Program Manager, General

Job DetailJob Title:Program Manager, GeneralDepartment:62041-Contract and Network ManagementLocation:FarmingtonFTE%:1Shift1stSearch #:2027-520Closing Date:11/12/2026Recruiter:O'Donnell, Lorin E.Additional Links:Parking informationThis position is Benefit eligible; click here for an overview of available benefitsThis position is covered by the Man/Con Handbook; click here to review the current Handbook.PROGRAM MANAGER, PAYER CONTRACTING AND NETWORK MANAGEMENTUnclassified Salary Grade: MAN 01Class Code: 5274 Bargaining Unit: Managerial ExclusionFLSA: Exempt Establish Date: 9/29/2026 Revision Date: PURPOSE OF CLASSAt UConn Health, this class is accountable for managing operations, policies, procedures, and activities associated with payer contracting and network management, providing subject matter expertise and direction to support effective payer relationships, managed care contracting and negotiations, operational issue resolution, reimbursement, and patient access to care.SUPERVISION RECEIVEDReceives administrative direction from the Assistant Vice President of Third-Party Payer Contracting and Network Management. SUPERVISION EXERCISEDManages operations of payer contracting and network management functions. May provide functional direction, technical expertise, or supervision of staff involved in the assigned program or functional area.EXAMPLES OF DUTIESProvides subject matter expertise and programmatic oversight for payer contracting and network management, managed care operations, and related revenue cycle functions;Prepares proposals and leads negotiations for assigned fee-for-service and value-based care reimbursement contracts with local, regional, and national payers; Oversees program operations and activities to achieve established goals, objectives, service requirements, and payer network performance expectations;Participates in the development of program goals and objectives and implements initiatives;Implements policies, procedures, service standards, and program requirements;Identifies and resolves the full scope of complex or specialized payer-related operational matters, including issues involving claims, reimbursement, authorization, enrollment, provider participation, and contracting;Analyzes program requirements, operational information, payer data, contract provisions, and performance data to identify issues, trends, and opportunities for improvement;Monitors payer and network performance and recommends or implements corrective actions as appropriate;Serves as operational liaison and point of contact for managed care organizations and facilitates communication, resolves operational issues, and supports effective payer relationships;Collaborates with revenue cycle departments and other stakeholders to identify and resolve payer-related issues and improve operational processes;Supports managed care contracting activities by providing operational and subject matter expertise, modeling the impact of contract proposals, assisting with contract analysis and implementation, and coordinating internal stakeholders as appropriate;Provides training, education, consultation, and technical assistance related to payer relationships, managed care operations, and network requirements;Assists in preparation, tracking, and reconciliation of program budgets and resource requirements;Represents the program with internal and external stakeholders to support unit operations, including Joint Operating Committee (JOC) meetings;Identifies opportunities to improve payer network effectiveness, reimbursement, operational efficiency, quality, and service delivery;Performs related duties as required.KNOWLEDGE, SKILL AND ABILITYConsiderable knowledge ofSubject matter and technical practices pertinent to payer negotiations, network management, and managed care operations;Managed care contracting principles and payer-provider relationships;Relevant state and federal laws, statutes, and regulations;Knowledge ofPrinciples and practices applicable to revenue cycle and the healthcare reimbursement environment;Information systems and reporting tools used to support network management, payer contract administration, and revenue cycle operations;And ability to apply management principles and techniques;Budget and resource management practices;Skill inInterpersonal skills;Oral and written communication;Organizing and prioritizing work;Problem-solving and decision-making;Negotiation;Ability toTranslate established goals and procedures into day-to-day operations;Analyze payer, operational, financial, and reimbursement information and identify problems;Interpret and apply payer contract provisions and network requirements.GENERAL EXPERIENCESix (6) years of progressively responsible experience in managed care, payer relations, revenue cycle, network management, or a closely related field.SUBSTITUTIONS ALLOWEDCollege training in business, finance, healthcare administration, or a related field may be substituted for the General Experience on the basis of fifteen (15) semester hours equaling one-half (1/2) year of experience to a maximum of four (4) years for a bachelor's degree. Salary Range: 125,000 - 140,000