Payer Relations Manager

Full Job Description

Human Services and Public Health (HSPH) is seeking a Payer Relations Manager. As a vital member of the finance team, reporting to the Finance Director, the Payer Relations Manager will provide strategic and operational leadership for HSPH's payer contracting initiatives. This role will be responsible for shaping payer relationships that drive improved value, outcomes, and financial performance across our services.

Current Hennepin County employees who refer a candidate hired into an open competitive position may be eligible for a $500 referral bonus. For more information visit employee referral program.

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Location and hours:
This position is hybrid and will be performed both on-site at the Hennepin County Government Center, 300 South 6th Street, Minneapolis, MN 55487, and remote as job duties require. Work hours will be Monday through Friday, with typical hours of 8 a.m. to 4:30 p.m. While this position is designated as hybrid, based on current requirements hires must reside in or relocate to Minnesota or Wisconsin. New Employee Orientation (NEO) for all new benefit-earning employees is in-person in downtown Minneapolis. Details about NEO will be provided upon hire.

About the position type:
This is a full-time, benefit earning position. This position is internally classified as an Administrative Manager. Click here to view the job classification specification.

In this position you will:

• Supervise a team of two Provider Enrollment specialists to direct the efficacy of the enrollment process and ensure staff development and growth.
• Lead payer performance analysis, identify opportunities to improve networks, offerings and contracts, and manage contract implementations/management.
• Strategize with senior leaders on contract and negotiation opportunities related to fee-for-service and value/risk-based performance contracts.
• Assess overall performance aimed at improving overall value, outcomes, and financial performance.
• Coordinate provider enrollment activities with other departments within Hennepin County.
• Work closely with revenue cycle to understand current revenue issues with payers and communicate with insurance and other payers when we are billing unsuccessfully.
• Assist executive leaders, finance department, revenue cycle, physician services, and other departments as requested with special projects.

Need to have:

• One of the following:
  • Nine years or more of experience related to organizational operations or programs or a specialty area appropriate to the position.
  • Bachelor’s degree or higher in business administration or other field appropriate to the position and five years of experience related to organizational operations or programs or a specialty area appropriate to the position.

Nice to have:

• Experience:
  • Leading work groups or teams and facilitating meetings.
  • Working with Health and Human Services providers in enrollment and/or registration with health plans and programs.
  • Charging and billing of healthcare services in government programs and commercial payors.
  • Working with hospital/clinic financial and contracting analytical modeling.
  • With revenue cycle operations (registration, charge capture, health information management, claims, payment posting).
• Ability to:
  • Communicate effectively both verbally and in writing including but not limited to upper-level management.
  • Navigate political dynamics and work well with multiple levels of the organization.
  • Apply problem-solving skills and make data driven recommendations for action.
  • Foster cross-functional collaborations.
• Knowledge of:
  • Government and commercial payor requirements for accurate and compliant charging and billing of all healthcare services.
  • Hospital revenue cycle operations (registration, charge capture, health information management, claims, payment posting).
  • Medical terminology.

About the department:
Human Services delivers a variety of services to individuals or families that assist with basic needs or encourage client change around specific objectives. We work with individuals as well as systems and communities in order to develop policy and advocate for the people we serve. The people we serve and our communities are connected. By helping one, we help the other.

About Hennepin County:
Hennepin is the largest county government organization in Minnesota. Our employees work every day to improve the health, safety and quality of life for our residents and communities. All of our jobs align with our mission to serve residents through transformative services that eliminate disparities, eliminate inequities, and create opportunity for all and our vision of a community where all people are healthy, all people are valued, and all people thrive.

Our employees receive a combination of competitive benefits and positive workplace culture not found at other organizations. This includes meaningful work that impacts our community, competitive pay, work-life balance, a variety of benefits and opportunities to grow. Learn more at The Bridge (login as Guest).

Hennepin County envisions an organization where our commitment to diversity and the elimination of disparities is fundamental in providing excellent service to our community.

Your future. Made here.

This posting may be used to fill current and future vacancies.

Watch this video for application best practices and tips. This position will have access to systems or other documentation that contains HIPAA data.

Invitations to interview will be based upon an assessment of education and experience. Final candidates may be required to complete a criminal background check.

If you have any questions, please contact:
Pajoua Chang
Pajoua.Chang@hennepin.us