JOB SUMMARY 

Manager, Payer Program Performance is responsible for overseeing all aspects of Program Performance team, ensuring the business performs well against client expectations and delivers strong financial results by allocating resources in appropriate areas. The individual in this role will manage a team that is dedicated to both developing and refining our toolbox of initiatives that can be used to achieved desired performance and expertly deploying those initiatives to achieve desired results.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Team Leadership:
  • Build and lead a high-performing team of professionals dedicated to driving performance for payer programs
  • Provide guidance, mentorship, and support to team members, fostering a collaborative and innovative work environment
  • Manage departmental policies and procedures
  • Conduct performance evaluations, set goals, and implement professional development plans for team members.
• Dissect client contracts and understand how to achieve the best business results within the scope of those agreements, diagnose for performance barriers, and develop action plans to meet performance goals
• Define program goals, objectives, and key performance indicators (KPIs) to measure program effectiveness
• Monitor program performance and regularly assess key metrics to identify areas for improvement and optimization
• Understand gaps to achieving performance goals and coordinate across the business to fill them
• Ensure performance resources are deployed in a manner that achieves optimal financial outcomes
• Socialize performance concerns across the business
• Maintain detailed tracking on performance against client expectations and detailed tracking on financial performance on all programs
• Coordinate with Finance team to set appropriate performance expectations for budgeting
• Inform contract negotiations by coordinating with sales teams on performance feasibility