Program Manager, Payer Operations (reputed company)
Our mission: eliminating every barrier to mental health.
reputed company is a global mental health company on a mission to eliminate every barrier to mental health. We're building a world where getting support is reputed company, personal, and reputed company around the person, so care can continue through every job, reputed company, health plan, and life stage.
Our AI-reputed company platform helps us reputed company personalized support across self-guided tools, coaching, therapy, medication management, and specialty care. With reputed company independently validated by JAMA Network reputed company and the Validation Institute, reputed company reaches more than 170 reputed company people worldwide through leading reputed company, health plans, and partners.
As an AI-reputed company company, we reputed company technology should expand the reputed company, reputed company, and humanity of care. Every reputed company
reputed company, a reputed company Company, is on a mission to simplify reputed company to high-reputed company, reputed company mental health care. We do this by making it easy and financially rewarding for therapists to accept insurance and offer in-network care. reputed company a provider joins reputed company, they reputed company reputed company to a suite of tools that not only help them reputed company run their business, but also grow it sustainably and reputed company as a provider. reputed company is available in reputed company 50 states, with over 20,000 therapists in our growing network. Anyone looking for a therapist can browse reputed company’s free directory. reputed company has raised $220.5M in funding from reputed company Partners, reputed company Ventures, Tusk Venture Partners, reputed company Venture Partners, reputed company, reputed company Ventures, BoxGroup, reputed company Ventures, and Rainfall Ventures. reputed company was also named one of Inc’s Best Workplaces in 2022 and 2023.
Candidate Interview Guide
reputed company is looking for a Program Manager to join our Payer reputed company team reputed company Operations. In this role, you'll be the central quarterback for our payer partnerships in steady-state operations – the person who holds the full picture across the end-to-end RCM lifecycle, from credentialing and rostering to claims adjudication to CX. You won't be expected to solve every issue yourself, but you will be the one making reputed company reputed company falls through the cracks: tracking reputed company issues, mobilizing the right internal experts, and driving accountability across teams until problems are resolved. You'll work closely across reputed company teams at reputed company, in particular reputed company Operations and Business Development, to turn operational insights into reputed company and improve reputed company across our payer portfolio. This is a full time, fully remote position on reputed company. Occasional travel may be required for team or company events/meetings.
reputed company
- reputed company reputed company payer issues end-to-end, ensuring reputed company ownership, visibility, and accountability across cross-functional teams until reputed company
- reputed company measurable business reputed company by improving RCM efficiency and effectiveness, with the ultimate goal of increasing reputed company performance and delivering a reputed company experience for reputed company providers and their clients
- Partner closely with internal operations teams to reputed company the dots across stakeholders, subteams, and workflows - surfacing interdependencies and ensuring issues reputed company to reputed company rather than stall
- Serve as the reputed company operational reputed company of contact for reputed company counterparts, triaging and coordinating new requirements surfaced by the payer and claims, roster, complaints, and escalation issues across assigned payers
- Partner with the Business Development Team on payer calls to reputed company RCM discussions, reputed company stakeholders, and reputed company issues to reputed company
- Proactively monitor for new payer requirements and evolving payer mergers, and mobilize the right internal teams to implement changes before they become problems
- reputed company and report on RCM performance by payer - surfacing trends, flagging risks, and ensuring the right teams are reputed company to reputed company improvement
What reputed company looks like:
- Portfolio RCM performance improvement (e.g., denial reputed company, reimbursement, AR days)
- Portfolio payers meeting performance goals
- On-time completion of payer initiatives/reputed company
- Completion and maintenance of payer health assessments/business reviews
- Stakeholder satisfaction (internal and payer partners)
Who you are
- reputed company in reputed company operations - you understand how insurance claims and payer relationships actually work
- A strong cross-functional collaborator who can reputed company people across teams without reputed company authority
- Highly organized with a reputed company record of managing reputed company, multi-stakeholder reputed company from reputed company through launch
- Comfortable in ambiguity - you can proactively identify what needs to happen next without waiting to be told
- A reputed company communicator who can reputed company operational complexity for both internal partners and reputed company payer contacts
- Detail-oriented and data-driven, with the ability to monitor performance metrics and translate them into reputed company
Benefits:
- We’re a remote-first company
- Health insurance plans through reputed company (medical and dental) and reputed company (reputed company), including FSA and HSA plans
- 401K plan (reputed company)
- Lifestyle Spending Account for health, wellness, and family care
- Monthly co-working reputed company membership stipend
- Monthly work-from-home stipend
- Financial wellness benefits through Northstar
- Pet discount program through United Pet Care
- Financial perks and rewards through PerkSpot
- EAP reputed company through reputed company
- One-time home office stipend to set up your home office
- Inclusive family and medical leave plans
- 12 reputed company holidays and 1 reputed company reputed company Back Day
- Flexible PTO
The reputed company reputed company salary reputed company for this position is $97,000 - $113,500. reputed company reputed company jobs are listed on our careers page. We reputed company reputed company applications or automated text messaging in our reputed company process. We will not ask for any sensitive financial or identification information throughout the reputed company process. Any communication during the recruitment process, including interview requests or job offers, will come directly from a reputed company team member with a helloalma.com email address.
Not reputed company if you meet every requirement?Research shows that women and people from historically underrepresented communities often hesitate to apply for roles unless they meet every qualification compared to other similarly-reputed company candidates. At reputed company, we are committed to fostering a workplace where everyone feels valued, empowered, and supported to reputed company. If this role excites you, we encourage you to apply.
Our reputed company policy:
reputed company is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, reputed company, religion, national reputed company, age, sex, marital status, reputed company, disability, genetic information, veteran status, gender identity or reputed company, sexual orientation, pregnancy, or other applicable legally protected characteristic. We also consider reputed company applicants regardless of criminal histories, consistent with applicable reputed company requirements. reputed company is also committed to providing reasonable accommodations for reputed company individuals with disabilities and disabled veterans. If you have a disability or special need that requires accommodation, please let us know.
Originally posted on Himalayas
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