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 Payor Contract Analysis & Negotiation Support
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. Data Infrastructure & Reporting
Develop ad hoc models for executive decision-making including payor mix optimization and pricing strategy

Work Environment:

This job is fully remote with the environment being a home-based professional setting with substantial digital collaboration.

Physical Demands:

The role requires sustained computer and desk work with prolonged sitting, regular virtual communication, and occasional light lifting of typical home-office items.

Competencies:

Financial Analysis & Modeling
Ability to analyze reimbursement data, build financial models, and assess the revenue impact of payor contract changes.
Payor Reimbursement Expertise
Knowledge of dental insurance reimbursement methodologies, fee schedules, and contract structures.
Data Analytics
Skilled at interpreting large datasets, identifying trends, and translating findings into actionable business insights.
Strategic Thinking
Evaluates financial opportunities and risks to support contract negotiations and reimbursement optimization efforts.
Problem Solving
Investigates reimbursement variances, identifies root causes, and develops effective solutions.
Communication Skills
Clearly presents complex financial information and collaborates effectively with cross-functional stakeholders.
Attention to Detail
Ensures accuracy in financial models, fee schedules, contract analysis, and reporting.
Collaboration
Builds strong partnerships across Revenue Cycle, Finance, Operations, Credentialing, and Leadership teams.
Business Acumen
Understands how reimbursement strategies impact organizational performance and profitability.
Continuous Improvement & Accountability
Demonstrates initiative in enhancing processes, reporting, and reimbursement performance while taking ownership of results. Qualifications High School Diploma or Equivalent Required
3+ years of experience in dental revenue cycle, payor contracting, or healthcare financial analysis
Advanced Excel proficiency: financial modeling, pivot tables, VLOOKUP/INDEX-MATCH, scenario analysis, dynamic dashboards
Experience analyzing fee schedules data at scale
Demonstrated ability to build models that drive business decisions — not just report data
Strong written and verbal communication skills; able to present analytical findings to leadership

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