Supervisor, Payer Relations
The Ohio State University Wexner Medical Center · Columbus, OH · Yesterday
OTHRFull-time
With guidance from the Chief Managed Care Officer, this role oversees staff, manages payer relationships, and executes payer strategies. Expertise in payer operations, reimbursement methodologies, and revenue cycle workflows is required, along with strong leadership and relationship-building capabilities.
Responsibilities
- Manage staff and individual payer-facing projects simultaneously.
- Lead escalated payer discussions and executive-level issue resolution.
- Monitor payer performance, policy changes, and operational impacts.
- Support contract interpretation and alignment with operational workflows.
- Drive process improvement across revenue cycle and operational departments.
Requirements
- Bachelor's Degree in Business Administration, Marketing, or Healthcare.
- 6 years of relevant experience required; 8-12 years preferred.
- 3 or more years of experience specifically in payer relations, managed care, revenue cycle, or healthcare operations.
- Prior supervisory or team leadership experience preferred.
- Strong understanding of managed care payers (commercial and governmental) and reimbursement structures.
- Ability to plan, manage, and establish expertise in all areas of responsibility.
- Developed delegation skills and ability to present oral and written reports to all management levels.
- Medical claims experience, preferably with EPIC.
Benefits
- An array of retirement plan options, each with a generous employer contribution.
- Affordable health insurance options, including dental, vision, and prescription coverage that begin on day one.
- Paid vacation and sick leave, including short- and long-term disability and paid parental leave.
- Public Service Loan Forgiveness program support.
- Additional benefits available.