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Senior Analyst, Contracting & Pricing

Company: Smile Brands
Location: Irvine
Posted on: January 17, 2020

Job Description:

Company Overview:

Job Description:

Smile Brands, a Glassdoor Top 100 Best Place to Work, is seeking a Senior Analyst, Contracting & Pricing to join our growing Payer Strategy team. This position will play an integral role in the company by:

  • Producing analytics that support contracting and pricing strategies with payers as well as the negotiation, implementation and management of our contracts with dental insurance plans
  • Overseeing network development and maintenance for a multi-state organization with a footprint in 17 states
  • Being comfortable diving into the details and working with the team to integrate these with the big picture to execute sound business decisions
  • Researching existing and alternative payment models to determine issues and areas of opportunity
  • Monitoring government and payer updates to inform department strategy and the Fiscal Year Planning process
  • Assisting with the implementation of Smartsheet-based project management tools
  • Conducting strategic analyses of dental reimbursement, including assessment of changes to fee schedules and payment policy

    The ideal candidate will have hands-on and interpersonal skills, a background in analytics and payer relations, the desire to acquire new skills, and an entrepreneurial and problem-solving mindset. The Payer Strategy team prides themselves on creating and sustaining a culture that promotes respect, trust, diversity, accountability, teamwork, professional growth and process improvement. This position will require similar mentalities to be successful.

    Required Qualifications:

    • Healthcare business administration or operations environment experience; Dental Support Organization (DSO) experience a plus
    • Prior experience in payer relationship management preferred

    • Understanding of Networks and Insurance Plans (PPO, HMO, Indemnity, and Discount Plans) is a must
    • Understanding of healthcare Alternative Payment models (APM) (value-based contracts)

    • Data analysis experience and proficiency with Excel

    • Experience with a CRM
    • Bachelors and/or Master's Degree in related field, and/or equivalent work experience

      Smile Brands Inc. and all relevant Affiliates are Equal Opportunity Employers.

      DISCLAIMER: Please be aware of suspicious recruiting emails and text messages scams that attempt to collect your personal information. You will never be asked for your driver license or Social Security number during an online interview. Additionally, we do not attempt to collect money, gift cards or request you to purchase equipment on behalf of the company.

      IND-MGR , #LI-SPON

Keywords: Smile Brands, Irvine , Senior Analyst, Contracting & Pricing, Professions , Irvine, California

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