Payor Pricing Analyst

Build and maintain dynamic fee schedule models across UCR, Medicaid, Medicare Advantage, and commercial payor contracts. Develop multi-scenario revenue impact models to evaluate proposed fee changes and network participation decisions. Create annual reimbursement benchmarking analyses comparing contracted rates to FAIR Health, ADA fee surveys, and internal production data. Prepare negotiation briefs with modeled rate ask scenarios, walk-away thresholds, and estimated uplift. Track contract lifecycles, renewal timelines, and amendment history across all payor relationships. Support leadership with data packages for payor meetings, including trend analyses and competitive positioning. Serve as the primary liaison between Fee Schedule and Payor Pricing teams, ensuring timely and accurate communication of effective dates, fee updates, and new schedule implementations. Develop ad hoc models for executive decision-making including payor mix optimization and pricing strategy. This role is fully remote with substantial digital collaboration.