Payer Contracting Specialist

Allara

Charlotte (NC)

Remote

USD 55,000 - 65,000

Full time

11 days ago
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Benefits offered by this job

Equity
Professional development
Remote within U.S.
Unlimited PTO
11 company holidays
Medical, dental, vision benefits
HSA/FSA
Disability coverage
Wellness stipend
401(k) plan
Parental leave
Company-issued laptop
Annual work-from-home stipend
Commuter benefits
Collaborative culture

Job summary

Allara seeks a Payer Contracting Specialist to accelerate payer contracting and expand access nationwide. You will manage provider data, respond to payer escalations, and document solutions to prevent repeat issues. The role touches contracting, credentialing, revenue cycle, and policy interpretation.

This early-career position offers breadth across payer processes with a clear path to more complex payer relationships, all in a remote, U.S.-based environment.

Qualifications

  • 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration.
  • Internship or adjacent RCM experience counts
  • Genuinely self-directed and able to manage own queue
  • Interest in understanding payer policy and root causes
  • Attention to detail and accuracy in coding and dates
  • Comfortable on the phone with payers and persistent
  • Strong with spreadsheets and learning new systems
  • Ability to adapt to ambiguity in a remote-first environment
  • Documentation mindset to codify learnings

Responsibilities

  • Own provider data integrity across every system and keep payer records current
  • Audit payer directory listings and chase corrections until live
  • Reconcile rosters against payer records on a recurring schedule
  • Serve as the go-to for enrollment and provider-data escalations
  • Research and interpret payer policy and locate key documents
  • Document every learning as a durable internal reference
  • Support contracting and credentialing: submit and track payer applications, assist with follow-ups

Skills

Provider data management
Revenue cycle
Credentialing
Payer operations
Attention to detail
Root cause analysis
Communication with payers
Spreadsheet skills
Payer portals

Tools

Availity
Payer portals

Job description

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 looking for a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This role will be a critical driver of expanding women’s access to Allara’s services across the country.

Being in-network on paper isn't the same as working in practice. Each new payer has its own written and unwritten requirements. You'll figure out what each new payer actually requires, how we need to work with them, and write it down so we never experience an issue we don’t need to. You'll run escalations to the root cause, and work with our teams to figure out solutions quickly. You'll keep our provider data clean so that applications are right before they go out the door, not after a payer sends them back.

That's this job. You'll be the person who finds the discrepancy, fixes it at the source, works the payer until it sticks, and writes down how you did it so nobody has to figure it out twice.

This is an early-career position with unusual breadth, but requires minimal experience and expertise. You'll touch provider data, payer policy, contracting, revenue cycle, and credentialing, which makes it one of the fastest ways to learn how healthcare payment actually works. There's a clear path into more complex payer relationships and ownership over time.

Location:

Fully remote within the U.S.

Your Impact
  • Own provider data integrity across every system. Keep all payer records consistent, correct, and current.

  • Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.

  • Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied.

  • Be the go-to desk for enrollment and provider-data escalations. Partner with Revenue Cycle to triage denials and figure out root causes.

  • Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals. Find the documents nobody can find such as executed agreements, amendments, rosters, W9s, welcome letters.

  • Codify what you learn. Turn each new payer's requirements and each resolved escalation into a durable internal reference so the next person doesn't start from zero.

  • Support contracting and credentialing: prepare, submit, and track payer applications for new health plan partnerships and service lines; provide surge support on follow-up, deficiency resolution, revalidations, and trackers.

Required Qualifications
  • We care much more about how you work than what's on your resume.

  • 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration. Internship or adjacent RCM experience counts

  • Genuinely self-directed. You manage your own queue without reminders, follow up without being asked, and treat a stalled item as a personal affront

  • You enjoy the hunt. Being told "the policy is somewhere on their site" is interesting to you, not annoying

  • You think about root causes. Fixing the claim is table stakes; understanding why it denied and stopping the next twenty is the job

  • Exceptional attention to detail. Wrong TIN, wrong taxonomy, wrong effective date - these are the difference between getting paid and not

  • Comfortable on the phone with payers. A lot of this job is being politely persistent with someone who'd rather not help

  • Strong with spreadsheets and quick to learn new systems and payer portals

  • Comfortable with ambiguity and shifting priorities in a fast-paced, remote-first environment

  • You write things down. Solving a problem once is good; documenting it so the team never re-solves it is better

Preferred Qualifications
  • Hands‑on experience with payer portals and clearinghouses (Availity, plan‑specific portals)

  • Experience with provider directory accuracy, roster submissions, or demographic data management

  • Denial management or AR follow‑up experience, especially enrollment‑and credentialing‑related denials

  • Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus

  • Multi‑state telehealth, digital health, or high‑growth healthcare experience

  • Exposure to credentialing standards (NCQA, CMS)

  • Working familiarity with CPT/ICD‑10 and modifiers - no certification required

What Allara Offers
  • Compensation & Career Growth

    • $55,000 - $65,000 with opportunities for advancement

    • Equity

    • Professional development & employee learning programs

  • Work Environment & Flexibility

    • 100% remote within the U.S.

    • Unlimited PTO & 11 company holidays

  • Health & Wellness

    • Medical, dental, and vision benefits

    • Health Savings Account (HSA) & Flexible Spending Account (FSA)

    • Long- and short-term disability coverage

    • Annual employee wellness stipend

  • Family & Future Planning

    • 401(k) plan

    • Parental leave & family planning support benefits

  • Additional Perks

    • Company-issued laptop

    • Annual work-from-home stipend

    • Commuter benefits (if applicable)

    • A collaborative, mission-driven culture focused on improving patient care

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.

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