Payer Operations Lead

🕒 il y a 29 jours

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Allara

Site WebLinkedInTous les Emplois

11 - 50 employés

Fondée en 2020

💼 Conseil

🛡️ Assurance

🏥 Santé

💰 €26 000 000 Series B - Allara en 2025-01

Consulting • Insurance • Healthcare

<Allara> Allara est une plateforme de télésanté spécialisée dans les soins pour femmes, offrant des services médicaux et nutritionnels personnalisés et en équipe pour les troubles hormonaux, métaboliques et gynécologiques complexes. À travers des consultations virtuelles, des gynécologues obstétriciens certifiés, endocrinologues, infirmières praticiennes, diététistes diplômées et concierges de soins fournissent des tests complets, des plans de traitement individualisés et un suivi continu, avec des options soutenues par l'assurance ou autogérées.

Description

• Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows • Design quality controls and error-catching checkpoints to reduce rework • Identify bottlenecks in the expansion pipeline and drive cycle-time improvements • Keep enrollment and contracting trackers up to date and escalate blockers with proposed solutions • Conduct persistent follow-up with payers to confirm application receipt and resolve deficiencies • Prepare, submit, and track payer contract applications for health plan partnerships and service lines • Serve as a quality and productivity coach for offshore enrollment team members • Assist Sr. Manager with onboarding offshore contributors on payer processes and tools • Collaborate with RCM and payer strategy/business development teams

🎯 Exigences

• 2-3 years of experience in provider enrollment, credentialing, payer contracting, or healthcare administration (internship or adjacent revenue cycle experience considered) • Demonstrated experience building or documenting processes and SOPs • Experience coaching, training, or quality-reviewing others' work (formal management not required) • Comfort owning metrics and reporting on pipeline throughput • Highly independent and driven with relentless follow-up skills • Exceptional attention to detail and organizational skills

🏖️ Avantages

• Equity • Professional development & employee learning programs • Unlimited PTO & 11 company holidays • Medical, dental, and vision benefits • Health Savings Account (HSA) & Flexible Spending Account (FSA) • Long- and short-term disability coverage • Annual employee wellness stipend • 401(k) plan • Parental leave & family planning support benefits • Company-issued laptop • Annual work-from-home stipend • Commuter benefits (if applicable)