Remote Payer Relations Associate
Remote Payer Relations Associate
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1 Vacancy
Job Description
Payer Relations Associate
Your Opportunity to Make an Impact
As a Payer Relations Associate at Aeroflow Health you will play a key role in strengthening relationships with health plans nationwide aligning operational strategies and driving seamless collaboration with internal teams. This role is ideal for a strategic and resourceful professional who thrives in a dynamic healthcare environment and is ready to take full ownership of responsibilities.
What Youll Do
Relationship Management & Strategy
- Build and maintain relationships with existing payer partners while identifying opportunities for new partnerships.
- Collaborate with internal stakeholders to develop strategies that align with health plan goals and Aeroflows objectives.
- Engage with Senior Manager to Director level leadership at health plans to address claims policy updates and service improvements.
- Act as a liaison between Aeroflows sales marketing and operational teams ensuring alignment with payer expectations and contractual obligations.
Operations & Compliance
- Oversee the maintenance of fee schedules ensuring they are current accurate and aligned for reimbursement.
- Review and analyze policy updates providing internal teams with concise summaries and actionable insights.
- Ensure compliance with payer-related regulatory requirements and stay up to date with industry trends.
- Manage key operational processes through our internal systems.
- Serve as a subject matter expert on payer relations processes.
Data Analysis & Reporting
- Conduct data analysis to identify trends and provide strategic recommendations to enhance partnership results.
- Present findings to senior management to support data-driven decision-making.
- Develop reports and processes to improve operational efficiency and team performance.
Leadership & Development
- Collaborate with other Payor Relations Associates offering guidance and sharing expertise to support the professional growth both individually and collectively as a team.
- Actively engage in and sometimes lead internal forums such as Landmark Committee and PR Operational sessions.
- Represent Aeroflow in industry associations staying informed on market trends and advocating for organization interests.
Who You Are
Must-Have Qualifications
- Strategic Thinker: Ability to align customer segmentation strategies to enhance market presence.
- Sales & Relationship Management: Proven experience in maintaining and developing partnerships with health plans.
- Resourceful & Independent: Takes initiative and thrives in problem-solving situations.
- Effective Communicator: Can engage effectively with various stakeholders adapting communication style to different audiences.
- Operationally Savvy: Strong ability to analyze policies and navigate internal systems.
- Leadership Mindset: Experience leading projects and educating team members committed to continuous learning and development.
- Extreme Ownership/Accountability: Takes full responsibility for outcomes proactively addresses challenges and follows through on commitments to drive results.
Preferred Qualifications
- Healthcare Expertise: Strong background in healthcare with an understanding of payer relations policy and managed care.
- Prior experience in payer relations provider network management or healthcare account management.
- Familiarity with Commercial Medicaid Medicare IPAs and TPAs.
- Strong analytical skills with the ability to interpret data and provide insights.
Why Join Aeroflow Health
- Make a Real Impact: Support new and expectant mothers while driving business success.
- Fully Remote Role: Work from anywhere while staying connected to a fast-growing mission-driven team.
- Competitive Compensation: Includes health dental vision life insurance 401K match and more.
- Innovative Work Environment: Creativity and collaboration are encouraged with tools and flexibility to succeed.
- Work-Life Balance: Enjoy PTO accrual paid holidays and additional benefits from day one.
What Aeroflow Offers
- Competitive Pay Health Plans with FSA or HSA options Dental Vision Insurance Optional Life Insurance 401K with Company Match Parental Leave Paid Holidays PTO and more!
- Recognized for awards such as the Inc. 5000 Best Place to Work award Family Forward Certified and HME Excellence Award.
Required Experience:
IC
Employment Type
Full-Time
