Job Description
PEM (Prospective Episode Manager) Implementation Consultant – Contract
We are seeking a contract-based Prospective Episode Manager (PEM) Implementation Consultant to stabilize and support ongoing PEM deployments. This role will provide hands-on expertise in system configuration, contract loading, and audit processes, while enabling successful delivery for key client implementations and strengthening internal capabilities.
Key Responsibilities
1. Implementation Leadership (MSK, Mayo, CHLA)
• Lead system configuration, contract loading, and validation/audit activities for active PEM implementations
• Ensure accurate setup of complex episode-based reimbursement models and contract logic
• Partner with product, delivery, and client teams to drive implementations to production
• Identify and mitigate risks related to data, contract interpretation, and pricing accuracy
2. Product Expertise & Stabilization
• Provide subject matter expertise on PEM workflows, including claims processing, episode bundling, and pricing validation
• Support issue resolution related to system stability, contract configuration, and data alignment
• Help standardize repeatable processes for contract loading and implementation execution
3. Knowledge Transfer & Enablement
• Lead structured knowledge transfer sessions to internal product, delivery, and commercial teams
• Document best practices for PEM configuration, contract loading, and audit processes
• Enable internal teams to independently support, implement, and position PEM going forward
Required Qualifications
• Minimum 3+ years of hands-on experience with Prospective Episode Manager (PEM)
• Strong domain knowledge in contract management, episode-based reimbursement, or value-based care models
• Proven experience with:
◦ Contract loading and validation
◦ System configuration and implementation workflows
◦ Claims and reimbursement data structures (e.g., UB/1500 claims)
• Ability to translate complex contract terms into system configuration
Engagement Details
• Type: Contract / Consultant (PRN/Temporary)
• Duration: 9-month engagement aligned to implementation timelines
• Hours: Full-time (~40 hours/week)
• Focus: Delivery execution + internal capability building
Success Criteria (3 Goals)
1. Successful execution of PEM implementations for MSK, Mayo, and CHLA (on time, accurate configuration)
2. Stabilized implementation processes with reduced dependency on individual expertise
3. Complete knowledge transfer, enabling internal teams to support, implement, and sell PEM independently
About FinThrive
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For the most recent information on FinThrive’s vision for healthcare revenue management visit finthrive.com/why-finthrive.
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FinThrive’s Core Values and Expectations
• Demonstrate integrity and ethics in day-to-day tasks and decision making, adhere to FinThrive’s core values of being Customer-Centric, Agile, Reliable and Engaged, operate effectively in the FinThrive environment and the environment of the work group, maintain a focus on self-development and seek out continuous feedback and learning opportunities
• Support FinThrive’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, GLBA and other laws applicable to FinThrive’s business practices; this includes becoming familiar with FinThrive’s Code of Ethics, attending training as required, notifying management or FinThrive’s Helpline when there is a compliance concern or incident, HIPAA-compliant handling of patient information, and demonstrable awareness of confidentiality obligations
Physical Demands
The physical demands and work environment characteristics described here are representative of those that a colleague must meet to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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FinThrive values diversity and belonging and is proud to be an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. We're committed to providing reasonable accommodation for qualified applicants with disabilities in our job application and recruitment process.
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