drjobs Manager, Payor Relations

Manager, Payor Relations

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Job Location drjobs

Asheville, NC - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Aeroflow Health Manager Payor Relations Northern Region (Remote)

Aeroflow Health is made up of creative and talented associates who are transforming patient experience and how consumers receive their health careOur patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry are among the fastest-growing healthcare companies in the country and are recognized on Inc. 5000s list of fastest-growing companies in the U.S.

As Aeroflow has expanded our need for strong leadership in managed care operations has grown with it. To support our national payer strategy and rapid market expansion were splitting the country into two regionsNorth and Southand adding a new leadership role to oversee the Northern Region.

The Opportunity

We are currently seeking a Manager Payor Relations Northern Region to lead and grow our payer strategy across multiple states. This is more than a traditional management positionits an opportunity to lead with vision build scalable systems and coach a growing team within one of Aeroflows fastest-moving departments.

This person will manage a team of three (our Northern crew) and work closely with the Southern Manager Paul Howell who leads the Southern team. Paul previously served in this role himself and brings strong people leadership and process-minded structure. Were looking for someone who can complement that stylesomeone who can bring accountability structure and coaching while still jumping into the work as needed.

Your Primary Responsibilities

As Manager Payor Relations Northern Region youll be responsible for:

  • Leading payer contracting and network development strategy across Northern states (including Medicaid Medicare Commercial IPAs TPAs).
  • Managing and developing a high-performing team of three contracting professionalshelping guide coach and build up newer team members.
  • Building and maintaining relationships with health plans; leading negotiations policy escalations and network development.
  • Driving progress on three core strategic priorities: payer network expansion payer policy change (working with medical teams) and fee schedule negotiations.
  • Ensuring payer contract data is accurately updated and configured in internal systems.
  • Collaborating with Legal Compliance Revenue Cycle Sales and Ops to streamline workflows and ensure payer contracts align with operational delivery.
  • Leading and contributing to cross-functional projects with multiple stakeholders; managing priorities with clear communication.
  • Auditing internal processes and coaching team members to ensure compliance alignment and continuous improvement.

Breakdown of Responsibilities

  • 50% Coaching and supporting your team on payer expansion policy changes and contract negotiation & configuration.
  • 25% Leading or participating in company-wide payer strategy projects alongside other departments.
  • 25% Process auditing refinement and team development to ensure accuracy clarity and effectiveness.

Must-Have Experience

  • 5 years in healthcare operations network development or managed care contracting (provider hospital or DME experience preferred).
  • Proven experience negotiating contracts with health plans or providers.
  • Demonstrated success managing and developing teamsespecially those newer to the industry or function.
  • Experience working with a variety of payer types (Medicaid Medicare Commercial IPAs TPAs).
  • Strong understanding of claims workflows and payer/provider relationships.
  • Ability to manage escalations coach team members and implement scalable processes.

Nice-to-Haves

  • Located within 1 hour of a major airport (with strong preference for the Northeast region)
  • Experience and a desire managing cross-functional projects and reporting to multiple stakeholders or leaders.
  • Experience with fee schedule configuration and payer system setup.
  • Familiarity with payer compliance and policy monitoring.

Travel Expectations

  • Up to once per month for market or team travel (may be flexible to ramp up over time).
  • Quarterly travel to Aeroflows corporate office.

What We Look For

Were looking for someone who can operate as a player/coachequally confident mentoring a team and rolling up their sleeves when needed. The ideal candidate is:

  • Process-oriented with a knack for holding others accountable in a friendly and supportive way.
  • Comfortable navigating ambiguity and shifting priorities.
  • Collaborative and relationship-driveninternally and externally.
  • Energetic proactive and able to anticipate needs and take action without waiting to be asked.

What Aeroflow Offers

Competitive Pay Health Plans with FSA or HSA options Dental and Vision Insurance Optional Life Insurance 401K with Company Match 12 weeks of parental leave for birthing parent / 4 weeks leave for non-birthing parent(s) Additional Parental Benefits including fertility stipends and free diapers Paid Holidays PTO Accrual from day one Employee Assistance Programs and SO MUCH MORE!

Here at Aeroflow we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

  • Family Forward Certified
  • Great Place to Work Certified
  • Inc. 5000 Best Place to Work award winner
  • HME Excellence Award
  • Sky High Growth Award

If youve been looking for a high-impact leadership opportunity with the potential to shape the future of payer strategy at a rapidly growing healthcare company we want to hear from you.

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws.


Required Experience:

Manager

Employment Type

Full-Time

Company Industry

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