Manager, Advisory Services: Financial Transformation - Managed Care

Manager, Advisory Services: Financial Transformation - Managed Care About the Practice Premier's Financial Transformation Advisory Practice reimagines the entire patient financial journey, from intake to invoice, helping health systems achieve sustainable margin improvement through an integrated, enterprise-wide approach. Rather than pursuing isolated fixes, our team works end-to-end across three interconnected pillars that drive lasting financial performance: Revenue Cycle: Reducing revenue leakage, accelerating cash flow, and elevating the patient financial experience through transparent, consumer-friendly billing and tech-enabled visibility into performance. Managed Care: Strengthening payer accountability, contracting, and reimbursement integrity, and evaluating payer relationships through benchmarking and strategic insight so clients can negotiate from a position of strength. Clinical Integrity: Improving clinical documentation accuracy to strengthen both care quality and reimbursement integrity, bridging the gap between clinical excellence and financial performance. Because every part of the care journey, from clinical documentation to billing and payer strategy, is interconnected, our consultants combine trusted advisory relationships with advanced analytics, automation, and AI to help clients reduce friction, uncover hidden opportunities, and strengthen accountability across the enterprise. National benchmarks and strategic collaboratives give our teams, and our clients, insight no single organization could access alone. This approach has driven measurable results for health systems nationwide, including hundreds of millions of dollars in combined financial and clinical transformation savings and tens of millions in revenue gains from optimized payer strategy and denial management. Our practice was recognized with Modern Healthcare's Best in Business award in the Consultants: Healthcare Management category in both 2024 and 2025. What You'll Be Doing The Manager works collaboratively within a team of highly qualified Advisory consultants to deliver managed care strategy, payer-provider contracting, reimbursement improvement, and contract performance initiatives for healthcare systems, physician groups, academic medical centers, and other provider organizations. This role is dedicated to the Managed Care service line, combining payer contracting expertise, financial and market analytics, negotiation strategy, project leadership, and client-facing advisory skills. This position is primarily responsible for performing billable work for clients and actively leading and managing a significant workstream or project. The Manager oversees all aspects of the workstream or project assigned, including day-to-day management of activities and staff. They provide input, guidance, and quality assurance on team deliverables and presentations throughout each phase of a project, mentor staff working with them, and are responsible for building strong, referenceable client relationships. The Manager also participates in internal Premier activities, including practice development, managed care solution development, training and mentoring, staffing support, and required or approved educational opportunities, and stays current on payer market trends, reimbursement methodologies, contract language issues, price transparency, benchmarking approaches, and Premier technologies relevant to managed care advisory engagements. Core Expectations Maintain utilization targets for client billable projects Create value through meaningful client relationship management, solution development, and implementation delivery Create a positive team environment by enriching staff skills and knowledge and fostering a productive, collaborative environment Create value for the Advisory practice through meaningful participation in activities that grow and enrich the practice, or the Managed Care service line specifically Role-Specific Expectations Managers on the Managed Care team bring consulting and provider-side expertise in payer-provider contracting, reimbursement strategy, rate benchmarking, market assessment, payer relationship evaluation, contract language review, negotiation support, termination planning, and financial opportunity identification. Ideal candidates have experience advising executive and finance leaders, translating complex analyses into clear recommendations, leading cross-functional teams, and mentoring junior staff. Additional expectations include: Lead the development and execution of payer contracting and reimbursement improvement strategies, including rate benchmarking, market assessment, financial opportunity sizing, negotiation strategy, and client-ready recommendations Evaluate payer relationships and contract performance to identify opportunities for improved reimbursement, stronger accountability, and sustainable financial impact . Knowledge of the various complex reimbursement methodologies is key. Support contract language review, termination planning, negotiation preparation, and payer-specific strategy development where relevant to the engagement Lead day-to-day project management for managed care workstreams, including scope, timeline, budget, staffing, deliverable quality, risk management, and client communication Serve as a trusted, client-facing advisor, building strong relationships with client C-suite, finance, strategy, and managed care leaders and communicating progress, findings, and recommendations with confidence and clarity Apply analytics capabilities, including financial modeling, data visualization, benchmarking, market analysis, and reimbursement trend analysis, to identify managed care improvement opportunities and track engagement outcomes Key Responsibilities Client Delivery & Analysis (60%) Execute, direct, and oversee managed care data analyses, including payer reimbursement performance, rate benchmarking, market comparisons, contract terms, payer mix, pricing transparency, and financial opportunity assessments; initiate interpretations and conclusions; and prepare verbal and graphic presentations using methods that are professionally sound, efficient, and conform to standards Perform quality assurance on project deliverables Lead client interviews and apply analytical tools and methods to determine client needs across managed care strategy, payer contracting, reimbursement, market position, and negotiation readiness; summarize findings coherently and draw insight from observations, interviews, and data Develop accurate conclusions and draft recommendations for team leadership review; develop final recommendations and solutions for client review tied to reimbursement improvement, payer strategy, contract negotiation, market positioning, and financial impact Execute project plans in accordance with engagement statements of work and to client satisfaction Develop presentations and deliverables that communicate strategy, financial impact, and outcomes to client audiences Generate billable revenue by conducting assigned analyses, writing and preparing reports, and assisting clients in implementing recommended changes Guide and lead project management activities for assigned projects, including rate benchmarking, contract negotiation support, payer strategy, termination planning, and related managed care advisory workstreams Manage project budget, expenses, and profitability Manage and mentor staff assigned to their projects Participate in risk and issue identification and mitigation with the project leadership team Practice Development (15%) Participate