Payor Performance Manager

Ensemble RCM; United States; Remote; 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 senior Payor Performance lead for a fully remote role with travel to client or corporate locations as needed. The position targets individuals with 5-7 years of cross-functional leadership experience in hospital and physician revenue cycle management and contracting.

Proficiency in Excel and PowerPoint and a strong aptitude for AI-driven process improvements are essential.

Qualifications

• 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 leading teams using AI to improve processes and technology.

Responsibilities

• Attend provider partner meetings with executive leadership.
• Take notes, document discussions and deliverables.
• Coordinate follow-ups and act as point of contact across EHP departments.

Skills

Leadership

Managed Care Contracting

Hospital Revenue Cycle

Physician Revenue Cycle

Excel

PowerPoint

AI leadership

Tools

AI tools

Job description

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

• 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. A few of those include:

Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, an