Note: The job is a remote job and is open to candidates in USA. Allara is a comprehensive women’s health provider delivering longitudinal care through multidisciplinary teams. The Payer Operations Specialist owns payer expansion operations by investigating stalled applications, maintaining credentialing and contracting processes, improving quality and cycle times, and coordinating escalations with internal teams and payers.
Responsibilities
- 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 escalate 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
Skills
- 2+ years of experience in provider enrollment, credentialing, payer contracting, or healthcare administration (internship or adjacent revenue cycle experience considered)
- 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
- 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)
Benefits
- Opportunities for advancement
- Equity
- Professional development & employee learning programs
- Comprehensive health benefits (medical, dental, vision)
- Generous paid time off
- Additional wellness and professional development perks
- 100% remote within the U.S.
- Unlimited PTO & 11 company holidays
- Medical, dental, and vision benefits
- Health Savings Account (HSA) & Flexible Spending Account (FSA)
- Long- and short-term disability coverage
- Annual employee wellness stipend
- 401(k) plan
- Parental leave & family planning support benefits
- Company-issued laptop
- Annual work-from-home stipend
- Commuter benefits (if applicable)
- A collaborative, mission-driven culture focused on improving patient care
Company Overview