Payor Performance Manager

Ensemble RCM LLC; Tennessee; Hybrid; USD 69,000 - 104,000; Full time

Benefits offered by this job

Bonus Incentives

Paid Certifications

Tuition Reimbursement

Comprehensive Benefits

Career Advancement

Job summary

Ensemble Health Partners is seeking a Payor Performance Manager to lead collaboration with providers and payors, drive revenue cycle initiatives, and support contract management efforts. The role emphasizes strategic oversight, data-driven decision making, and strong communication with executive leadership.

You will coordinate with multiple departments to ensure timely deliverables, develop standardized presentations, and enable efficient operations while leveraging AI to enhance performance

Qualifications

• 5-7 years of previous experience in revenue cycle leadership.
• Previous leadership experience in payor performance or revenue cycle teams.
• Experience with managed care contracting is essential.
• Hospital revenue cycle experience required or strongly preferred.
• Physician revenue cycle experience is beneficial.
• Proficiency with Excel and PowerPoint is expected.
• Demonstrated advanced use of AI to drive process improvements.

Responsibilities

• Attend and present in provider partner meetings with executive leadership.
• Assist with note taking, documenting discussions and deliverables.
• Coordinate follow-ups and act as the point of contact across EHP departments.
• Maintain client-specific rounding documents for EHP leadership.
• Collaborate with Contract Management to build a master contract matrix.
• Develop a rolodex of payor contacts across markets.

Skills

Experience: 5-7 years

Leadership experience

Managed Care Contracting

Hospital Revenue Cycle

Physician Revenue Cycle

Excel

PowerPoint

AI in processes

Job description

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement

This position pays between $69,400 – $104,100 based on experience By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

In collaboration with Payor Performance leaders, Manager Payor Performance ensures success of Ensemble Health Partners and Provider Partners. Payor Performance goals are to enhance the AR function and compliment Client Managed Care departments through our collective experiences with payors in all markets while also reducing payor/provider frictions. This includes advocacy efforts, establishing controls around payor engagement, contract negotiation and language support, out of network operations and patient communications, dispute resolution, payor demand letters and focused AR settlement projects.

Essential Job Functions:

• Attend and present in provider partner facing meetings with executive leadership levels present
• Assist in note taking, document meeting discussions and deliverables
• Assist and coordinate follow-ups from meetings and work in collaboration as the point of contact among EHP departments/colleges to ensure all items are delivered accurately and timely
• Maintain and schedule client specific rounding documents for EHP leadership
• Partner with EHP Contract Management Teams and Provider Partners where needed to build out a master contract matrix with key dates and links to key contract documents.
• Develop and maintain a rolodex of all key payor contacts in all markets inclusive of job title or function.
• Own and maintain a standardized presentations for Provider Partners and Payor facing presentations
• Interface with all EHP colleagues to capture all issues as they arise.
• Demonstrated ability to work independently to ensure Revenue Cycle operations are managed efficiently and effectively
• Ensures that best practice Revenue Cycle processes are communicated and implemented where necessary.
• Makes suggestions for process improvements
• Assist with client and EHP leadership reporting needs and analysis

What Will Make You Successful:

• 5-7 years of previous experience
• Previous leadership experience
• Managed Care Contracting Experience
• Hospital Revenue Cycle Experience
• Physician Revenue Cycle Experience
• Excel and Power Point Experience
• Demonstrated advanced usage of AI and the management of teams using AI to lean in to process and technological improvements, to include the exploration, experimentation, and application of AI.

This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.

#LI-LS1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive.

Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.

Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.

Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact [e-mail].

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

Ensemble Legitimate Ensemble Recruiters will only contact you from an email address ending in “@ensemblehp.com.”

Ensemble is dedicated to providing our clients with experienced healthcare finance and revenue cycle professionals. We believe that our core values of trust, integrity, loyalty and service married with the belief that our work is worthwhile helps us build and sustain sincere relationships with our associates and clients. If you are a passionate, dedicated and experienced revenue cycle, consulting or finance professional and seek career and personal growth, we would love to hear from you. We believe we foster an environment where talented individuals can excel and shine. Our team believes that people are the most important part of our success and that when we take care of our people, they pay it forward by providing our clients with excellent results and world-class service.