What are the responsibilities and job description for the Payer Program Performance Specialist position at Outcomes®?
JOB SUMMARY
This position is responsible for managing performance outcomes for a subset of healthcare clients. The role serves as a subject matter expert on the performance and financial aspects of assigned client contracts. Responsibilities include analyzing performance against client expectations and financial targets, identifying performance gaps, and implementing strategies to drive improved results. This individual may also support and lead performance initiatives that span across the department.
KNOWLEDGE & REQUIREMENTS
What is expected of you and others at this level:
- Applies working knowledge of concepts, principles, and technical capabilities to perform varied tasks
- Works on projects of moderate scope and complexity
- Identifies possible solutions to a variety of technical problems and takes action to resolve them
- Applies judgment within defined parameters
- Receives general guidance and may receive more detailed instruction on new projects
- Work is reviewed for sound reasoning and accuracy
EDUCATION & EXPERIENCE REQUIREMENTS
- Minimum of 2 years of experience in a healthcare-related field
- Bachelor’s degree required
ESSENTIAL DUTIES & RESPONSIBILITIES
- Analyze and understand performance against client contracts, including KPIs and financial targets
- Identify performance barriers and develop action plans to meet performance goals
- Collaborate cross-functionally to execute performance improvement initiatives
- Serve as a subject matter expert on performance drivers and barriers for assigned clients
- Partner with account management teams to support client discussions and strategy
- Coordinate with finance to communicate expected performance outcomes
- Support contract negotiations by providing performance insights and feasibility assessments