Program Manager III - Payer and Network Strategies

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

Job Title Program Manager III - Payer and Network Strategies Location Cleveland Facility Cleveland Clinic Main Campus Department Payer and Network Strategies-Finance Job Code T31030 Shift Days Schedule 8:00am-5:00pm Job Summary Job Details Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.

As Program Manager III, you will manage the implementation and ongoing maintenance of designated programs, developing systems and procedures to ensure efficiency and effectiveness. In this role, you will oversee two to three state and federal value-based care contracts with Medicaid and Medicare, serving as a subject matter expert on contract performance and analytics. You will analyze performance data to identify gaps, collaborate with clinical teams to develop strategies for meeting contractual metrics, and prepare presentations to communicate findings and progress.

This position serves as a liaison between the department and external communities, provides coaching and mentorship to staff, and participates in the budgetary process to support program goals. A caregiver in this role works days from 8:00 a.m. – 5:00 p.m. The position is primarily remote, with Independence FHC as the primary on-site location for monthly visits. Additional on-site visits to other facilities may be required based on business needs. A caregiver who excels in this role will: Develop, implement, manage, and maintain operational systems and activities. Serve as a liaison with all levels of the organization and outside the community.

Manage multiple priorities and projects with competing deadlines. Allocate time to meet completion requirements. Serve as a coach and mentor for other positions in the department. Review and monitor adherence to Human Resources policies and corporate compliance procedures. Other duties as assigned.

Minimum qualifications for the ideal future caregiver include: Bachelor's degree in Business Administration, Healthcare Administration or related field and five years of related experience OR Master’s degree and four years of experience Knowledge of statistical and financial analysis, primary research and business plan development Strong presentation, communication and training skills Value based care experience Preferred qualifications for the ideal future…

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