Manager of Payer Relations & Contracting

Date Posted:

2025-12-07

Country:

United States of America

Location:

Florida - Remote

WHY JOIN FCS

At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them. In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.

A LITTLE BIT ABOUT FCS

Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence.  With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network.  Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care.  We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida. Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols. In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.

Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.

Come join us today!

Summary:

The Program Manager of Strategic Partnerships, Managed Care is responsible for the overall planning, management, and completion of multiple medium to large projects, and may also support projects of high complexity, as part of a project team in collaboration with others. Responsible for program adherence with payers, supporting team members to ensure quality and timeliness of reporting while assisting management in accomplishing strategic and operational objectives; vetting, addressing and working with internal and external departments on resolving program related issues. Maintain and model value based managed care contracts for the purposes of monitoring contract performance. This Program Manager works with limited guidance and is responsible for leading programs and projects.

PRIMARY TASKS AND RESPONSIBILITIES:

• Directs, coordinates, and supervises project-related activities of a diverse implementation team consisting of functional and technical staff.
• Possess the confidence and skills to meet with company leadership and stakeholders.
• Analyze and document business requirements and processes; communicate requirements to stakeholders through the construction of basic conceptual data, process models and flowcharts, and technical specifications.
• Interview end users, stakeholders, and project sponsors in order to assess business and clinical needs; work with business analyst to create business, functional and technical requirements documents based on captured data and in accordance with departmental protocol/standards.
• Identifies and develops working relationships with affected constituencies at all levels of the organization as well as external parties, as required.
• Ensures that constituent representatives are kept appropriately informed of project activities and are encouraged to participate as appropriate.
• Advises process teams representing constituent needs regarding cross-functional considerations, workflow integration and coordination, and optimization of best practices.
• Identifies, secures, and coordinates implementation of internal and external resources and expertise as appropriate to achieve project objectives.
• Directs status meetings and elevates issues and risks identified, and works with Project Sponsors, Management, and Executive Governance to resolve and mitigate issues and risks.
• Develop and execute project presentations.
• Participate in special projects & request for proposal (RFP) processes.
• Develop informative, coherent and usable documentation.
• Build data visualizations to convey project findings.
• Be a strong communicator in a virtual setting (via conference calls or web meetings).
• Strong organizational and project management skills. This position will be working on multiple projects concurrently.
• Any other duties as assigned.

EDUCATION/CERTIFICATIONS & LICENSES:

• Bachelor’s degree, required

EXPERIENCE:

• Three years healthcare experience with a demonstrated increase in responsibility and some experience managing projects &/or programs. Commiserate experience in other fields considered.
• Experience with interpreting data sets, noting trends, and drawing data-based conclusions then sharing the results with leadership.

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:

• Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
• Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters.
• Communication Skills: Good command of the English language. Second language is an asset but not required. Effective communication skills (oral, written, presentation- is an active listener, and effectively provides balanced feedback.
• Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration, and partnerships, as well as a positive employee, physician and community relations.
• Self-Management:
  • Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision.
  • Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
• Computer Skills: Proficiency with project management software and Microsoft Windows applications (MS-Word, MS-Excel, MS-Power Point, MS-Visio, MS-Project & SmartSheets)

VALUES:

• Patient First – Keeping the patient at the center of everything we do
• Accountability – Taking responsibility for our actions
• Commitment & Care – Upholding FCS vision through every action
• Team – Working together, one team, one mission

Expectations for all Employees

Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices.  Employees are expected to bring issues of any forms of workplace harassment, discrimination or other potential improprieties to the attention of their management or the human resources department. 

SCREENINGS – Background, drug, and nicotine screens

Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve. All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening.  Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption. In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing. Medical Marijuana cards are not recognized.

EEOC

Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs. If you require an accommodation to submit a resume for positions at FCS, please email FCS Recruitment (Recruiter@FLCancer.com) for further assistance. Please note this email address is intended to request an accommodation as part of the application process. Any other correspondence will not receive a response.

FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.