Manager, Payor Relations – Southern Region

Job not on LinkedIn

🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 10%

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Aeroflow Health

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 2001

🏥 Healthcare

💼 Consulting

🏭 Manufacturing

Healthcare • Consulting • Manufacturing

Aeroflow Health is a personalized healthcare partner that helps patients access insurance-covered medical equipment and supplies, including breast pumps, diabetes, sleep, continence, and urology products. The company verifies insurance coverage, submits required paperwork, and delivers curated supplies to patients' homes while partnering with health plans and healthcare providers to improve patient satisfaction and outcomes.

📋 Description

• Lead payer contracting and network development strategy across southern states, including Medicaid, Medicare, Commercial, IPAs, and TPAs • Manage and develop a high-performing team of three contracting professionals • Build and maintain relationships with health plans • Lead negotiations, policy escalations, and network development • Drive payer network expansion, payer policy change, and fee schedule negotiations • Ensure payer contract data is accurately updated and configured in internal systems • Collaborate with Legal, Compliance, Revenue Cycle, Sales, and Operations • Lead and contribute to cross-functional projects with multiple stakeholders • Manage priorities with clear communication • Audit internal processes and coach team members for compliance, alignment, and continuous improvement • Coach and support the team on payer expansion, policy changes, contract negotiation, and configuration • Lead or participate in company-wide payer strategy projects • Refine processes and develop the team to ensure accuracy, clarity, and effectiveness • Maintain HIPAA and patient confidentiality

🎯 Requirements

• 5+ years in healthcare operations, network development, or managed care contracting • Provider, hospital, or DME experience preferred • Proven experience negotiating contracts with health plans or providers • Demonstrated success managing and developing teams, especially those newer to the industry or function • Experience with Medicaid, Medicare, Commercial, IPAs, and TPAs • Strong understanding of claims workflows and payer/provider relationships • Ability to manage escalations, coach team members, and implement scalable processes • Located within 1 hour of a major airport preferred, with strong preference for the Northeast region • Experience managing cross-functional projects and reporting to multiple stakeholders or leaders preferred • Experience with fee schedule configuration and payer system setup preferred • Familiarity with payer compliance and policy monitoring preferred • Must maintain HIPAA/patient confidentiality • Knowledge of and compliance with applicable laws, regulations, and policies is required • Ability to travel quarterly to Aeroflow’s corporate office • Equal opportunity and compliance with workplace policies

🏖️ Benefits

• Health Plans with FSA or HSA options • Dental insurance • Vision insurance • Optional Life Insurance • 401K with Company Match • 12 weeks of parental leave for birthing parent • 4 weeks leave for non-birthing parent(s) • Fertility stipends • Free diapers • Breast pump • Paid Holidays • PTO Accrual from day one • Employee Assistance Programs • Competitive Pay