Payor Performance Manager

Ensemble Health Partners

2d • $69,400 - $104,100 • Remote

About The Position

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $69,400 – $104,100 based on experience By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. 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 compliment 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 and focused AR settlement projects.

Requirements

• 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
• #LI-LS1
• #LI-REMOTE

Responsibilities

• 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 a 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

Benefits

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
• Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed