Payor Contracting Analyst

Job Details Job Location: Ivy Fertility - San Diego, CA 92127 Position Type: Full-Time Salary Range: $90,000.00 - $110,000.00 Salary Company: Ivy Fertility Location: United States · Remote Department: Payor Strategy Work Schedule: Remote – Monday–Friday (8:00am–5:00pm EST) Come join Ivy Fertility, a globally recognized pioneer and innovator in advanced reproductive technologies, including in-vitro fertilization, third-party reproduction, andrology, and fertility research. Through scientific breakthroughs, the development of new procedures, and leadership in teaching the latest techniques, Ivy Fertility is committed to successful outcomes and to advancing the fertility field as a whole. Our team is driven by a shared passion for family building and works each day to help patients achieve their goal of becoming parents. To learn more, visit www.ivyfertility.com. Position Summary The Payor Contracting Analyst provides analysis of revenue, market share, capacity, and develops optimal pricing for geographies and market segments aligned with Ivy Fertility’s overall strategy. This role conducts market research, assesses data, and develops insights into market trends and pricing strategies. The Payor Contracting Analyst maintains historical pricing data to monitor and evaluate the effectiveness of payer contracts and coordinates tools, reports, and communications to ensure accurate pricing information that remains responsive to market changes. This position reports directly to the Chief Payor Strategy Officer. What You Will Do · Conduct in-depth analysis of payer trends, market dynamics, competitor pricing, and reimbursement strategies to identify opportunities and potential challenges · Design and execute reimbursement strategies to support optimal coverage and reimbursement while maximizing patient access · Generate evidence supporting the value proposition of Ivy Fertility’s offerings to support pricing and reimbursement discussions with payers · Partner with internal teams, including marketing, finance, and legal, to align overall payer strategies · Stay up to date on healthcare industry trends and payer policies on a monthly and quarterly basis · Perform other duties as assigned Key Functions · Build contract impact models, manage fee schedules, and conduct contract rate evaluations · Serve as subject matter expert and administrator for the RIVET tool for benchmarking and model analysis · Manage payor rate documentation, request fee schedules and exhibit updates from contracted payors, and monitor negotiation and contract termination timelines using team trackers and calendars · Monitor and evaluate the performance of payer contracts and reimbursement initiatives, making data-driven adjustments as needed · Complete administrative tasks related to managed care contract proposals · Assist with monitoring and analyzing financial performance and support claims-related projects What You Bring · Bachelor’s degree in business, healthcare administration, marketing, or a related field required · Two or more years of experience in payor strategy, payor contract modeling, managed care contracting, or related roles within women’s health organizations preferred · Experience with healthcare payer dynamics, reimbursement models, and the health insurance landscape preferred Compensation Base salary will vary based on geographic location, experience, skills, and knowledge, and does not reflect the total compensation package. Total rewards may include eligibility for an annual bonus, flexible work arrangements, and additional region-specific benefits. We offer a comprehensive and competitive benefits package that supports overall well-being, financial security, and professional growth. This position is classified as exempt under the Fair Labor Standards Act (FLSA). Working Conditions The physical demands described are representative of those required to perform the essential functions of the job, with or without reasonable accommodation in accordance with ADA guidelines. This role regularly requires communication with others, prolonged periods of sitting at a desk, working on a computer, and preparing and analyzing data. Occasional standing or walking may be required, as well as the use of hands and fingers for typing and operating standard office equipment. Close visual acuity is required for computer work, reading, and operating office machinery. Pre-Employment Requirements All offers of employment are contingent upon the successful completion of Ivy Fertility’s onboarding process, including verification of identity and authorization to work in the United States. Ivy Fertility participates in the E-Verify program, where required by law. Employment is subject to all applicable federal, state, and local laws and regulations governing employment eligibility, background verification, and work authorization. Equal Employment Opportunity Ivy Fertility is an equal-opportunity employer. Employment decisions are based on merit, competence, performance, and business needs. Ivy Fertility does not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

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