Senior Project Manager, Payer Contracting

Reporting to the Director of Payer Finance and Strategy, the Senior Project Manager, Payer Contracting plays a key role in leading and overseeing projects and programs related to the goals of the Payer Contracting and Performance department. The Payer Contracting and Performance Department is responsible for negotiating multi-million-dollar agreements on behalf of DFCI with all health insurance payors. This position combines administrative and strategic responsibilities, and the individual must be capable of pivoting between different projects successfully to advance work in the department.

The Senior Project Manager creates and maintains project structure and develops material to drive large-scale organizational change. They will work on multiple highly complex projects simultaneously, including: payer network integration given DFCI’s clinical affiliations with Brigham & Women’s and Beth Israel Lahey Health; planning for new hospital service lines and inpatient considerations; supporting payer negotiations, and service-line strategic initiatives (e.g. contracting for cellular therapies, new pharmaceutical products, etc). In addition, the position will be responsible for the ongoing review of payer policies and market trends, and all other duties in support of the Director of Payer Finance & Strategy and the Vice President of Payer Contracting & Performance.

The Senior Project Manager, Payer Contracting must be capable of independently managing multiple priorities under tight deadlines and thrive collaborating with team members and others at varying levels of the organization. The position will require researching and presenting internally on a variety of topics including, but not limited to, payer contract negotiations, plan policies and guidelines, and other critical matters as needed to support the goals of the department and the organization.

• Scope and Complexity: Lead complex programs with significant organizational impact, involving multiple high-priority projects and cross-functional teams.
• Decision Making: Exercise significant decision-making authority in program planning, execution, and resource management, with a focus on strategic outcomes.
• Stakeholder Interaction and Communication: Collaborate with senior leadership and external partners to align program objectives with organizational goals and drive success.
• Program Leadership: Provide leadership and direction to teams, fostering a culture of excellence and continuous improvement.
• Quality Improvement: Implement best practices in quality assurance, developing strategies to optimize processes and continuous improvement.
• Documentation: Maintain accurate program documentation and ensure compliance with institutional policies and procedures. Strategic Planning: Develop and implement strategic plans for program execution, ensuring alignment with institutional priorities and long-term goals.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Demonstrated excellence in project management, facilitation, and organization skills with the demonstrated ability to drive multiple concurrent projects to completion in a complex, deadline-driven environment
• Excellent written and oral communication skills with all levels of the organization
• Strong business acumen and exceptional problem-solving skills
• Excellent technical skills and ability to learn new software/systems, as required
• A self-starter with a strong attention to detail and the ability to work independently
• Exceptional flexibility and ability to and prioritize based on changing demands, plus strong organizational and accuracy skills

MINIMUM JOB QUALIFICATIONS:

The position requires a bachelor’s degree, with a master’s degree preferred. Candidates must have at least 5 years of experience in project coordination or management.

SUPERVISORY RESPONSIBILITIES:

Yes, additional Ambulatory Clinical Operations Project Manager and interns/students.

PATIENT CONTACT:

May interact with members of PFAC (Patient and Family Advisory Council) as project team members.