Ophelia is seeking a Senior Manager, Partnership Implementations to take the lead on managing all implementation aspects of Ophelia’s partnership arrangements. We’re looking for a motivated, organized, enthusiastic, business development-minded individual who can drive cross-functional work efforts to completion. This person will be part of the Commercial organization, and be responsible for leading and supporting projects internally and in conjunction with clients (payors, partner organizations, and government agencies).
The successful candidate will have experience in client-facing project management, relationship management, and managed healthcare (ideally in Medicaid), as well as have a strong grasp on the revenue cycle.
The Senior Manager, Partnership Implementations will report to the Senior Director, Payor Strategy & Contracting, and be part of a cross-functional team working to grow Ophelia’s business across revenue streams including payors, new government programs and strategic partnerships.
Responsibilities and Example Outcomes- Lead payor contract implementations, requiring both internal and external cross-functional stakeholder management
- Drive revenue cycle issue resolutions (claims processing, credentialing), which includes coordination with payors and internal operations teams
- Spearhead cross-functional strategic initiatives that have an impact on revenue (implementation of new product/service lines, as an example)
- 5-7 years experience with the following components
- 2+ years experience in provider credentialing and / or revenue cycle management and claims submissions
- 5+ years in execution / project management roles with progressive responsibilities
- 3+ years working with managed care contracts and initiatives
- Skills:
- Track record of owning successful projects (on time, on budget, within scope)
- Strong leadership abilities, including influencing others to action through trust-based relationship building, thought leadership, candid communication, and a results-oriented approach
- Strategic thinker
- Significant experience in managed care
- Familiarity with payor / provider contractual relationships
- Effective communication, both verbal and written
- Remote work anywhere in the United States
- Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
- Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
- 10 company holidays
- Work From Home Stipend
- 401k Contribution Platform
- Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others!
#LI-Remote
- We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills.
- Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We’re happy to discuss this approach and our bands if you have questions during the interview process.
Interested in learning more about Ophelia and this role? Apply to work with us!
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