Payer Integration Specialist

Added
4 days ago
Type
Full time
Salary
Upgrade to Premium to se...

Related skills

salesforce project management asana cross-functional collaboration healthcare

๐Ÿ“‹ Description

  • Coordinate with payers to establish technical and operational connectivity
  • Translate payer-specific requirements into actionable implementation steps for internal teams
  • Focus on the day-to-day coordination with payers to establish technical and operational
  • Serve as the primary point of contact for health plan integration setups, focusing on eligibility
  • Participate in customer and partner kickoff meetings and act as a liaison between internal team and
  • Implement, configure, and troubleshoot health plan and health systems technical integrations

๐ŸŽฏ Requirements

  • 3+ years of work experience in a high-growth, fast paced environment
  • Deep understanding of health plan structures, payer operations, claims billing and utilization
  • Hands-on experience with RTE (270/271), claims (837), accumulators and/or similar healthcare
  • Strong project management skills with the ability to manage multiple work streams and competing
  • Exceptional communication skills and the ability to work cross-functionally with technical and
  • Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution

๐ŸŽ Benefits

  • Comprehensive healthcare coverage (including medical, dental, vision, FSA/HSA, life and disability
  • Lyra for Lyrians; coaching and therapy services
  • Equity in the company through discretionary restricted stock units
  • Competitive time off with pay policies including vacation, sick days, and company holidays
  • Paid parental leave
  • 401K with up to 3% matching
Share job

Meet JobCopilot: Your Personal AI Job Hunter

Automatically Apply to Operations Jobs. Just set your preferences and Job Copilot will do the rest โ€” finding, filtering, and applying while you focus on what matters.

Related Operations Jobs

See more Operations jobs โ†’