Payer Enablement Specialist

🔥 0 minutes ago

🏈 Alabama, Arizona, +19 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🏛️ District of Columbia – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🦞 Maine – Remote 🎰 Nevada – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote ☕ Washington – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Tava Health

WebsiteLinkedInAll Job Openings

11 - 50 employees

⚕️ Healthcare Insurance

👥 HR Tech

🧘 Wellness

💰 $10M Series A on 2021-12

Healthcare Insurance • HR Tech • Wellness

Tava Health is a company that partners with employers to provide accessible and affordable mental healthcare to employees. They offer a comprehensive approach that differs from traditional Employee Assistance Programs by providing quick access to licensed therapists for both short-term needs and ongoing care for persistent mental health issues. Tava Health's network of vetted therapists can be accessed by employees within a short time frame, enhancing employee engagement and reducing employer healthcare costs. The company is integrated with employer health plans, offering evidence-based therapies to improve mental health outcomes and workplace productivity.

📋 Description

• Build and maintain payer configurations within Tava’s EMR • Translate payer requirements into system logic and configuration standards • Ensure consistency and standardization across payer setups • Manage fee schedules and validate contracted rates • Identify and resolve discrepancies in Tava’s EMR and across other platforms • Support accurate reimbursement through precise configuration • Maintain SOPs and Insurance Articles to reflect current workflows and payer requirements • Continuously improve documentation for clarity and usability • Leverage AI tools for operational documentation efficiency • Partner with Payer Operations, RCM, Product, and Payer Partnerships • Support troubleshooting, payer updates, and system-related issues • Provide clear operational context to support system improvements • Audit configurations and workflows to ensure accuracy and consistency • Identify inefficiencies or patterns in errors and escalate appropriately • Proactively identify opportunities to reduce manual work using tools, automation, and AI

🎯 Requirements

• Experience in operations, consulting, analytics, or a related field, or strong analytical training through university coursework • Strong analytical and problem-solving skills with the ability to break down complex systems • High attention to detail and a strong sense of ownership • Curiosity and willingness to learn the healthcare payer and revenue cycle space • Strong communication skills and ability to work cross-functionally • Comfort using modern tools (including AI) to improve workflows and efficiency • You are excited about using AI and modern tools to rethink how operational work gets done, rather than simply executing existing processes • Digital health experience • Experience in high-growth environments • Experience with custom systems, rules engines, or configuration-heavy platforms

🏖️ Benefits

• Competitive salary and stock options • Tava mental health benefit – free access to therapy for you and your family • Medical and dental insurance – for you and your dependents • Monthly HSA contributions • Generous PTO and paid holidays • Work from anywhere • Paid parental leave • Weekly team lunches • Opportunity to shape a growing company and culture