Manager/Senior Manager, Payer Performance

Reposted 12 Days Ago
Be an Early Applicant
Office, Machaze, Manica
105K-150K Annually
Senior level
Healthtech
The Role
The Senior Manager, Payer Performance analyzes payer relations, develops frameworks, leads financial assessments, and manages personnel to optimize contract performance.
Summary Generated by Built In

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Senior Manager, Payer Performance will provide analytical insights to optimize payer contract performance. The goal is to enable the company’s leaders to make sound business decisions and meet the company’s objectives. The incumbent works in collaboration with the VP and directors of the strategic payer partnership team.
In alignment with our Finance vision, this position will support the transformation of care for the neediest populations by systematically developing business focused finance talent who generate and use information to drive great decisions, optimize performance and ensure accountability through transparency, actionable insights and education.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
  • Develops and maintains the frameworks and analytics used to assess our payer relationships across payors and markets.
  • Leads analyses and business cases that inform our payer strategies and contracting.  This includes market analyses, evaluation of new product/line of business or other contracting opportunities, payor-specific financial or operational assessments.
  • Builds/maintains strong relationships with payer counterparts, and collaborate closely to drive key initiatives, performance improvement opportunities, etc.
  • Supports or selectively leads the preparations for key payer meetings, such as national JOCs or strategy summits.
  • Partners closely with actuarial, data, and other ChenMed teams to build the data and reporting capabilities needed to support our payer strategies.
  • Creates and maintains payer level market intelligence.
  • Manages personnel including interviewing, hiring, assigning work, conducting performance appraisals and coaching.
  • Performs other duties as assigned and modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES:
  • Extensive understanding of financial trends both within the company and general market patterns
  • Excellent interpersonal, communication and presentation skills with the ability to present technical information in an easily understood manner
  • Ability to manage, guide and lead employees to ensure appropriate financial processes are being used
  • Effective project management skills with the ability to gain cooperation from cross-functional teams
  • Ability to analyze/synthesize multiple data sources to develop deep understanding of financial dynamics, identify and prioritize opportunities, and spot trends
  • Strong financial acumen, problem-solving and analytical skills with keen attention to detail
  • A solid understanding of financial statistics and accounting principles
  • Robust knowledge of all statutory legislation and regulations
  • Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint, Outlook, and database software
  • Ability and willingness to travel locally, regionally, and nationwide up to 10% of the time
  • Spoken and written fluency in English
  • This job requires use and exercise of independent judgment
EDUCATION AND EXPERIENCE CRITERIA:
  • Bachelor’s degree in Finance, Accounting or Economics; experience may substitute for education on a year-for-year basis above the minimum experience required
  • MBA preferred
  • Minimum of seven (7) years of related experience in Finance, Financial Analysis or Accounting; including three (3) years of supervisory/management experience
  • Professional certification such as CFA/CPA or similar will be considered a plus

PAY RANGE:

$105,158 - $150,226 Salary

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current Employee apply HERE

Current Contingent Worker please see job aid HERE to apply

#LI-Onsite

Top Skills

Database Software
Excel
Microsoft Office Suite
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The Company
HQ: Miami Gardens, FL
1,492 Employees

What We Do

ChenMed brings concierge-style medicine and better health outcomes to the neediest populations – moderate-to-low income seniors with complex chronic diseases. Operating over 50 medical centers in eight states, we are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center.

Through our innovative operating model, physician-led culture and empowering technology, we drive key quality and cost outcomes that create value for patients, physicians and the overall health system. By recruiting focused physicians and reducing their doctor-to-patient ratios, we increase patients’ “face time” during each monthly appointment and help foster stronger doctor-patient relationships.

Results of our high-touch approach to primary care are impressive, as illustrated in the recent Modern Healthcare cover story published on Oct. 20, 2018, which reports that: “Indeed, ChenMed's approach has resulted in 50 percent fewer hospital admissions compared with a standard primary-care practice, 28 percent lower per-member costs, and significantly higher use of evidence-based medications.”

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