Allara
Allara is the first collaborative care platform for women with chronic health conditions
11 - 50
Payer Operations Manager
2 days ago
🏢 In-office - Manhattan
Allara
Allara is the first collaborative care platform for women with chronic health conditions
11 - 50
Description
• Manage Payer Contracting: this role will lead both organizing and optimizing our existing contracts, as well as working alongside leadership and Allara vendors to secure and implement new contracts • Collaborate with other departments including growth, concierge, credentialing and revenue cycle management to ensure timely and organized payer status information is incorporated into all Allara care flows. Troubleshoot patient-facing issues and work with our teams to develop language to support frequent insurance-related patient questions. • Provide leadership and day-to-day oversight to our payer enrollment team • Develop and build strong relationships with existing and new payer partners. Serve as a primary Allara contact for payer audiences. Implement regular strategic and operational touchpoints with network representatives and executives. • Audit Allara contracts to identify opportunities for growth in contract renegotiations. • Collaborate with other Allara departments including credentialing, revenue cycle management and clinical to identify opportunities for process improvement in contract implementation and develop SOPs to remain compliant with multiple payer requirements (for example, streamlining roster management and data collection across multiple payer requirements). • Serve as an internal subject matter expert to inform contract negotiation and other strategic payer expansion efforts including working with our team and external vendors towards delegated credentialing.
Requirements
• 5+ years experience with payer sales, payer operations, payer contracting, and provider credentialing either at a payer, large provider group or health system • Prior experience at a national payer is a plus • Experience operationalizing company strategy at a high level, but willingness to dig into the weeds when needed • Strong relationship-building and communication skills, with a proven ability to not only create partnerships, but to ensure their ongoing growth and success as well • High attention to detail and exceptional collaboration skills; proven ability to manage complex projects across multiple stakeholders
Benefits
• Medical/Dental/Vision • 401(k) • Unlimited PTO
Apply Now
