Healthcare Reimbursement Program Lead

1 month ago


BalaCynwyd, Pennsylvania, United States hMetrix Full time
Program Manager, Healthcare Reimbursement

At hMetrix, we're revolutionizing healthcare through data-driven solutions. As a Program Manager focused on Healthcare Reimbursement, you'll lead a team of experts in designing and implementing innovative solutions that cater to the unique needs of providers, payers, and other stakeholders in the healthcare reimbursement domain.

Key Responsibilities
  1. Translate and communicate policy and logic for reimbursement programs, managing analysis of over $10 billion in healthcare expenditures.
  2. Lead the design, development, and implementation of analyses, applications, and data processing pipelines for program administration.
  3. Manage operational priorities and deliverables with a cross-functional team within a fast-paced and versatile environment.
  4. Ensure accuracy and relevance of analysis and development deliverables.
Qualifications
  1. Minimum of ten years of relevant experience in the healthcare reimbursement, payment, or revenue cycle management domain.
  2. Bachelor's or higher degree in quantitative fields such as business analytics or computer science.
  3. Experience in managing data and developing analyses in healthcare.
  4. Experience in leading a team.
  5. Knowledge of healthcare policy and value-based reimbursement.
Benefits
  1. Competitive salary with an annual bonus.
  2. Fully vested 401(k) plan with employer match.
  3. Fully paid medical, dental, and vision benefits for employees and dependents.
  4. Flexible working hours; employees can transition into a hybrid schedule, allowing qualified individuals to work remotely.
  5. Opportunities for growth with continuous collaboration and peer support.

hMetrix is a pioneer in healthcare reimbursement analytics, partnering with providers, payers, HIEs, and state entities. Our work spans robust data collection, scalable integration, data science, and intuitive visualization. With our long-standing reputation and deep commitment to solving real-world healthcare problems through data-driven innovation, you can be confident that your work at hMetrix will make a meaningful impact in the industry.

At hMetrix, we define problems collaboratively with our clients and tailor data resources and technologies to meet their needs. Our participatory work style ensures accurate, relevant results and efficient, scalable resource utilization. Our team's recent achievements include:

  1. Serving as health care subject matter experts to support local policy initiatives to improve care coordination and reduce health care expenditures for over 2 million beneficiaries with $10B in health care expenditures.
  2. Identifying over $100 million in actionable annual savings through advanced algorithms and deep knowledge of healthcare episodes of care.
  3. Reducing data processing time by over 90% through advanced technology and automation.
  4. Enhancing error detection in healthcare data, saving weeks of manual work.

Join us at hMetrix and contribute to fascinating and rewarding projects that make a tangible impact in the healthcare industry. We deeply value diversity and strive to create a family-friendly culture that fosters inclusion and growth, respecting and appreciating each individual's unique contribution to better business performance.



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