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Contract Negotiator

2 months ago

San Diego, California, United States Cortica Full time
About the Role

Cortica is seeking a highly skilled Contract Negotiator to join its growing team. As a key member of our team, you will play a critical role in designing, developing, interpreting, and presenting analytics to support payer negotiations and drive strategic decisions related to payer relationships and contracting.

Key Responsibilities
  • Develop Analytic Models: Work with leadership to create data-driven models to respond to proposals and inform strategy for payer contracting, including internal and external benchmark comparisons.
  • Manage Payer Contracting Analytics: Serve as an analytic participant in individual payer negotiations, as well as internal discussions about payer contracting.
  • Analyze Data: Use PowerBI or other analytic programs to analyze data from the Data Warehouse, build models for payer contract negotiations, and create visualizations for leadership.
  • Research Payer Market Share: Provide perspective on the strategy for expansion into new markets by researching payer market share, products, and contracting processes.
  • Evaluate Contract Profitability: Evaluate the profitability of payor contracts and lead development of financial models to project the financial impact of value-based contracts and for the market overall.
  • Collaborate with Departments: Work closely with revenue cycle, finance, and other partner departments to ensure contract terms are understood and executed accurately.
  • Develop Recommendations: Develop and deliver concise, easy-to-understand, data-based recommendations to management to assist with strategy development and decision-making.
  • Perform Quality Checks: Perform quality checks on performed analyses and utilize internal benchmarks to verify the results.
  • Develop Analytics Infrastructure: Develop analytics infrastructure including reports and dashboards supporting the financial performance of contracts.
Requirements
  • Education: Bachelor's degree or equivalent in Statistics, Mathematics, Economics, Finance, healthcare administration, or a related field; master's degree preferred.
  • Experience: 5+ years of experience with healthcare data analysis; managed care or value-based contracting experience preferred.
  • Skills: Proficient with Excel and data visualization software (e.g., Power BI).