Project Manager

PayrHealth: An All-in-One Payor Management Solution

Payrhealth has been the leader in managed care contracting outsourcing for over 25 years. At the core of our business, we help healthcare providers increase their revenue by obtaining new and more profitable contracts with payers. While contracting, renegotiation, and credentialing support are the core of our business today, we are continually looking for more ways to expand our services to support healthcare providers. Payrhealth was recently acquired by Osceola Capital Management, a private equity firm planning to further invest in the capabilities and resources we offer.

Project Manager

The Project Manager, under the direction of the Consultant, is responsible for co-management of client accounts as a behind-the-scenes facilitator for performing a variety of administrative functions as needed. The Project Manager must maintain a positive and close working relationship with assigned Consultants, and have prompt, effective, and proactive communication with clients, payors, internally with MCC&S teammates, and with stakeholders in other Divisions. The Project Manager is responsible for coordinating, monitoring, and maintaining the contracting and credentialing process for clients, internally and externally, and for the coordination, collection, and communication of client information internally and externally. The Project Manager carries out all duties in compliance with all internal policies and applicable regulations, promoting the mission and philosophy of the organization, and fostering a professional, positive work environment.

Project Manager Responsibilities:

• Maintains a client project tracker and consistently log tracker as updates are received.
• Reviews client documents and gathers understanding of client service offering.
• Manages payor outreach and follow up (i.e. request update on join network request, follow up on request to obtain current contracts and fee schedules).
• Serves as the liaison with payors to ensure the appropriate information is submitted and status with payor is documented.
• Independently researches payor processes and guidelines to assist with management of project goals.
• Identify, grow, and maintain payor contacts and relationships.
• Analyzes trending reports to identify outliers and areas of improvement.
• Acts as a trainer and mentor to new Project Managers as requested.
• Prepares and maintains throughout the client engagement presentation materials, project plans, data sharing files, data analysis projects.
• Coordinate and facilitate credentialing submission and monitor and notify of progress.

Project Manager Requirements:

1. Educational background in healthcare, project management, or data analysis a plus.
2. Knowledge, experience and understanding of the healthcare industry preferred.
3. Contracting or credentialing experience preferred.
4. Strong customer service skills.
5. Demonstrated ability to coordinate activities across functional areas.
6. Sound personal management skills to plan, organize, schedule, and complete own work and work that is coordinated with others.

Compensation & Benefits

This is a full-time remote position. Compensation is a competitive salary and bonus structure complemented by a full benefits package.

Benefits include:

• Health Insurance
• Dental Insurance
• Vision Insurance
• 401K program
• Unlimited Paid Time Off

Company Culture & Values

We are a small and growing team, so your responsibilities will evolve rapidly. You will be challenged and supported by a great team in an environment where you can move fast, work hard, and see results.

EEO Statement: PayrHealth provides equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, or genetics. We comply with all applicable federal, state, and local laws governing nondiscrimination in employment. This policy applies to all terms and conditions of employment.