DescriptionProfessional - Nonclinical
Req #: 88414
#LI-Rmote
Summary:
The RCM Payer Performance Policy and Escalation Manager is responsible for coordinating payer performance initiatives across the Revenue Cycle. This role facilitates a unified and accurate presentation of data and project related work as it pertains to payer policy impacts, payer claim resolution projects, and coverage research that impact payer performance, claim resolution, contract adherence, clinical initiatives, and reimbursement accuracy.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: Bachelor's degree in business, finance, healthcare administration, or related field. May accept a combination of management and technical experience equivalent to a degree
- Experience: 3 to 5 years in revenue cycle operations, payer relations, auditing and appeals, medical insurance, or other healthcare experience. Experience in a multi-facility or integrated health system preferred.
- Additional Skills/Requirements Required: Proficiency in data visualization and reporting tools, such as Excel, SmartSheets, Epic
Additional Information MaineHealth is committed to fostering a supportive, inclusive environment where care team members can thrive while making a meaningful impact in the communities we serve across Maine and New Hampshire. We offer competitive benefits including paid parental leave, flexible work options, student loan assistance, professional development opportunities, and well-being resources-so you can grow your career while feeling supported both personally and professionally.
We recognize the value each team member brings to our organization. Any offer of employment will depend on qualifications such as skills, relevant experience, education, certifications, and other job-related factors. The base range is an estimate and does not reflect the full value of our total compensation package.
The pay range for this position is $71,448.00 to $96,636.80 per year.
Compensation for part-time positions is determined on a prorated basis consistent with the scheduled hours and applicable full-time equivalent (FTE).
In addition to base pay, MaineHealth offers comprehensive benefits, recognition programs, career growth opportunities, and, where applicable, shift differentials or other incentives.
If you have questions about this role, please contact [email protected]
Hiring Scam AlertMaineHealth will never request financial information during the interview or pre-hiring process. All legitimate communications will come from an email address ending in @mainehealth.org. If you suspect fraudulent activity, please report it immediately to [email protected] .
