Remote Payer Relations Associate

Remote Full-time
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 You’ll 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 Aeroflow’s 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 Aeroflow’s 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. Leadership & Development • Collaborate with other Payor Relations Associates 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 • Healthcare Expertise: Strong background in healthcare, with an understanding of payer relations, policy, and managed care. • Strategic Thinker: Ability to align customer segmentation strategies to enhance market presence. • 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 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 • Experience supporting payor contract • 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. Apply tot his job
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