Payer Partnerships Associate Jobs in Union, Arkansas

Has a sense of urgency, with excellent time management skills.

Experience with CentralReach practice management system is a plus

Maintain job knowledge of funding source operations across all markets.

Manage funding source verification processes across multiple markets.

Manage funding source authorization processes across multiple markets.

Assist in communicating with client families to explain information concerning their benefit coverage.

Understand key customer issues such as legislation, public policy, mergers & acquisitions, IT capabilities, inventory management/distribution, and competitive activity

Align utilization management criteria to label, evidence-based guidelines, and commercial brand strategy

Work across the account (medical, pharmacy, case management) to improve the disease journey for patients

Project manage vendor owned initiatives that offer tools to support Market Access (data, market research, etc.)

Possess strong negotiation capabilities and demonstrated experience in rebate contracting

Maintain a comprehensive knowledge of market and key customer issues

Gain knowledge of database and CRM to ensure accuracies in donor data, and portfolio management .

Excellent verbal and written communication skills, including proposal development, prospecting, and high-level relationship management .

Account management experience, & securing funding from corporations and foundations .

Work closely with managers and directors to ensure de tailed r eporting, donor management and donor engagement is tracked .

Drives the development of revenue and performance dashboards to support management decision-making and resource allocation.

Excellent interpersonal skills & partner facing communication experience .

You have product management or product implementations experience

Be the Communicator-In-Chief, serving as the critical juncture for information flows about our systems across account management, implementations, engineering, product.

Own the product roadmap, working with Services leadership, product managers, and other stakeholders across the company.

You have experience in systems migration and process improvement

You have experience in healthcare or another regulated field like financial services

Quantify performance by creating a metrics-driven approach to how your products are performing, time to resolve issues, and more.

5+ years of management experience

Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines

4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans

Payor contracting and/or revenue cycle experience

Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.

Support measuring and planning for the team’s performance, capacity, and growth targets.

2+ years of management experience

Demonstrated organizational and management skills to manage complex situations through planning, tracking, and resource allocation to meet business objectives and timelines

4+ years of payer enrollment experience, including group and individual applications with Medicare, Medicaid, commercial and managed care health plans

Lead and develop a team of Payer Enrollment Leads. Help your direct reports grow their skills via mentorship, 1:1s, and reviews.

Payor contracting and/or revenue cycle experience

Develop (and maintain) a deep understanding of PE team processes, workflows, and tooling and translate that understanding into workflow improvements.

In depth understanding of different financial and management reporting principles

Transformation support for core finance leadership related to integration and optimization of systems, process and organizational structure

Analyze financial results prepared by core finance FP&A, utilizing output for business leader reviews and conversations

Provide strategic oversight for Finance FP&A team on forecasting relating to Acute and Payer division

Collaborating with divisional senior leaders to manage to budgeted revenue and EBITDA, including addressing reallocation decisions on spend

Partner with Sales, HR, and Finance in sales commission development and operationalization

Identify key areas of internal opportunity provide input to management team

Experience working in the healthcare insurance and/or healthcare audit industry preferred, but not required

Excellent listening, negotiation and presentation skills

Excellent computer and data analytical skills

Operate as the point of contact for any and all matters specific to our customers

Build and maintain strong, long-lasting customer relationships

Owning project management responsibilities and day-to-day interactions with biopharma clients and third party data and platform partners

Experience developing project management standard operating procedures and best practices to ensure consistency across the team

Experience utilizing standard program management tools, such as Smartsheets and Jira

Building the procedures and infrastructure to support scalable growth of the program management team

Experience identifying operational efficiencies to streamline workflows across functional units

Analytical mindset with experience in data analysis, reporting, and identifying the “so what” behind the data

You have 0-2 years of payor enrollment and/or healthcare experience.

Our dedication to mental health guides our culture. Wellness benefits include (but are not limited to):

Flexible working hours and location (remote OR in-office, your choice!)

In-office lunch and biweekly remote lunch on us!

Follow up on status and escalate as needed to overcome barriers

Payer relations: Set up monthly calls with payers

Five (5) or more years of experience in community-based organization, Healthcare and/or Managed Care experience preferred.

Three (3) or more years’ experience working with payer customers and strong client communication skills.

A minimum of a Bachelor's degree in business, finance, analytics, healthcare delivery, public policy, or a related field is required.

