Payer Program Performance Specialist

OUTCOMES OPERATING INC
$65,000 - $70,000Remote

About The Position

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.

Requirements

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

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.

Benefits

  • 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
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