Manager, Payor Strategy, Contracting
Location
United States
Posted
48 days ago
Salary
0
Seniority
Lead
Job Description
Manager, Payor Strategy, Contracting
Wheel
• Architect and execute Wheel’s payer strategy • Lead complex payer negotiations • Design economically sound contract structures • Ensure payer agreements align with care models and pricing strategy • Build tools and reporting for payer performance visibility • Partner with Legal and Finance to align contracts • Translate clinical programs into reimbursable models • Strengthen senior-level relationships across payers
Job Requirements
- 8–10+ years in managed care contracting
- Leading negotiations with national and regional health plans
- Ability to secure competitive rates and structure agreements
- Established strategic payor relationships
- Understanding of reimbursement models and healthcare economics
- Aligning contracting strategy with financial models and operations
- Credible communication skills at executive and operator levels
- Comfortable in ambiguity and quick decision-making.
Benefits
- Equal employment opportunities
- Meritorious employment decisions
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Senior Manager, SMS Operations
American Heart AssociationHeadquartered in Dallas, Texas, the American Heart Association is one of the nation's largest, most successful nonprofit organizations. Once known as the Association for the Preven
Overview Since our founding in 1924, we've cut cardiovascular disease deaths in half, but there is still so much more to do. To overcome today’s biggest health challenges and accelerate this progress, we need passionate individuals like you. Join our movement, be part of the progress, and help ensure a healthier future for all. You matter, and so does the impact you can make with us. The American Heart Association has a great opportunity for a Senior Manager, SMS Operations. This position can be home based. The Senior Manager, SMS Operations is responsible for the day-to-day execution, workflow management, compliance oversight, and performance optimization of the American Heart Association’s SMS and mobile messaging program. This role ensures SMS campaigns are deployed accurately, on time, and in alignment with enterprise priorities. The Manager operationalizes segmentation, consent management, personalization triggers, and campaign execution across fundraising, advocacy, event, and engagement initiatives. This is a highly detail-oriented, systems-focused role that sits at the intersection of marketing operations, digital engagement, and compliance. The Association offers many resources to help you maintain work-life harmonization through your changing needs and life situations. To help you be successful, you will have access to Heart U, our award-winning corporate university, as well as additional training and support, locally. #TheAHALife is more than a company culture; it is our way of life. It embodies our commitment to work-life harmonization and is guided by our core values where our employees can thrive both personally and professionally. Discover why you will Be Seen. Be Heard. Be Valued at the American Heart Association by following us on LinkedIn, Instagram, Facebook, X, and at heart.jobs. Responsibilities SMS Campaign Execution - Build, QA, schedule, and deploy SMS campaigns across fundraising, advocacy, events, and mission engagement initiatives - Manage campaign intake requests and ensure alignment with the omnichannel marketing calendar - Translate campaign briefs into segmented, compliant message deployments - Execute triggered and automated SMS journeys - Maintain deployment documentation, short codes, and campaign checklists Segmentation & Data Management - Build and manage audience segments using CRM and CDP data - Ensure proper list hygiene, suppression logic, and opt-in status accuracy - Monitor subscriber growth, engagement, and opt-out trends - Partner with CRM and data teams to resolve data integrity issues Compliance & Consent Management - Ensure compliance with TCPA, CTIA, and internal privacy policies - Manage opt-in, opt-out, and keyword workflows - Maintain documentation to support audit readiness - Partner with Legal, IT, and Brand teams on regulatory updates and message compliance Workflow & Process Optimization - Develop and maintain standard operating procedures (SOPs) for SMS execution - Improve efficiency within work management systems - Establish QA protocols to reduce deployment errors - Identify automation opportunities to improve speed, accuracy, and scalability - Build strong working relationships with cross-functional stakeholders Performance Monitoring & Reporting - Track and report on: Delivery rates, Click-through rates, Conversion rates, Revenue performance, and List growth and churn - Support A/B testing and ongoing campaign