Hybrid Payor Relations Manager

Posted last month

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About the role

  • Manager, Payor Relations overseeing contracting and credentialing in hearing health care industry. Leading initiatives for efficiency and compliance within the organization.

Responsibilities

  • Manage and oversee payor contracting, enrollment, and credentialing activities to support patient access and business objectives
  • Implement policies and procedures that ensure compliance with regulatory and payor requirements
  • Serve as escalation point for complex payor-related issues, providing resolution and guidance to supervisors and staff
  • Analyze operational and performance data to identify trends, monitor outcomes, and present findings to leadership to inform strategic decisions
  • Collaborate with reimbursement, finance, operations, and compliance teams to align payor activities with organizational goals
  • Lead process improvement initiatives to enhance efficiency, accuracy, and compliance across payor functions
  • Develop and maintain relationships with payors to support contracting and enrollment objectives
  • Provide leadership, coaching, and development for supervisors and staff to promote operational excellence and professional growth

Requirements

  • Bachelor’s degree in business, healthcare administration, or related field OR equivalent work experience
  • 5+ years of experience in payor contracting, payor relations, or managed care within the healthcare industry
  • 2+ years of direct people management experience
  • Demonstrated success negotiating and managing contracts with Medicare, Medicaid, and commercial payors
  • Strong knowledge of healthcare reimbursement, benefit structures, credentialing, and compliance requirements
  • Experience with payor enrollment and credentialing processes
  • Advanced analytical skills with the ability to interpret data and generate actionable insights
  • Excellent written and verbal communication skills, including the ability to present to senior leadership
  • Proficiency with Microsoft Office Suite and relevant business technology platforms.

Benefits

  • medical, dental, vision, life and disability insurance
  • 401(K) matching with immediate vesting
  • Paid Time Off
  • tuition reimbursement
  • maternity and paternity leave
  • Employee Stock Purchase Plan
  • pet insurance

Job title

Payor Relations Manager

Job type

Experience level

Mid levelSenior

Salary

$126,000 - $135,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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