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With guidance from the Chief Managed Care Officer, the Supervisor, Payer Relations is responsible for staff oversight, payer relationship management, and execution of payer strategies. The role requires expertise in payer operations, reimbursement methodologies, and revenue cycle workflows, along with strong leadership and relationship-building capabilities.
Core functions include:
Managing staff and individual payer-facing projects simultaneously.
Leading escalated payer discussions and executive-level issue resolution.
Monitoring payer performance, policy changes, and operational impacts.
Supporting contract interpretation and alignment with operational workflows.
Driving process improvement across revenue cycle and operational departments.
Minimum Requirements:
Bachelor's Degree in Business Administration, Marketing, or Healthcare.
6 years of relevant experience required. 8-12 years of relevant experience 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.
Must be able to plan, manage and establish expertise in all areas covered by the above responsibilities.
Must have developed delegation skills and be able to present oral and written reports to all management levels.
Medical claims experience, preferably with EPIC.
Our Comprehensive Employee Benefits Include:
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.
Get the most out of the Public Service Loan Forgiveness program.
And much more!
Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions.
The university is an equal opportunity employer, including veterans and disability.
Job details are sourced from the employer's original posting.
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The Ohio State University is a public research university in Columbus, Ohio.