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Manager, Payer Program Performance

Outcomes

Kansas City, MO

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JOB DETAILS
SKILLS
Budgeting, Business Support, Communication Skills, Contract Management, Contract Negotiation, Dental Insurance, Detail Oriented, Family Planning, Finance, Flexible Spending Accounts, Healthcare, Identify Issues, Leadership, Mentoring, Metrics, Multitasking, Operations Management, Organizational Skills, People Management, Performance Analysis, Performance Goal Setting, Performance Metrics, Performance Reviews, Physical Demands, Policy Development, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Program Evaluation, Resource Management, Sales, Team Lead/Manager, Team Player, Time Management, Vision Plan, Willing to Travel, Writing Skills
LOCATION
Kansas City, MO
POSTED
4 days ago
JOB SUMMARY

Manager, Payer Program Performance is responsible for overseeing all aspects of Program Performance team, ensuring the business performs well against client expectations and delivers strong financial results by allocating resources in appropriate areas. The individual in this role will manage a team that is dedicated to both developing and refining our toolbox of initiatives that can be used to achieved desired performance and expertly deploying those initiatives to achieve desired results.

ESSENTIAL DUTIES & RESPONSIBILITIES
  • Team Leadership:
    • Build and lead a high-performing team of professionals dedicated to driving performance for payer programs
    • Provide guidance, mentorship, and support to team members, fostering a collaborative and innovative work environment
    • Manage departmental policies and procedures
    • Conduct performance evaluations, set goals, and implement professional development plans for team members.
  • Dissect client contracts and understand how to achieve the best business results within the scope of those agreements, diagnose for performance barriers, and develop action plans to meet performance goals
  • Define program goals, objectives, and key performance indicators (KPIs) to measure program effectiveness
  • Monitor program performance and regularly assess key metrics to identify areas for improvement and optimization
  • Understand gaps to achieving performance goals and coordinate across the business to fill them
  • Ensure performance resources are deployed in a manner that achieves optimal financial outcomes
  • Socialize performance concerns across the business
  • Maintain detailed tracking on performance against client expectations and detailed tracking on financial performance on all programs
  • Coordinate with Finance team to set appropriate performance expectations for budgeting
  • Inform contract negotiations by coordinating with sales teams on performance feasibility
KNOWLEDGE & REQUIREMENTS

Skills and Desirable Qualities
  • Excellent verbal and written communication and presentation skills
  • Ability to communicate across all levels of an organization, demonstrating professionalism and good judgment at all times
  • Must be able to work autonomously (with minimal direction) while also being part of an integrated team
  • Strong organizational and time management skills
  • Must be able to manage competing demands and multiple priorities, while maintaining a strong attention to detail
  • Strong leadership skills to influence your team, colleagues, and leadership
  • Technical proficiency related to PC and basic office software
What is expected of you and others at this level
  • Manages department operations and supervises professional employees, front line supervisors and/or business support staff
  • Participates in the development of policies and procedures to achieve specific goals
  • Ensures employees operate within guidelines
  • Decisions have a short term impact on work processes, outcomes and customers
  • Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management
  • Interactions normally involve resolution of issues related to operations and/or projects
  • Gains consensus from various parties involved
  • Travel Requirements: Domestic and/or International, up to 10%
EDUCATION & EXPERIENCE REQUIREMENTS
  • Minimum years of work experience: 8 years with 4 years in health care field with people leader experience preferred
  • Minimum level of education or education/experience: Bachelors or equivalent work experience
PHYSICAL REQUIREMENTS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • Frequent sitting in stationary position at a desk
  • Occasional standing, walking, stooping, kneeling, squatting, and climbing stairs
  • Occasional twisting of body
  • Occasional reaching by extending hands and arms in any direction
  • Occasional lifting, pulling, or pushing
What's In It For You?
  • 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
  • 401(k) plan offering both pre-tax and Roth contributions, plus an employer match

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