Prior relevant work experience focused on SDoH and Health Disparities or population health.

Strong communication skills; ability to present information in a concise manner to multiple organizational levels, including c-suite executives.

Lead and conduct business process and gap analysis to diagnose process improvement opportunities and to develop re-usable solutions.

Established perspectives on large organization leadership, communications, and change management

Experience delivering highly complex enterprise solutions with demanding reliability requirements

Experience delivering solutions with very complicated interoperability and regulatory requirements

10+ years leadership experience of commercial enterprise software engineers with organizations larger than 50 people

Advanced knowledge of systems architecture and application architecture practices

Advanced knowledge of effective agile practices for large engineering organizations

3 years experience in account management, relationship management, brand partnerships, event management, or related.

Previous experience with brand activation, brand marketing, event operations, partnership or donor relations, or project management preferred.

Proficiency in Google Applications and/or project management software.

Collaborating with internal Sundance departments to ensure partner deliverables are fulfilled and partners are satisfied with their Festival experience.

Outstanding verbal, written, and interpersonal communication skills to work effectively with a variety of people.

Bring your experiences in events and brand activation to this new hybrid landscape with digital and in person elements.

Excellent organizational, analytical, presentation, and writing skills.

Open to learning, team oriented, strong attention to detail and excellent written communication skills.

Responsibilities include but are not limited to:

Assist the Deputy Director of Government Partnerships with special projects and research;

Provide planning and coordinate support for public events (in-person and virtual via Zoom) and other external affairs activities;

Participate in team and cross-departmental check-ins, support off-site project visits, and e-mail coordination as necessary.

Skilled delivery of engaging, compelling sales and product presentation, in small and large group settings.

Maintain internal reporting and documentation requirements in SFDC (Salesforce.com) and other applicable areas.

Increase awareness and market knowledge of Ovia.

Minimum 10 years of experience with sales related roles (new business and pipeline development).

Minimum 3 years payer sales experience.

Minimum 3 years experience negotiating term sheets with payers and/or enterprises.

Manage Educational Partnerships Coordinators and other assigned staff, providing project management for enrollment and student support logistics.

Required Knowledge, Skills, and Abilities

Responsible for supervision of staff in educational partnerships assigned to enrollment and student support processes and activities.

Collaborates on solutions-oriented improvements with high school partners and Academic Success and Student Success

Provide training and engagement activities for staff, faculty and administrators on dual credit processes and student support strategies.

Completes required Dallas College Professional Development training hours per academic year.

Lead strategic and operational efforts to scale a portfolio of brands

Develop long-term business plans alongside our partners for their omnichannel customer strategies

You’re Impact Motivated -- You have a natural desire to improve the overall business and are a doer

You’re Resourceful -- You are happy juggling many priorities concurrently and being creative with solutions to move fast

You have a bachelor’s degree, MBA or other advanced degree a plus

You have proven success working in cross-functional teams to build creative solutions

Act as a coach and mentor to junior staff, rapidly developing their skills and knowledge through an apprenticeship-based development model

Contribute to firm initiatives focused on talent (e.g., recruiting, training), knowledge (e.g., IP development, white papers) and other core areas

Contribute to knowledge sharing and team development

Excellent critical thinking and analytical skills

Strong people leader, adept at managing team’s work while developing colleagues’ capabilities

Advanced skills in MS Excel, Access, and PowerPoint

Minimum 5 years’ management level experience

Minimum 7 years’ experience in managed care contract negotiations from a payor or provider lens

Experience negotiating managed care contracts with spend or revenue in the tens of millions of dollars (US $) is strongly preferred

Both payor (national or regional) and provider managed care contracting experience is a plus

Manage staff to include selection, work allocation, training, coaching, and mentoring, problem resolution, performance evaluation, feedback, and corrective action

Experience with Ancillary (PT / OT) contracting is strongly preferred

Ability to apply knowledge of payer contract terminology and payer reimbursement methodologies including managed care requirements and strategies

Review contract files for accuracy of data entry of contract specifications and terms into database and vendor programs.

Review and respond to any escalated network issues from operations teams to managed care to identify and resolve root cause.

Experience with hospital claims processing preferred but not required.

Experience with EDI files and transactions are preferred.

General knowledge of Insurance and employee health plan administration.