Manager, Payer Program Performance

JOB SUMMARY

Manager, Payer Program Performance is responsible for overseeing all aspects of Program Performance team, ensuring the business performs well against client expectations and delivers strong financial results by allocating resources in appropriate areas. The individual in this role will manage a team that is dedicated to both developing and refining our toolbox of initiatives that can be used to achieved desired performance and expertly deploying those initiatives to achieve desired results.

ESSENTIAL DUTIES & RESPONSIBILITIES

Team Leadership:

Build and lead a high-performing team of professionals dedicated to driving performance for payer programs

Provide guidance, mentorship, and support to team members, fostering a collaborative and innovative work environment

Manage departmental policies and procedures

Conduct performance evaluations, set goals, and implement professional development plans for team members.

Dissect client contracts and understand how to achieve the best business results within the scope of those agreements, diagnose for performance barriers, and develop action plans to meet performance goals

Define program goals, objectives, and key performance indicators (KPIs) to measure program effectiveness

Monitor program performance and regularly assess key metrics to identify areas for improvement and optimization

Understand gaps to achieving performance goals and coordinate across the business to fill them

Ensure performance resources are deployed in a manner that achieves optimal financial outcomes

Socialize performance concerns across the business

Maintain detailed tracking on performance against client expectations and detailed tracking on financial performance on all programs

Coordinate with Finance team to set appropriate performance expectations for budgeting

Inform contract negotiations by coordinating with sales teams on performance feasibility

KNOWLEDGE & REQUIREMENTS

Skills and Desirable Qualities

Excellent verbal and written communication and presentation skills

Ability to communicate across all levels of an organization, demonstrating professionalism and good judgment at all times

Must be able to work autonomously (with minimal direction) while also being part of an integrated team

Strong organizational and time management skills

Must be able to manage competing demands and multiple priorities, while maintaining a strong attention to detail

Strong leadership skills to influence your team, colleagues, and leadership

Technical proficiency related to PC and basic office software

What is expected of you and others at this level

Manages department operations and supervises professional employees, front line supervisors and/or business support staff

Participates in the development of policies and procedures to achieve specific goals

Ensures employees operate within guidelines

Decisions have a short term impact on work processes, outcomes and customers

Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management

Interactions normally involve resolution of issues related to operations and/or projects

Gains consensus from various parties involved

Travel Requirements: Domestic and/or International, up to 10%

EDUCATION & EXPERIENCE REQUIREMENTS

Minimum years of work experience: 8 years with 4 years in health care field with people leader experience preferred

Minimum level of education or education/experience: Bachelors or equivalent work experience

PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Frequent sitting in stationary position at a desk

Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs

Occasional twisting of body

Occasional reaching by extending hands and arms in any direction

Occasional lifting, pulling, or pushing

What's In It For You?

Medical, Dental and Vision Plans

Voluntary Benefits

HSA & FSA

Fertility & Family Planning Benefits

Paid Parental Leave

Adoption Assistance Program

Employee Resource Groups

Flex PTO for Exempt Associates & up to 15 PTO days in first year of employment for non-exempt associates

11 Paid Holidays

Corporate Wellness Program

401(k) plan offering both pre-tax and Roth contributions, plus an employer match

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