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As our System Manager, Payer, you will provide strategic leadership and expert oversight for all aspects of our organization's payer relations and contracting, ensuring optimal financial performance and sustainable partnerships with health plans. Every day you will manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers across our system.
Job Responsibility:
Provide strategic leadership and expert oversight for all aspects of our organization's payer relations and contracting
Manage a team responsible for negotiating, implementing, and monitoring contracts with various governmental and commercial payers
Manage the labor and operations of the Payer Analytics & Economics team including the hiring, orienting, developing and managing of staff
Oversee quality control and quality assurance of Payer Analytics & Economics analytics deliverables and financial models
Review and accurately interpret contract terms, including payer policies and procedures
Monitor contract financial performance
Provide training and oversight of the modeling of proposed/existing payer contracts
Oversee and prepare complex service line reimbursement analyses and financial performance analyses
Develop methods and models to identify the implications of new/revised strategies
Prepare and effectively present results to senior leadership, and other key stakeholders
Requirements:
Bachelor’s Degree in Business Administration, Accounting, Finance, Healthcare or related field
Five (5) years of experience in contributing to profitability through detailed financial analysis and efficient delivery of data management strategies supporting contract analysis, trend management, budgeting, forecasting, strategic planning, and/or healthcare operations
Two (2) years of experience in a supervisory role
Strongly prefer hospital or managed care experience
Strongly prefer some experience with SQL queries and strong Excel
EPIC experience a big plus
Nice to have:
Hospital or managed care experience
Experience with SQL queries and strong Excel
EPIC experience
What we offer:
Medical, prescription drug, dental, vision plans
Life insurance
Paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually)
Tuition reimbursement
Retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings