Strategic Payor Pricing Analyst (Remote)

Dental Care Alliance; Sarasota (FL); On-site; USD 85,000 - 120,000; Full time

Job summary

Dental Care Alliance is seeking a Payor Pricing Analyst to lead financial models that shape payor contract strategy. You will translate complex payor data into actionable negotiation insights, supporting fee schedule negotiations and revenue impact assessments across contracted and non-contracted payors.

The role emphasizes advanced modeling, data-driven decision making, and cross-functional collaboration with Revenue Cycle, Finance, and Leadership teams.

Qualifications

• High School Diploma or Equivalent required.
• 3+ years 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.
• Ability to build models that drive business decisions and communicate findings.

Responsibilities

• Build and maintain fee schedule models across UCR, Medicaid, Medicare Advantage and commercial payor contracts.
• Develop multi-scenario revenue impact models to evaluate proposed fee changes.
• Create annual reimbursement benchmarking analyses comparing rates to FAIR Health, ADA surveys, and internal data.
• Prepare negotiation briefs with modeled rate scenarios and walk-away thresholds.
• Track contract lifecycles, renewal timelines, and amendments across payor relationships.

Skills

Financial Analysis

Financial Modeling

Reimbursement Modeling

Data Analytics

Payor Contracting

Communication Skills

Strategic Thinking

Attention to Detail

Collaboration

Problem Solving

Education

High School Diploma or Equivalent

Tools

Excel

Pivot Tables

VLOOKUP/INDEX-MATCH

Job description

Dental Care Alliance is seeking a Payor Pricing Analyst to lead financial models that shape payor contract strategy. You will translate complex payor data into actionable negotiation insights, supporting fee schedule negotiations and revenue impact assessments across contracted and non-contracted payors.

The role emphasizes advanced modeling, data-driven decision making, and cross-functional collaboration with Revenue Cycle, Finance, and Leadership teams.