Remote Payer Operations Specialist-Credentialing & Enrollment

Allara; Town of Florida (NY); Remote; USD 55,000 - 65,000; Full time

Benefits offered by this job

Equity

Professional development & employee学习

100% remote within the U.S.

Unlimited PTO

11 company holidays

Medical, dental, and vision benefits

HSA & FSA

Disability coverage

Annual wellness stipend

401(k) savings plan

Parental leave & family planning

Job summary

Allara is a leading women’s health platform seeking a Payer Operations Specialist to serve as a subject matter expert on the credentialing and payer operations team. You will own payer expansion speed and accuracy, investigate stalled applications, and implement process improvements across enrollment and contracting workflows.

The role is 100% remote within the United States, requiring proactive follow-up with payers and collaboration with RCM and business development.

Qualifications

• 2+ years in provider enrollment or credentialing
• Experience documenting processes or SOPs
• Comfort owning metrics and pipeline throughput reporting
• Independent, driven with relentless follow-up in payer networks
• Excellent attention to detail and deadline-driven work
• Hands-on experience with payer portals (e.g., Availity)
• Familiarity with Medicare and Medicaid processes a plus
• Experience in multi-state telehealth or high-growth healthcare
• Exposure to credentialing standards (NCQA, CMS)

Responsibilities

• 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, escalate blockers with proposed solutions
• Conduct persistent follow-up with payers via phone, email, and payer portals to confirm application receipt and push applications through to approval
• Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives
• Assist with application submission, as needed

Skills

Provider enrollment

Credentialing

Payer contracting

Process documentation

Attention to detail

Pipeline reporting

Tools

Availity

Job description

Allara is a leading women’s health platform seeking a Payer Operations Specialist to serve as a subject matter expert on the credentialing and payer operations team. You will own payer expansion speed and accuracy, investigate stalled applications, and implement process improvements across enrollment and contracting workflows.

The role is 100% remote within the United States, requiring proactive follow-up with payers and collaboration with RCM and business development.