athenahealth · 1 month ago
Program Manager, Revenue Cycle Connectivity Strategy
Belfast ME
Full-time
Onsite
Senior Level
$105K/yr - $179K/yr
6+ years expathenahealth is dedicated to creating a thriving ecosystem that provides accessible, high-quality healthcare. The Program Manager, Revenue Cycle Connectivity Strategy will lead the development of payer interoperability strategies and manage initiatives across key service lines to improve efficiency and collaboration with payer partners.
Enterprise SoftwareHealth CareInformation TechnologyMedical
Responsibilities
Lead and expand payer connectivity strategy to cover 50+ payer relationships, representing ~40% of volume drivers
Develop and manage the portfolio of payer interoperability initiatives across four key service lines: Remittance Tracking, Enrollment, Authorization Management, and Denials/Appeals
Support the creation and execution of joint business cases that identify cost savings, performance improvements, and shared investment opportunities
Develop shared data assets with payer partners to provide mutual visibility into business performance and opportunities for collaboration
Translate insights into actionable payer engagement strategies and value propositions
Build and maintain a structured payer interop pipeline by service line:
Conduct environmental scans to identify revenue cycle opportunities
Develop ROI models to inform prioritization and investment decisions
Bring payers to the table and influence their prioritization of joint initiatives
Lead commercial and SLA negotiations
Coordinate execution of payer initiatives across internal functions, including Operations, R&D, and Product teams
Partner with FP&A to monitor and report financial impact versus benchmarks and goals
Ensure clear communication, accountability, and alignment across teams on payer engagement strategy
Qualification
Required
Bachelor's degree required
6–10 years (Manager) / 8–12 years (Sr. Manager) in strategy, payer relations, or healthcare interoperability roles
Strong understanding of payer-provider connectivity, RCM operations, or healthcare technology ecosystems
Demonstrated ability to manage strategic partnerships, influence senior stakeholders, and negotiate value-based agreements
Exceptional strategic, analytical, and financial modeling skills
Strong program management and stakeholder engagement abilities
Excellent communication and executive presence
Preferred
MBA or related advanced degree preferred
Benefits
Commuter support
Employee assistance programs
Tuition assistance
Employee resource groups
Collaborative workspaces
Flexibility
Events throughout the year, including book clubs, external speakers, and hackathons
Company
athenahealth
Athenahealth is a provider of medical practice automation and claims management software to medical groups and health systems.
5001-10000 employees
H1B Sponsorship
athenahealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (94)
2024 (84)
2023 (61)
2022 (108)
2021 (84)
2020 (74)
Funding
Current Stage
Public CompanyTotal Funding
$40MKey Investors
Venrock
2021-11-22Acquired
2017-05-18Post Ipo Equity
2007-09-20IPO
Leadership Team
Eddie Ross
Vice President, Payer
Anil Patil
Executive Director Engineering
Recent News
HealthCareIT News
2025-12-30
2025-12-19
Company data provided by crunchbase