[Hiring] Payor Performance Manager @Ensemble Health Partners

Role Description

In collaboration with Payor Performance leaders, Manager Payor Performance ensures success of Ensemble Health Partners and Provider Partners. Payor Performance goals are to enhance the AR function and complement Client Managed Care departments through our collective experiences with payors in all markets while also reducing payor/provider frictions. This includes:

• Advocacy efforts
• Establishing controls around payor engagement
• Contract negotiation and language support
• Out of network operations and patient communications
• Dispute resolution
• Payor demand letters
• Focused AR settlement projects

Essential Job Functions:

• Attend and present in provider partner facing meetings with executive leadership levels present
• Assist in note taking, document meeting discussions and deliverables
• Assist and coordinate follow-ups from meetings and work in collaboration as the point of contact among EHP departments/colleges to ensure all items are delivered accurately and timely
• Maintain and schedule client specific rounding documents for EHP leadership
• Partner with EHP Contract Management Teams and Provider Partners where needed to build out a master contract matrix with key dates and links to key contract documents
• Develop and maintain a rolodex of all key payor contacts in all markets inclusive of job title or function
• Own and maintain standardized presentations for Provider Partners and Payor facing presentations
• Interface with all EHP colleagues to capture all issues as they arise
• Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively
• Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary. Makes suggestions for process improvements
• Assist with client and EHP leadership reporting needs and analysis

Qualifications

• 5-7 years of previous experience
• Previous leadership experience
• Managed Care Contracting Experience
• Hospital Revenue Cycle Experience
• Physician Revenue Cycle Experience
• Excel and Power Point Experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean into process and technological improvements, including exploration, experimentation, and application of AI

Requirements

• This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $69,400 – $104,100 based on experience