optimization - Provide performance insights and summaries to marketing and development leadership Platform & Vendor Management - Serve as day-to-day administrator for SMS platform(s) - Manage platform configuration and integrations - Troubleshoot technical issues in partnership with vendors, carriers, and IT - Support budget tracking and invoice management What Success Looks Like - SMS campaigns deploy on time with zero compliance violations - Clear, documented workflows support scalable execution - Segmentation accuracy improves across campaigns - Opt-in rates increase while opt-out rates decrease - SMS is fully integrated into enterprise-wide campaign planning Qualifications - Bachelor's Degree in marketing, digital media, communications, or related field or equivalent experience. - Five (5) years of experience in digital marketing operations, with hands-on SMS or mobile messaging execution - Experience building audience segments using CRM and/or CDP platforms - Working knowledge of TCPA and SMS compliance requirements - Strong attention to detail and quality control - Experience working in complex, cross-functional environments Core Competencies - Operational excellence and process discipline - Data accuracy and quality assurance - Strong organizational and project management skills - Clear, effective communication across teams Compensation & Benefits The expected pay range is $80,000 - $100,000. Pay is commensurate with experience; geographic differentials to the pay range may apply. The American Heart Association reserves the right to pay more or less than the posted range. The American Heart Association invests in its people. Here are the main components of our total rewards package. Visit Rewards & Benefits to see more details. - Compensation – Our goal is to ensure you have a competitive base salary. That’s why we regularly review the market value of jobs and make adjustments, as needed. - Performance and Recognition – You are rewarded for achieving success through annual salary planning and incentive programs; eligibility for an incentive program is based on the type of position. - Benefits – We offer a wide array of benefits including medical, dental, vision, disability, and life insurance, along with a robust retirement program that includes an employer match and automatic contribution. As a mark of our commitment to employee well-being, we also offer an employee assistance program, employee wellness program and telemedicine, and medical consultation. - Professional Development – You can join one of our many Employee Resource Groups (ERG) or be a mentor/mentee in our professional mentoring program. Heart U is the Association’s national online university, with more than 100,000 resources designed to meet your needs and busy schedule. - Work-Life Harmonization – The Association offers Paid Time Off (PTO) at a minimum of 16 days per year for new employees. The number of days will increase based on seniority level. You will also have a total of 12 paid holidays off each year, which includes several days off at the end of the year. - Tuition Assistance - We support the career development of all employees. This program provides financial assistance to employees who wish to further their education and career in relation to their current duties and responsibilities, or for potential future positions in the organization. The American Heart Association’s 2028 Goal: Building on over 100 years of trusted leadership in cardiovascular and brain health, by 2028 the Association will drive breakthroughs and implement proven solutions in science, policy, and care for healthier people and communities. The greatest discoveries in health must reach everyone where they are. At American Heart Association | American Stroke Association, our mission is to be a relentless force for a world of longer, healthier lives, regardless of race, ethnicity, gender, gender identity, religion, age, language, sexual orientation, national origin and physical or cognitive abilities.This position not a match with your skills? Click here to see other opportunities. In accordance with local and state laws where applicable, qualified applicants with arrest or conviction records will be considered for employment. EOE/Protected Veterans/Persons with Disabilities #AHAIND2, #LI-Remote
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We comply with federal and state disability laws and make reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact:1-202-419-7762 or applyassistance@danaher.com.
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Grants and Contracts Manager (Remote)
Duke CareersDuke Health is driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Duke University Health System is designated as a Magnet organization. Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000+ registered nurses.
