Payer Program Performance Specialist

JOB SUMMARY 

This position is responsible for managing performance guarantees for a subset of tier 2-4 clients. They serve as the business’s subject matter expert on the performance and financial aspects of those clients' contracts. They are responsible for understanding how we're performing against client performance expectations and financial targets and implementing strategies to ensure strong results on both fronts. Individuals in this role may also serve as process owners for performance initiatives the span the entire department.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Understand with great detail how we’re performing against client contracts, diagnose for performance barriers and develop action plans to meet performance goals.
• Collaborate with teams across the business to execute on performance action plans.
• Serve as expert on performance barriers impacting assigned clients.
• Collaborate with account management teams to support their conversations with clients.
• Coordinate with finance to communicate expected performance.
• Inform contract negotiations by coordinating with sales teams on performance feasibility.

KNOWLEDGE & REQUIREMENTS

What is expected of you and others at this level

• Applies working knowledge in the application of concepts, principles and technical capabilities to perform varied tasks
• Works on projects of moderate scope and complexity
• Identifies possible solutions to a variety of technical problems and takes action to resolve
• Applies judgment within defined parameters
• Receives general guidance and may receive more detailed instruction on new projects
• Work reviewed for sound reasoning and accuracy
• Travel Requirements: Domestic and/or International, up to 10%

EDUCATION & EXPERIENCE REQUIREMENTS

• Minimum years of work experience:   2 years IN health care field
• Minimum level of education or education/experience:   Bachelors Degree

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
• 401k Employer Match & Roth Option Available – immediate eligibility

The hiring range for this position is $65,000 to $70,000 per year. The actual base pay offered will consider candidate’s geographic location, job related knowledge, experience, and skill amongst other potential factors. There may be a bonus or commission, and/or a long-term incentive that will be provided as part of the compensation package, along with medical, financial and/or other benefits, depending on the level and position offered. 

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