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The Payer Operations Manager is responsible for providing oversight of operations within the Payer Operations team, including management, development, and optimization of staff and their processes and priorities. These staff are in roles coordinating payer audit processing, payer meetings, and identifying tactics to reduce payer denials. This role additionally provides payer strategy support for the resolution of complex payer disputes and issues. This role is responsible for oversight of identified payer issues requiring payer practice and policy research, data procurement and analysis, payer strategy determination, and development of materials presented to the payer to present a case on behalf of Seattle Children's. This effectively occurs through the maintenance of an expert level of knowledge on payer policy and reimbursement methodologies. The Payer Operations Manager works closely with the Senior Director of Payer Operations to maximize the opportunities to compliantly retain and recoup net revenue which payers attempt to withhold, and provides backup coverage to the Senior Director when needed.

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Required Education/Experience: Bachelor's Degree in a health-related field OR at least 10 years experience in a business healthcare supervisory position. 10 years experience working at a medical insurance payer or in a hospital revenue cycle.3 years experience in a leadership role with responsibility to oversee efforts throughout their life cycle.

Compensation Range

$101,733.00 - $152,589.00 per year

Salary Information

This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.

Disclaimer for Out of State Applicants

This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors .

Benefits Information

Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits .

About Us

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE

Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families’ ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country.

In 2022, U.S. News & World Report once again ranked Seattle Children’s among the nation’s best children’s hospitals – for the 30th year in a row. For more than a decade, Seattle Children’s has been nationally ranked in all 10 specialty areas evaluated by U.S. News & World Report. We are honored to be the top-ranked pediatric hospital in Washington and the Pacific Northwest.

As a Magnet designated institution, and classified among America’s best large employers by Forbes, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it’s delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.

Our Commitment to Diversity

Our community welcomes diverse experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our increasingly diverse patients and families. Our organization recruits, employs, trains, compensates, and promotes without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

The people who work at Seattle Children’s are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves within this community, which cultivates and promotes equity, diversity, and inclusion at all levels.

Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.