiating, and executing them. • Establish, scale, and nurture regional and strategic account relationships at multiple levels with partners. • Communicate Bicycle Health’s unique value proposition to the market. • Use financial modeling to assess payor rate sustainability and proposed rates for new accounts or rate changes. • Contract with new partners and negotiate sustainable rate schedules, implementing bundled or value-based pricing strategies when possible. • Ensure contract language aligns with Bicycle Health’s interests. • Implement payor contracts to maximize potential revenue and pull-through opportunities. • Expand existing relationships by renegotiating rates, introducing value-based models, and expanding go-to-market efforts. • Complete designated profiles and documentation for new deals. • Document progress in sales support applications and communicate consistently regarding sales forecasting. • Serve as a subject matter expert on payor contract implementation and strategic account management. • Partner with Revenue Cycle Management, Licensing and Credentialing, Compliance, Marketing, Operations, Enrollment, and other stakeholders to ensure contract alignment and execution. • Maintain regular and predictable attendance. • Perform other duties as assigned.

🎯 Requirements

• 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 communication and creative problem-solving abilities • Highly collaborative, goal-oriented, and confident team player • Ability to receive feedback and improve skill sets in a fluid and changing environment • Self-starter able to work autonomously, escalate appropriately, and operate comfortably with ambiguity • Skilled in documentation and familiar with CRM use; strong attention to detail • Ability to manage multiple tasks simultaneously and effectively • Prioritization skills to meet long- and short-term goals • Consistent access to a private work environment 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