in practice development activities for the Advisory Services Practice overall, or specifically for the Managed Care service line, including solution development, training materials, staffing support, thought leadership, and proposal support Technology & Solutions (10%) Learn and stay current on Premier-based technologies and services, data assets, benchmarking capabilities, price transparency resources, payer market intelligence, and analytics tools relevant to managed care engagements Business Development (10%) Actively listen for market opportunities on current engagements and through collaborative networks; identify opportunities for follow-on managed care, reimbursement, benchmarking, payer strategy, or broader financial transformation work; and communicate potential leads to managers Contribute to sales presentation deliverables using prescribed formats and technology; proactively seek opportunities to participate Identify opportunities to improve client and practice profitability Training (5%) Complete all required training on an annual basis Required Qualifications Work Experience: 5 or more years of applicable experience Education: Bachelor's degree (required) ​Required Qualifications Work Experience: Years of Applicable Experience - 5 or more years Education: Bachelors (Required) Preferred Qualifications Skills Coordinate and deliver effective verbal and written presentations to client audiences communicating project outcomes, recommendations, and strategy Conduct analyses and oversee/mentor others in the delivery and production of client deliverables Apply data-driven and analytics-based methods to identify reimbursement improvement opportunities, payer performance trends, rate positioning, contract language issues, and market-based negotiation insights Translate complex managed care analyses into practical, executive-ready recommendations for payer strategy, negotiation sequencing, contract improvement, and financial impact realization Apply analytics capabilities, such as data visualization, financial modeling, trend analysis, and benchmarking, to support managed care recommendations and client deliverables Relate to clients and team members in an effective, collaborative manner Lead work groups to successful outcomes Experience 5+ years of managed care, payer-provider contracting, provider reimbursement strategy, healthcare financial consulting, payer strategy, or related provider finance experience Experience supporting payer negotiations, rate benchmarking, contract performance improvement, market assessments, reimbursement analyses, or contract language review is strongly preferred Experience advising hospital, health system, physician group, academic medical center, or provider organization leaders on strategy, finance, reimbursement, payer relationships, or transformation initiatives Experience leading cross-functional teams Experience mentoring junior staff, developing training materials, coordinating staffing, or contributing to internal practice development is a plus Education: Master's degree; RN license or other clinical professional license; PMP/Lean certification Additional Job Requirements Remain in a stationary position for prolonged periods of time Adapt and change priorities quickly; meet deadlines Attention to detail Operate computer programs and software Communicate effectively with audiences in person and in electronic formats Day-to-day contact with others (co-workers and/or the public) Make independent decisions Work collaboratively in close quarters with peers, with varying interruptions Additional Job Requirements: Remain in a stationary position for prolonged periods of time Be adaptive and change priorities quickly; meet deadlines Attention to detail Operate computer programs and software Ability to communicate effectively with audiences in person and in electronic formats . Day-to-day contact with others (co-workers and/or the public) Making independent decisions Ability to work in a collaborative business environment in close quarters with peers and varying interruptions Working Conditions: Remote Travel Requirements: Travel 61-80% within the US Physical Demands: Sedentary: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves remaining stationary most of the time. Jobs are sedentary if movement is required only occasionally, and all other sedentary criteria are met. Premier’s compensation philosophy is to ensure that compensation is reasonable, equitable, and competitive in order to attract and retain talented and highly skilled employees. Premier’s internal salary range for this role is $113,000 - $188,000. Final salary is dependent upon several market factors including, but not limited to, departmental budgets, internal equity, education, unique skills/experience, and geographic location. Premier utilizes a wide-range salary structure to allow base salary flexibility within our ranges. Qualified full-time and part-time employees also receive access to the following benefits: Health, dental, vision, life and disability insurance 401k retirement program Paid time off Participation in Premier’s employee incentive plans Tuition reimbursement and professional development opportunities Premier at a glance: Granted World's Most Ethical Companies, Ethisphere, 2008-2026 Named U.S. News & World Report, Best Companies to Work For (2023, 2024, 2025) Accredited by Forbes: America’s Best Management Consulting Firms 2024-2025 Given Modern Healthcare Best in Business Awards: Consultants- Healthcare Management Awarded Cigna Workforce Designation Gold Level Recipient (2016,2017,2019,2020,2021,2022,2023,2025) For a listing of all of our awards, please visit the Awards and Recognition section on our company website. Employees receive: Perks and discounts Access to on-site and online exercise classes Premier is looking for smart, agile individuals like you to help us transform the healthcare industry. Here you will find critical thinkers who have the freedom to make an impact. Colleagues who share your thirst to learn more and do things better. Teammates committed to improving the health of a nation. See why incredible challenges require incredible people. Premier is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to unlawful discrimination because of their age, race, color, religion, national origin, ancestry, citizenship status, sex, sexual orientation, gender identity, gender expression, marital status, familial status, pregnancy status, genetic information, status as a victim of domestic violence, covered military or protected veteran status (e.g., status as a Vietnam Era veteran, disabled veteran, special disabled veteran, Armed Forces Serviced Medal veteran, recently separated veteran, or other protected veteran) disability, or any other applicable federal, state or local protected class, trait or status or that of persons with whom an applicant associates. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. In addition, as a federal contractor, Premier complies with government regulations, including affirmative action responsibilities, where they apply. EEO / AA / Disabled / Protected Veteran Employer. Premier also provides reasonable accommodations to qualified individuals with a disability or those who have a sincerely held religious belief. If you need assistance in the application process, please reply to diversity_and_accommodations@premierinc.com or contact Premier Recruiting at 704.357.0022. Personal Information submitted will be processed in accordance with Premier's Employee and Job Applicant Privacy Notice , which includes additional information about your privacy rights.