Payer Operations Specialist

Allara; Florida; Remote; USD 55.000 - 65.000; Vollzeit

Benefits dieser Stelle

Equity

Remote work

Unlimited PTO

Health benefits

HSA & FSA

Wellness stipend

Zusammenfassung

Allara is a leading women’s health provider offering expert, longitudinal care across life stages. We are seeking a Payer Operations Specialist to own payer expansion, credentialing, and enrollment processes on a national, fully remote team in the United States.

You will investigate stalled applications, implement quality controls, and drive improvements in cycle time while coordinating with RCM and payer strategy teams.

Qualifikationen

• 4+ years of provider enrollment and credentialing experience.
• Experience building or documenting processes and SOPs.
• Comfort owning metrics and reporting on pipeline throughput.
• Highly independent and driven; relentless follow-up in payer networks.
• Exceptional attention to detail and deadline-driven work.

Aufgaben

• Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
• Implement 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 up to date, flag aging items and delays, escalating blockers with proposed solutions.
• Conduct persistent follow-up with payers via phone, email, and payer portals to confirm receipt and push applications to approval.
• Partner with RCM and payer strategy/business development teams in collaborative problem-solving.

Kenntnisse

Provider enrollment

Process documentation

Pipeline metrics

Independent worker

Detail oriented

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 thousands of 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 Specialist to serve as a subject matter expert and payer escalations contact on the credentialing and payer operations 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 investigating stalled applications, new payer processes, and reviewing quality across the team to ensure consistency and SLA execution.

Location

Fully remote within the U.S

Your Impact

• Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable processes
• Implement 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 escal… 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
• Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives.
• Assist with application submission, as needed.

Required Qualifications

• 4+ years of experience in provider enrollment and credentialing
• Demonstrated experience building or documenting processes and SOPs
• 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
  • $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

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development 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.