Manager, Payer Program Performance
Outcomes®
Job Summary Manager, Payer Program Performance is responsible for overseeing all aspects of the Program Performance team, ensuring the business performs well against client expectations and delivers strong financial results by allocating resources in appropriate areas. The individual in this role will manage a team dedicated to developing and refining a toolbox of initiatives that can be used to achieve desired performance and expertly deploying those initiatives to achieve results. Essential Duties & Responsibilities Team Leadership: Build and lead a high‑performing team of professionals dedicated to driving performance for payer programs. Provide guidance, mentorship, and support to team members, fostering a collaborative and innovative work environment. Manage departmental policies and procedures. Conduct performance evaluations, set goals, and implement professional development plans for team members. Dissect client contracts and understand how to achieve the best business results within the scope of agreements; diagnose performance barriers and develop action plans to meet performance goals. Define program goals, objectives, and key performance indicators (KPIs) to measure program effectiveness. Monitor program performance and regularly assess key metrics to identify areas for improvement and optimization. Understand gaps to achieving performance goals and coordinate across the business to fill them. Ensure performance resources are deployed to achieve optimal financial outcomes. Socialize performance concerns across the business. Maintain detailed tracking on performance against client expectations and financial performance on all programs. Coordinate with Finance team to set appropriate performance expectations for budgeting. Inform contract negotiations by coordinating with sales teams on performance feasibility. Qualifications Knowledge & Requirements Skills and Desirable Qualities Excellent verbal and written communication and presentation skills. Ability to communicate across all levels, demonstrating professionalism and good judgment at all times. Work autonomously with minimal direction while also being part of an integrated team. Strong organizational and time‑management skills. Manage competing demands and multiple priorities while maintaining strong attention to detail. Strong leadership skills to influence team, colleagues, and leadership. Technical proficiency related to PC and basic office software. What is expected of you and others at this level Manages department operations and supervises professional employees. Participates in the development of policies and procedures to achieve specific goals. Ensures employees operate within guidelines. Decisions have a short‑term impact on work processes, outcomes, and customers. Interacts with subordinates, peers, customers, and suppliers at various management levels; may interact with senior management. Engages in resolution of issues related to operations and/or projects. Gains consensus from various parties involved. Travel Requirements: Domestic and/or International, up to 10%. Education & Experience Requirements Minimum 8 years work experience, with 4 years in health care and people leader experience preferred. Bachelor’s degree or equivalent experience. Physical Requirements Frequent sitting at a desk. Occasional standing, walking, stooping, kneeling, squatting, climbing stairs. Occasional twisting, reaching, lifting, pulling, or pushing. What’s In It For You? Medical, Dental, and Vision plans. Voluntary Benefits.
HSA & FSA.
Fertility & Family Planning benefits. Paid Parental Leave. Adoption Assistance Program. Employee Resource Groups. Flex PTO for exempt associates & up to 15 PTO days in first year for non‑exempt associates. 11 paid holidays. Corporate wellness program. 401(k) plan with pre‑tax and Roth contributions, plus employer match. #J-18808-Ljbffr Outcomes®- A healthcare company is seeking a Manager, Payer Program Performance to oversee a dedicated team ensuring optimal business performance and financial results. The ideal candidate will have over 8 years of experience, including 4 in a leadership role within the healthcare...Performance
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$88.2k - $163.8k
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...Program Manager Sr - Remote At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique... ...programs Conduct analysis, design solutions, and monitor performance against metrics, business and/or client requirements Manage...PerformanceWork experience placementWork at officeLocal areaRemote workVisa sponsorshipWork visa- ...The Program Manager (PM) oversees, leads, and administers the setting up of Salesforce Program. The PM is the individual ultimately responsible... ...architects on technical solutions. Ensure scalability, performance, and maintainability of the Salesforce platform....Performance
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