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 Qualifi