13 дней назад
Strategic Payer Partner Lead (Healthcare)
115 000 - 149 000$
Вакансия из Hirify Global, списка международных tech-компанийДля мэтча и отклика нужен Plus
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Strategic Payer Partner Lead (Healthcare): Overseeing payer partner performance and revenue cycle operations, including escalations, audits, KPI reporting, remediation tracking, and team mentoring, with an accent on payer strategy, root cause analytics, and cross-functional coordination. Focus on analyzing reimbursement trends, resolving complex payer issues, building performance standards, and improving post-claim revenue cycle workflows.
Location: Remote - US; travel up to 25%.
Estimated salary: $115,000–$149,000 per year.
Company
is a digital healthcare company developing wearable biosensors, cloud-based data analytics, and proprietary algorithms for cardiac monitoring and clinically actionable insights.
What you will do
- Support oversight of the Strategic Payer Partner team and manage regional payer assignments.
- Triage complex payer issues, review escalations, audit root-cause findings, and ensure consistent resolution documentation.
- Monitor payer performance trends and identify systemic gaps, reimbursement issues, and remediation opportunities.
- Coordinate response plans with Market Access, DMAs, RCM liaisons, managers, and billing vendors.
- Develop KPI dashboards, scorecards, SOPs, templates, escalation workflows, and compliance reports.
- Mentor newer team members, support onboarding, track remediation execution, and recommend process improvements and automation.
Requirements
- At least 7 years of experience in healthcare revenue cycle or payer performance roles.
- Bachelor’s degree in Healthcare Administration, Business, or a related field.
- Experience supporting or leading payer-focused or revenue cycle teams in a matrixed, cross-functional environment.
- Advanced data interpretation and root-cause analysis skills, including dashboard, audit trail, and payer trend analysis.
- Proficiency in Excel and payer performance visualization tools such as Power BI or Tableau.
- Knowledge of denial management, EOB interpretation, AR and cash collection strategies, reimbursement trends, and post-claim RCM workflows.
Nice to have
- Master’s degree or a background in finance or accounting.
- Experience navigating complex payer landscapes.
Culture & Benefits
- Full-time employment with medical, dental, and vision insurance.
- Paid holidays and paid time off.
- 401(k) plan with company match.
- Employee Stock Purchase Plan.
- Inclusive, collaborative, and patient-focused work environment.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →