Payer Operations Lead

Allara; Deutschland; Vor Ort; EUR 78.815 - 113.844; Vollzeit

Zusammenfassung

Allara, a leading women's health platform, is seeking a Payer Operations Lead to own payer enrollments and build documented processes. You will ensure speed and accuracy across in-network expansion, coaching offshore enrollment staff, and collaborating with RCM and payer strategy teams.

You will document end-to-end workflows, perform persistent follow‑ups with payers, and drive cycle-time improvements while maintaining meticulous trackers and ensuring complete, accurate submissions.

Qualifikationen

• 2–3 years in provider enrollment, credentialing, payer contracting, or related healthcare admin work.
• Experience documenting processes and SOPs.
• Experience coaching or reviewing others’ work; formal management not required.
• Comfort with metrics and pipeline reporting.
• Relentless follow-up with payers and proactive queue management.
• Strong attention to detail and deadline-driven work.

Aufgaben

• 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 trackers up to date, flag aging items, escalate blockers with solutions.
• Follow up with payers via phone, email, and portals to confirm receipt and push to approval.
• Prepare, submit, and track payer contract applications for new health plan partnerships.
• Coach offshore enrollment team members on standards and playbooks.
• Assist senior management with onboarding offshore contributors to payer processes and tools.
• Partner with RCM and payer strategy teams on strategic initiatives.

Kenntnisse

Provider enrollment

Credentialing

Payer contracting

Process documentation

Coaching / training

Pipeline reporting

Attention to detail

Independent work

Availity

Tools

Availity

Jobbeschreibung

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

The Opportunity

We’re seeking an enthusiastic and process-driven Payer Operations Lead to own the most complex and high‑stakes payer enrollments, build the documented processes our function runs on, and serve as the quality and coaching anchor for our enrollment team. As we expand in‑network access across the country, this role directly owns the speed and accuracy of payer expansion — the difference between providers who can see members on day one and applications that stall.

You will be responsible for documenting processes across our workflows, relentless follow‑up with payers to unblock the team, and oversight and coaching of enrollment functions.

Location: Remote (US)

Your Impact

• Build, document, and maintain end‑to‑end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable process
• Design quality controls and error‑catching checkpoints that reduce rework and rejected applications
• Identify bottlenecks in the expansion pipeline and drive cycle‑time improvements
• Keep enrollment and contracting trackers meticulously up to date, flag aging items and delays, and escalate blockers with proposed solutions
• Conduct persistent, proactive follow‑up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications through to approval. You own each item until it’s done
• Prepare, submit, and track payer contract applications for new health plan partnerships and new service lines, ensuring submissions are complete, accurate, and on time
• Serve as a quality and productivity coach for offshore enrollment team members: set standards, review work, give feedback, and build the playbooks they execute against
• Assist Sr. Manager with onboarding and ramping offshore contributors on payer processes and tools
• Partner with RCM and payer strategy/business development teams in collaborative problem‑solving or strategic payer initiatives.

Required Qualifications

• 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. You follow up relentlessly (including comfort calling and escalating within payer networks), manage your own queue without reminders, and don’t let applications sit
• Exceptional attention to detail and organizational skills; you take pride in accurate, deadline‑driven work

Preferred Qualifications

• Hands‑on experience with payer portals and third‑party portals i.e. Availity
• Familiarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)
• Experience in multi‑state telehealth, digital health, or a high‑growth healthcare environment
• Exposure to credentialing standards (e.g., NCQA, CMS)

What Allara Offers

• Compensation & Career Growth
• Work Environment & Flexibility
• Health & Wellness
• Family & Future Planning
• Additional Perks

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal‑opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.