Senior Payer Program Performance Specialist

Outcomes®; West Des Moines (IA); On-site; USD 70,000 - 90,000; Full time

Job summary

Outcomes® is looking for a Senior Specialist for their Business Performance and Strategy team based in West Des Moines, Iowa. This role involves managing performance guarantees, analyzing client contracts, and developing plans to meet performance goals. Candidates should have at least 5 years of experience in the healthcare field and be adept at overseeing client performance.

In this position, you will collaborate across teams, support account management conversations, and mentor less experienced colleagues. Join us to contribute your expertise in a pivotal role.

Qualifications

• 5+ years of experience in the health care field.
• Ability to analyze performance versus client contracts.
• Experience working on complex projects with innovative solutions.

Responsibilities

• Oversee performance of assigned tier 1 clients.
• Collaborate with teams to execute performance plans.
• Serve as an expert on performance barriers.

Skills

Performance analysis

Collaboration

Project management

Problem solving

Education

Bachelor's degree or equivalent experience

Job description

The Business Performance and Strategy team is responsible for managing performance guarantees and any other performance-based payment arrangements. We track performance on guarantees and assess the appropriate areas for the business to deploy resources to meet client expectations and internal financial targets. Individuals in this role will be assigned to a slate of tier 1 clients and be responsible for overseeing performance clients. Additionally, the senior specialist may be assigned as the subject matter expert for performance processes that impact 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 comprehensive knowledge and a thorough understanding of concepts, principles, and technical capabilities to perform varied tasks and projects
• May contribute to the development of policies and procedures
• Works on complex projects of large scope
• Develops technical solutions to a wide range of difficult problems
• Solutions are innovative and consistent with organization objectives
• Completes work; independently receives general guidance on new projects
• Work reviewed for purpose of meeting objectives
• May act as a mentor to less experienced colleagues

Education & Experience Requirements

• Minimum years of work experience: 5 years in health care field
• Minimum level of education or education/experience: Bachelors or equivalent work experience