Summit Health · 1 hour ago
Manager, Payor Partnerships and Revenue Cycle Financial Strategist
Albany, NY
Full-time
Onsite
Mid, Senior Level
$115K/yr - $150K/yr
3+ years expSummit Health is a physician-led, patient-centric network committed to simplifying health care. The Manager, Payor Partnerships and Revenue Cycle Financial Strategist will be a key leader responsible for facilitating competitive pricing, revenue growth, and implementing operating model improvements in the revenue cycle management.
Hospital & Health Care
Responsibilities
Lead and manage a team inclusive of both internal and external resources, direct and matrixed resources, focused on driving revenue, margin, growth, and performance through detailed analysis of payor contracts
Develop and implement models to analyze reimbursement rates and identify opportunities for improvement
Advise senior leadership on financial strategies to optimize contract performance and profitability
Leverage data analytics, business insights, and cross-functional collaboration to drive operational and financial optimization
Support the development of monitoring FFS and VBC contract performance across multiple payers and lines of business
Implement strategies to ensure competitive FFS and VBC compensation in all markets, standardizing tools for contract performance prediction and revenue improvement
Analyze and interpret claim-level data, as well as broader trended metrics, to assess and communicate performance impacts to internal and external stakeholders
Collaborate with clinical operations to identify and implement profitable growth strategies
Collaborate with RCM leaders and Data and Analytics team identify and implement operating model improvements, including use of cutting-edge technologies (e.g., OCR, RPA, Ai, etc.)
Build strong relationships with senior operations leadership to develop solutions for complex business issues
Qualification
Required
Bachelor's degree in business, healthcare administration, or a related field
Minimum of 3+ years in progressive roles within financial services or a healthcare organization
Demonstrated track record of success in a financial role, driving change and improving financial and operational outcomes
Strong background in financial analysis and modeling, with expertise in revenue pipeline development, Enterprise growth strategy, annual strategy development and pricing development with payors
Extensive experience in leveraging data analytics and business insights to drive decisions and optimize financial performance
Demonstrated leadership in managing and mentoring teams in a matrixed, cross-functional environment
Advanced communication skills, with the ability to translate complex financial and operational data for diverse audiences
Strong project management experience, with a track record of successfully leading initiatives across multiple departments and stakeholders
Knowledge and experience in healthcare finance, financial modeling, and contracting methodology
Ability to think independently and develop new processes to enhance contract and financial performance
Strong in Excel, healthcare analytics, and contract modeling with a focus on cost and utilization drivers
Benefits
Health insurance
Dental insurance
Life insurance
Access to a 401k plan
Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan
Company
Summit Health
Summit Health helps patients with all of their primary care and specialty care needs.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jennifer Marchitto, AuD
Chief Operating Officer
Christine Masterson
Chief Medical Officer New York South Region
Recent News
2024-01-05
2023-05-04
Modern Healthcare
2023-01-06
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