Account Manager driving growth within Strategic Accounts for Datasite. Engaging with clients to enhance partnerships and achieve revenue targets while leveraging market knowledge.
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
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