Payer Program Performance Specialist - Orlando, Fl

Outcomes®; Orlando (FL); On-site; USD 70,000 - 90,000; Full time

Job summary

Outcomes® is seeking a Performance Manager in Orlando, Florida, responsible for managing performance guarantees for tier 2-4 clients. This role involves serving as the subject matter expert on financial aspects of client contracts, diagnosing performance barriers, and implementing strategies to achieve strong results.

The ideal candidate will have a Bachelor's degree and at least 2 years of experience in the healthcare field. Strong strategic planning and collaboration skills are essential for success in this role.

Qualifications

• Minimum 2 years of work experience in the health care field.
• Ability to diagnose performance barriers and develop action plans.
• Collaborative mindset to work across teams.

Responsibilities

• Manage performance guarantees for tier 2-4 clients.
• Collaborate with business teams to implement performance action plans.
• Serve as an expert on performance barriers impacting clients.

Skills

Performance analysis

Strategic planning

Collaboration

Education

Bachelor's Degree

Job description

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.

• 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

Requirements

What is expected of you and others at this level

• 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

Education & Experience Requirements

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