Senior Manager, Payer Implementation

🔥 15 hours ago

🏛️ District of Columbia, New York, +2 more states – Remote

🏛️ District of Columbia – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote 🎸 Tennessee – Remote

⏰ Full Time

🟠 Senior

👔 Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 25%

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Chamber

WebsiteLinkedInAll Job Openings

1 - 10 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare • Healthcare Insurance • SaaS

Chamber is a company focused on improving cardiovascular health by empowering cardiology teams to thrive in a value-based care environment. It partners with cardiologists to offer technology solutions and support services that enable comprehensive care and unlock new revenue opportunities, at no cost to the practice. Chamber aids in navigating value-based care through real-time insights, administrative support, and expertise in payer negotiations. With a strong network of high-performing cardiologists and partnerships with hospital systems, Chamber is transforming the cardiology care ecosystem to ensure providers are compensated for delivering the right care at the right time.

📋 Description

• Own day-to-day payer implementation delivery from late-stage contract conversations through go-live • Build and maintain project plans, coordinate supporting workstreams, and drive open items to resolution • Assess implementations already underway, identify unresolved issues, and drive decisions needed to move forward • Establish and lead payer implementation workstreams • Own data exchange requirements, file layouts, test files, acceptance criteria, and pre-go-live validation • Track enrollment, eligibility, in-program, and exclusion rules and ensure written definitions are aligned • Run clinical design sessions, pre-reads, follow-ups, and decision logs • Coordinate outreach and marketing approvals, consent and opt-out handling, and outreach timing • Coordinate BAAs, data use agreements, and other payer contracts with Legal • Coordinate payer vendor onboarding and compliance activities, including security questionnaires, delegation assessments, training attestations, exclusion screening, and oversight audits • Run launch readiness reviews and go/no-go decisions, lead post-launch stabilization, and deliver handoff to account management • Serve as Chamber’s implementation point of contact with payer partners, guiding meetings and ensuring follow-through • Surface risks and decisions, escalate blockers, and protect launch timelines • Prepare project plans, presentation decks, meeting notes, decision logs, progress reports, and implementation updates • Partner with Clinical, Operations, Finance, Provider Operations, Legal, and other cross-functional teams • Own and expand Chamber’s payer implementation playbook and toolkit • Run lessons-learned reviews after launches and incorporate improvements into the playbook

🎯 Requirements

• 5+ years of experience leading payer implementations, as a vendor to health plans or inside a plan onboarding vendors, including getting data, compliance, legal, marketing, and clinical teams at the payer aligned and moving on the same timeline • Experience building and leading a payer implementation plan when scope and requirements were not fully defined • Comfort with ambiguity and operating where standard structure and processes might not exist yet • Experience managing several workstreams at once, including data, outreach, and clinical operations • Strong written communication and documentation skills, including creating clear, accurate payer-facing presentations, meeting summaries, and implementation materials • Experience managing cross-functional partnerships through influence rather than direct authority • Candidates must be authorized to work in the United States without sponsorship • Value-based care experience, health plan vendor oversight or delegation requirements, ideally for Medicare Advantage, is a plus

🏖️ Benefits

• Remote opportunity, based in the United States • Occasional travel to client sites

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