School of Medicine Established in 1930, Duke University School of Medicine is the youngest of the nation's top medical schools. Ranked sixth among medical schools in the nation, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where interdisciplinary collaboration is embraced and great ideas accelerate translation of fundamental scientific discoveries to improve human health locally and around the globe. Composed of more than 2,500 faculty physicians and researchers, more than 1,300 students, and more than 6,000 staff, the Duke University School of Medicine along with the Duke University School of Nursing, Duke University Health System and the Private Diagnostic Clinic (PDC) comprise Duke Health. a world-class academic medical center. The Health System encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Primary Care, Duke Home and Hospice, Duke Health and Wellness, and multiple affiliations. Join a collaborative research administration team where you will independently manage complex grants and contracts portfolio and play a key role in supporting the successful execution of high‑impact research! Be You. This position will be located within the School of Medicine Shared Research Administration Resource (RASR) Group and will play an active role in working with specifically identified departments to manage their portfolio of grants and contracts. Coordinate and/or perform pre-award and/or post-award activities for a unit (school, department, division, institute, or center) that has a large, complex, and/or diverse portfolio of grants and contracts. Pre- award activities include broad duties in preparation and submission of grant and contract proposals. Ensures all applications meet agency and university guidelines and published time tables and deadlines. Ensures proposals are entered and routed in a timely manner for further review. Post-award activities include detailed reconciliation of assigned project budget, including determination of allocability and allowability of charges; preparing and analyzing budget reports, and developing budget projections; adjusting and correcting assigned project budgets to meet project goals and federal requirements, providing assistance and oversight to effort management of specified project portfolio. This position is responsible for a specified highly complex grants and contracts portfolio using discretion and independent judgment to make decisions that impact the compliance and successful completion of grant and contract objectives. This position is expected to manage a mid- sized unit (school, department, division, institute, or center) with a well-defined grant and contract portfolio. This position functions as a manager and/or facilitator of large projects, such as grants and contracts that span across multiple disciplines and faculty. Work Arrangement - This position has the option to be 100% remote. Candidates must reside in one of the approved states for remote work, which can be viewed here: https://remotework.duke.edu/policy/outside-nc/ DEPARTMENTAL PREFEERENCES Experience in an academic institution; Pre-award and post-award management of federal grants. Certified Research Administrator preferred. MINIMUM QUALIFICATIONS Education/Training - Work requires communications, analytical and organizational skills generally acquired through completion of a bachelor's degree program. Research or grants education and/or certification is preferred. - Successful completion of the Research Administration Academy (RAA) and Advanced Grants Management is required. Employees hired into this classification without the expected credentials will work closely with their manager to schedule and successfully complete all training (12 months to complete RAA and an additional 6 months to complete AGM). Successful completion of all expected training will be an annual performance goal until complete. - Upon completion of expected training, the employee must maintain Research Administration Academy (RAA) certification and Advanced Grants Management (AGM) certification by completing continuing education requirements. - Successful completion of Financial Services Introduction to R3, Introduction to Duke GL, Introduction to Accounting, Sponsored Research Reporting, Research Administration at Duke (on-line), Basic Compliance (on-line) within first six months of hire is required. Experience - Work generally requires three (3) years of relevant grants and contracts experience. Be Bold. Skills - Ability and desire to complete Advanced Grants Management training (in most circumstances an employee will be expected to hold a RAA certification before moving into this classification). - Demonstrated skills in analyzing data and formulating conclusions. - Ability to learn changing technologies related to grants and contracts management. - Full command of grants and contracts systems; requires solid working knowledge of MS Office Suite (Word, Access, Excel, Power Point). - Ability to communicate both verbally and in writing with all levels of the organization. - Ability to manage and prioritize multiple projects/tasks simultaneously. - Ability to create verbal and written reports. - Understand and apply knowledge of national compliance issues to circumstances at Duke University. - Understanding of asset management for funded projects as applied to Duke University policies and practices. Able to direct others n asset management and to review, troubleshoot and approve asset management. Work Performed Pre-award (30%) - Coordinate work for the group ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of duties. - Manage large projects that span across multiple disciplines and faculty. - Serves as the point person for team members on grants and contracts issues as well as questions related to university guidelines. - Provide guidance to the PI on the requirements of the IRB, IACUC, COI, IBC, and research related regulations including proposal submission and award set-up. Consult with department compliance liaison as necessary. - Review proposal submissions for compliance with export controls. - Manage the subcontract process with ORA/ORS and collaborating organizations. - Develop budgets and budget justifications which include proofing the budget for inconsistencies, ensuring accuracy and consistency between budgets and budget justification which includes sub-recipient information secured from sub-agreements. - Advise the PI on administrative requirements in preparing proposal submissions. - Prepare, coordinate