Allarahealth

Payer Operations Lead

United States

Sponsorship not specified$60k-$68kDetected 13 days ago

Business DevelopmentPatient CareProblem SolvingMentoringOrganizational Skills

About the role

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.

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
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
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
Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives.
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 own each item until it's done

Experience coaching, training, or quality-reviewing others' work (formal management not required)
Comfort owning metrics and reporting on pipeline throughput

Hands-on experience with payer portals and third party portals i.e. Availity
Exposure to credentialing standards (e.g., NCQA, CMS)
Compensation & Career Growth
$60,000-$68,000 with opportunities for advancement
Work Environment & Flexibility
Familiarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)
What Allara Offers
Family & Future Planning

Allara https://www.allarahealth.com 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.
As one of the fastest-growing women's health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
Prepare, submit, and track payer contract applications for new health plan partnerships and new service lines, ensuring submissions are complete, accurate, and on time

This listing is sourced directly from Allarahealth's careers page and normalized into a canonical job model.