Sys Manager Reimbursement
About Us
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.
Our Mission
As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.
The posted compensation range of $49.78 - $74.05 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.
As our Market Manager, Reimbursement, you will provide strategic leadership and expert oversight for all aspects of our organization's reimbursement functions, ensuring optimal financial performance and compliance within the complex healthcare landscape. You will be instrumental in maximizing revenue capture and maintaining fiscal integrity.
Every day you will manage a team responsible for payer relations, contract analysis, revenue cycle optimization, and the accurate submission and follow-up of claims across our system.
To be successful in this role, you must possess strong analytical and financial acumen, a comprehensive understanding of healthcare reimbursement methodologies (e.g., DRG, APC, CPT), payer contracting, and regulatory compliance, and proven leadership experience in a complex healthcare finance environment.
The System Manager is an experienced investment team member who is accountable to engage in sourcing, identifying, evaluating, and monitoring differentiated investment managers globally. With shared responsibility for oversight of an approximately $28+ billion investment program comprised of multiple pools of capital, the System Manager has specific responsibilities for:
Manager Selection
Source, identify, evaluate, recommend, and monitor investment managers in collaboration with the asset class head, with the objective of delivering diversified sources of portfolio alpha and strong risk-adjusted returns.
Conduct and collaborate on periodic asset class and portfolio reviews and assess individual managers within an asset class, evaluate portfolio strategies, and help prioritize manager research efforts to continue to learn from experience, increase team understanding and engagement, and continuously strive for better performance.
Help ensure thoughtful and cost-aware terms are negotiated with external investment managers and monitor agreed-upon financial arrangements.
Asset Allocation
Collaborate with more senior investment team members to help frame, evaluate, and recommend asset class strategies, taking into account the overall strategy and constraints for each pool of capital as well as broader portfolio attributes.
Support and present asset class reviews, presentations, and own recommendations and analyses at regular internal investment committee meetings.
Demonstrate, instill and help develop portfolio-level awareness and perspective within the investment team, in addition to asset class and manager expertise.
Leadership
Oversee, train, and mentor junior team members as requested.
Help recruit, develop and retain first-rate investment talent and foster a team-oriented culture of intellectual curiosity, analytical rigor, and creativity.
Develop and cultivate strong, positive working relationships with other members of the investment team.
Prepare, discuss and engage on topics and managers as a thoughtful voting member of the Internal Investment Committee.
Conduct research and analysis on a wide variety of evolving strategic investment topics and handle ad hoc projects, analyses, presentations and reports.
Partner effectively with risk management on developing and utilizing tools to assist with asset class and manager analysis.
Maintain and enhance CommonSpirit Health’s reputation externally as a thoughtful, leading socially responsible investment program.
Actively participate in related committees such as the Defined Contributions Plans Investment Committee, as requested.
Collaborate with other team members to develop portfolio analytics, attribution analyses, risk management and performance measurement as needed.
Communication
Review and lead discussion on managers and strategies. Document, present, discuss, and evaluate investment ideas, research, recommendations, and opinions on managers and asset classes as a collaborative team member.
Maintain knowledge of notable manager-related issues and topics as well as current events and trends affecting markets and the economy, and engage with investment team on implications for investment performance and strategy.
Communicate and partner effectively with the CIO and SVP, Treasury & Investments including on a mix of strategic and tactical issues.
Prepare materials and present on an asset class and/or other investment topics as requested to the BOST Investment Committee.
Serve as a voting member of the decision-making internal Investment Committee for manger decisions across asset classes.
Job Requirements
Required
- 5+ years’ related experience in an investment management firm, outsourced CIO firm, large nonprofit (e.g. healthcare, endowment, foundation), corporate/public pension fund or family office, with substantial experience in evaluating external investment managers, including quantitative and qualitative analysis and experience drafting thoughtful and detailed investment recommendations and
- Significant direct investment and due diligence experience in one or more specific asset classes with decision-making responsibility and
- Substantial experience analyzing and investing in relevant asset structures and strategies, as well as an understanding of asset allocation strategies in specific asset classes
- None, upon hire
Preferred
- Bachelors Other, upon hire and
- Graduate degree, upon hire and
Where You'll Work
Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.
Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit https://www.commonspirit.careers/benefits.
Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.
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Equal Opportunity
CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.
CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.