Provider Payment Strategy Manager - Remote

Overview

The Provider Payment Strategy Manager will oversee the advancement of provider reimbursement methodologies to align with organizational strategies and objectives.

In Short

• Manage provider reimbursement methodologies and strategies.
• Evaluate the feasibility of various payment methodologies.
• Provide oversight and guidance in the provider reimbursement function.
• Mentor and train assigned staff.
• Collaborate with executive leadership on payment strategies.
• Utilize analytical methods for reimbursement modeling.
• Foster relationships with internal teams and provider communities.
• Work within a hybrid environment with remote and in-office requirements.
• Ensure adequate payments to the network to maintain revenue.
• Support the organization in achieving quality healthcare while reducing costs.

Requirements

• Experience in managing provider payment strategies in a managed care setting.
• Strong analytical and collaborative leadership skills.
• Knowledge of provider reimbursement methodologies and healthcare data structures.
• Ability to develop work plans and prioritize reimbursement activities.
• Education: Bachelor’s degree in Finance, Economics, Accounting, or related field.
• Minimum of eight years of experience in provider reimbursement activities.
• Strong communication skills for building relationships.
• Ability to apply analytical expertise to managed care contracts.
• Experience in mentoring and supervising teams.
• Technical troubleshooting skills for complex problems.

Benefits

• Medical, Dental, and Vision Plans.
• Ample Paid Time Off.
• 12 Paid Holidays per year.
• 401(a) Retirement Plan.
• 457 Deferred Compensation Plan.
• Robust Health and Wellness Program.
• Onsite EV Charging Stations.