Payer Relations & Connectivity Manager

Who we are

FinThrive - formerly nThrive and acquired companies, TransUnion Healthcare and PELITAS - is advancing the healthcare economy. We rethink revenue management to pave the way for a healthcare system that ensures every transaction and patient experience is addressed holistically. We're making breakthroughs in technology-developing award-winning revenue management solutions that adapt with healthcare professionals, freeing providers and payers from complexity and inefficiency, so they can focus on doing their best work. Our end-to-end revenue management platform delivers a smarter, smoother revenue experience that increases revenue, reduces costs, expands cash collections, and ensures regulatory compliance across the entire revenue cycle continuum. We've delivered over $7.6 billion in net revenue and cash to more than 3,245 customers worldwide. When healthcare finance becomes effortless, the boundaries of what's possible in healthcare expand. For more information on our new vision for healthcare revenue management, visit FinThrive.com

What we offer

Our people make us great. We know that our colleagues are the most integral part of our story.

We offer a flexible, work-from-anywhere environment -coming together across time zones, countries, home offices and computer screens. Our valued team members work across the U.S., Canada, India and beyond.

We encourage you to take time away from work -whenever you need it. Our flexible time off lets you make time for what matters most. We want you to travel, refresh, spend time with family and friends, and give back to your communities.

We're big on professional development. Through training and education, we help you develop the skills you need to excel in your role and beyond.

We're proud of our award-winning culture. We've been certified as a "Great Place to Work" since 2017. Our goal is to engender a culture based on diversity, inclusion and respect-a culture where your voice is valued-and you always have a seat at the decision-making table.

FinThrive Perks

• Fully remote working environment
• Unlimited flexible time off (FTO)

• Professional development opportunities
• 12 Weeks of paid parental leave
• In-person and virtual company retreats
• 5-days of paid volunteer hours at an approved 501(c)(3) Organization
• Company lump-sum contribution to HSA-eligible medical enrollees

• 401k Eligible upon date of hire-up to 3% company match
• Exclusive discounts from your favorite brands via PerkSpot

Job Purpose:

FinThrive is seeking a Payer Relations & Connection Manager, who is responsible for all current and future relationships with payers (health insurance carriers.) This role will be responsible for identifying opportunities, securing contracts and coordinating implementation on executed agreements. The Payer Relationship Manager will be responsible for cultivating relationships with payers and coordinating those relationships across the clearinghouse business. This role will have responsibility in expanding FinThrive's payer-centric offerings while managing costs. The role provides product and payor expertise and is a key player in supporting the functions of our clearinghouse operations. Focused on ensuring the highest level of client satisfaction by quickly and correctly resolving or triaging cases and interacting with clients and payors via verbal and written communication in a professional manner.

This position requires strong communication/interpersonal skills, great follow up and organizational capabilities, and contract language interpretation.

How you will contribute:

The Payer Relationship Manager will be the primary owner of FinThrive's payer connectivity strategy. This role will identify targets, contact payers to secure an agreement for connection, work with legal to execute agreements and drive implementation.

This role will be responsible for building FinThrive's relationships with Payers. The role will be responsible for building out our offerings with contracted payers and better understanding the needs the payer has that could further the partnership.

The Payer Relationship Consultant will work closely with Operations counterparts on communication with clients with regards to payer connectivity as well as troubleshoot and address errors.

Managing invoices from Payers and working closely with FinThrive Finance teams for reconciliation, approval, and payment.

Required Skills Minimum Qualifications & Competencies:

• Ability to communicate with others, including payers and customers, in a clear, understandable and professional manner on the phone, via email and in person; and the demonstrated use of excellent written (i.e. good grammar/spelling) and verbal communication skills.
• Demonstrate professional motivation, steadiness and dedication and the ability to develop and maintain successful, long-term, relationships with key industry/payer/client contacts.
• Ability to lead contract negotiations and coordinate across teams
• Ability for critical thinking for continuous improvement around customer experience and operations

• Proven knowledge and experience in customer experience and support.

• Demonstrate organizational, problem solving, time management and analytical skills.
• Past or similar experience in a billing office with consistent communication with the payor.
• Demonstrated ability to work in a team environment that requires quick turnaround and quality output.
• Self-direction and a strong sense of professionalism and personal accountability.
• Proficient in Microsoft Office (Word, Excel, PowerPoint and Outlook.)

Education/Experience:

• Bachelor's Degree or equivalent, relevant work experience
• Knowledge of Healthcare, Payers, HIPAA, EDI and Healthcare X12 transactions is preferred.
• Knowledge of payer contracting and terms negotiation
• 2-4 years' experience in Healthcare industry
• Comprehensive understanding of hospital revenue cycle preferred
• CRM or SalesForce experience a plus

Travel: Less than 20%