Payer Relations Manager

Innovative Hematology, Inc.; Indianapolis (IN); Hybrid; USD 90,000 - 125,000; Full time

Job summary

Innovative Hematology (IHI) in Indianapolis, Indiana, seeks a Payer Relations Manager to lead the strategy, design, and execution of insurance benefits and payer-related functions across clinic and pharmacy services.

This role partners cross-functionally to evaluate workflows, identify capability gaps, and build a data-driven, patient-centered access model that supports revenue cycle performance and patient access goals.

Qualifications

• Bachelor’s degree or equivalent combination of education and experience.
• 5+ years in insurance benefits, verification, patient access, or revenue cycle operations.
• 2+ years of people management or team leadership.
• Strong data analysis and translating insights into action.
• Experience cross-functional collaboration and influencing stakeholders.
• Preferred: experience in payer strategy or operational transformation.
• Is required to be based in Indiana and have in-office presence 2-4 days/week

Responsibilities

• Lead development and execution of a payer strategy to improve patient access.
• Manage Insurance Benefits Specialists and Insurance Verification Specialists.
• Oversee eligibility, benefits investigations, and authorizations to reduce delays.
• Liaise with payers, brokers, and third-party administrators to resolve access issues.
• Establish workflows, performance standards, and quality controls for benefits and verification operations.
• Analyze payer performance metrics to drive improvements.
• Ensure compliance with payer requirements, regulatory standards, and organizational policies

Skills

Data analysis

Cross-functional collaboration

People management

Stakeholder influence

Process improvement

Education

Bachelor’s degree or equivalent

Job description

At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

The Payer Relations Manager will lead the strategy, design, and execution of insurance benefits and payer-related functions across clinic and pharmacy services. This role goes beyond day-to-day operations, serving as a key driver in shaping a forward-looking, scalable benefits and payer strategy aligned with organizational growth and patient access goals.

This leader will partner cross-functionally to evaluate current-state workflows, identify capability gaps, and build a more efficient, data-driven, and patient-centered access model.

Strategic Impact

• Lead the development and evolution of a benefits and payer strategy that improves patient access, reduces delays, and supports long-term revenue cycle performance
• Partner with Revenue Cycle and Executive Leadership to assess current-state operations and design future-state workflows, aligning with broader transformation initiatives
• Utilize data and performance metrics to identify trends, inform decisions, and drive continuous improvement
• Evaluate payer performance and relationships, identifying opportunities for optimization, negotiation, and innovation
• Play a key role in shaping team structure, capabilities, and long-term function design as the organization evolves

The Opportunity

• Lead and manage Insurance Benefits Specialists and Insurance Verification Specialists to ensure timely, accurate patient access to clinic and pharmacy services
• Oversee insurance eligibility, benefits investigation, and authorization processes to reduce delays in care
• Serve as the primary liaison with payers, brokers, and third-party administrators, managing relationships and resolving escalated access issues
• Establish and maintain workflows, performance standards, and quality controls for benefits and verification operations
• Analyze access and payer performance metrics to identify trends and drive process improvements
• Ensure compliance with payer requirements, regulatory standards, and organizational policies

• Bachelor’s degree or equivalent combination of education and experience
• 5+ years of experience in insurance benefits, verification, patient access, or revenue cycle operations
• 2+ years of people management or team‑lead experience
• Demonstrated ability to create and analyze data and translate insights into action
• Experience working cross-functionally and influencing stakeholders
• Preferred: Experience in process improvement, payer strategy, or operational transformation
• Is required to be based in Indiana and have in-office presence 2 - 4 days/week, depednding on business need

This position is open to residents of the State of Indiana, but is primarily remote. It may require routine presence at our Center in Indianapolis, IN. On-site presence is dependent upon role and department needs.

IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.

IHI is the only federally designated comprehensive hemophilia program in Indiana, and serves the entire state through services available in Indianapolis and at outreach clinics.

IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.

IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.

The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.