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Payer Program Performance Specialist

Outcomes - Columbus, OH

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Job Description

JOB SUMMARYThis 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 & REQUIREMENTSWhat is expected of you and others at this level:Applies working knowledge of concepts, principles, and technical capabilities to perform varied tasksWorks on projects of moderate scope and complexityIdentifies possible solutions to a variety of technical problems and takes action to resolve themApplies judgment within defined parametersReceives general guidance and may receive more detailed instruction on new projectsWork is reviewed for sound reasoning and accuracyEDUCATION & EXPERIENCE REQUIREMENTSMinimum of 2 years of experience in a healthcare-related fieldBachelor's degree requiredESSENTIAL DUTIES & RESPONSIBILITIESAnalyze and understand performance against client contracts, including KPIs and financial targetsIdentify performance barriers and develop action plans to meet performance goalsCollaborate cross-functionally to execute performance improvement initiativesServe as a subject matter expert on performance drivers and barriers for assigned clientsPartner with account management teams to support client discussions and strategyCoordinate with finance to communicate expected performance outcomesSupport contract negotiations by providing performance insights and feasibility assessments

Created: 2026-05-08

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