and review certain proposal elements (biosketches and facilities & resources) for consistency, accuracy, and completeness. - Monitor compliance with agency and University regulations regarding submission; verify all financial information to include application of the appropriate overhead rate for the project. - Review sponsored projects through SPS to ORA/ORS to ensure compliance with University procedures and institutional signatures. - Ensure understanding of the current fiscal performance of studies and identify areas of concern that need resolution. Advise PI on budget adjustments and revisions necessary to meet the sponsor requirements. - Monitor proposal status and advise PI on requirements and deadlines associated with research protection protocols. Post-award (40%) - Develop project management plan for review by the PI or senior level grants administrator. - Make cost-sharing adjustments to reflect appropriate labor distribution or related cost-sharing obligations. - Manage budget, reporting and compliance timelines through the lifecycle of the grant or contract; communicate new WBSEs to appropriate department personnel. - Establish sub-recipient requirements and provide on-going sub- recipient monitoring. Coordinate issuance of sub-agreements with ORA/ORS. - Review and evaluate the Site Based Research charge assignment grids based on the schedule of events and protocol for the study. - Establish and implement project management plans for complex projects. - Reconcile monthly budget reports, implement adjustments and inform PI and/or supervisor of corrections/adjustments that have been made. - Prepare budget projects and analysis to assist PI in financial grant management - Identify the need for cost transfers from budget reconciliation; submit/approve the cost transfers. - As requirements change, prepare and submit requests for re- budgeting/modifying the funded project budget. Reconcile and close all sub-recipient budgets and obtain all sponsor-required reports. - Monitor compliance with agency and University regulations regarding reporting. - Maintain financial records per the institutional documents’ retention guidelines. - Ensure process (SOP) is in place within the unit for proper handling of sponsor checks for deposit and recording in the appropriate fund codes. This must be handled in accordance with the institutions check handling process. - Monitor and determine appropriate charging of patient care expenses to the study fund codes. - Interpret departmental policies and procedures, making decisions on specific operating problems and issuing instructions on behalf of unit. - Manage overdrafts in line with unit procedures and institution guidance. - Ensure proper recording of revenue associated with all studies; apply revenue management standards. - Closeout all funded projects consistent with university process and timelines. - Perform overall grants monitoring using tools available to monitor compliance with Duke policies. Management (30%) - Submits reports to the Divisional Administrator/Business Manager when requested - Recommend various personnel actions including, but not limited to, hiring, training performance appraisal, promotions, transfers and vacation schedules. - Supervisory Responsibilities: Supervise other grants and contracts positions and support personnel. - Understand and apply basic concepts of Export controls as these relate to proposal submission and award management - Understand and be able to apply federal rules to contract negotiations and management - Understand and be able to apply budget management to contracts - Understand and be able to assist others in understanding contract terminology - Understand and be able to comply with Duke University requirements for managing Federal contracts - Understand and be able to assist others in understanding the basic Federal and Duke University rules, regulations and requirements of IRB, IACUC, COI, IBC and Misconduct Science. - Able to clearly communicate when interacting with faculty to inform of obligations in meeting these requirements and when faculty is not complying with policies. - Able to escalate issues to higher levels when unable to get cooperation from others - Able to establish and maintain systems to ensure timely compliance with RCR requirements - Understand and be able to operationalize the development and maintenance of internal controls within a Duke University unit. - Able to understand and apply basic internal control concepts to daily management of Federal awards. - Understand and be able to translate concepts to actual practice at Duke University. - Understand and apply the basic concepts of clinical research in the Duke University compliance environment - Understand and be able to apply federal and university rules to management of effort allocation for individuals compensated whole or in part from federal awards. - Understand and be able to manage complex effort scenarios resulting from multiple appointment types (VA, University). - Understand the management requirements of broadly represented aspects of Federal financial research compliance and to develop strategies for meeting compliance expectations within a dedicated unit and/or assigned portfolio. The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. Choose Duke. Apply today to take ownership of a complex grants and contracts portfolio and make a meaningful impact on the success of high‑impact research initiatives! Anticipated Pay Range: Duke University provides an annual base salary range for this position as USD $67,732.00 to USD $116,282.00. Duke University considers factors such as (but not limited to) scope and responsibilities of the position; candidate's work experience, education/training, and key skills; internal peer equity; as well as market and organizational considerations when extending an offer. Your total compensation goesbeyond the dollars on your paycheck. Duke provides comprehensive and competitive medical and dental care programs, generous retirement benefits, and a wide array of family-friendly and cultural programs to eligible team members. Learn more at: https://hr.duke.edu/benefits/ Equal Opportunity Employer: Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender,gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it isessential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and reasonable accommodation(s) can be requested with Duke Access and Accommodations Services (email: DAAS@duke.edu; phone: 919-668-1267).

