Program Manager III - Payer and Network Strategies

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 caregiver include:

• Master’s degree
• Healthcare experience
• Experience handling health insurance contracts
• Business analytics experience
• Experience using Copilot, Tableau, and Power Automate

Physical Requirements:

• Ability to communicate and exchange accurate information.
• Ability to perform work in a stationary position for extended periods.
• Ability to work with physical records or operate a computer or other office equipment.
• In some locations, ability to travel throughout the hospital system.
• In some locations ability to move up to 25 lbs.

Personal Protective Equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.

Pay Range

Minimum Annual Salary: $69,600.00

Maximum Annual Salary: $106,132.50

The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate’s actual compensation will be determined after taking factors into consideration such as the candidate’s work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic’s benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).