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Payer Operations Lead

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1d ago

0$60k - $68kOperationsUnited Stateshimalayas
Payer-OperationsHealthcare-Payer-OperationsOperations-LeadManager

Job Description

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 60,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.The OpportunityWe're seeking an enthusiastic and process-driven Payer Operations Lead to own the most complex and high-stakes payer enrollments, build the documented processes our function runs on, and serve as the quality and coaching anchor for our enrollment team. As we expand in-network access across the country, this role directly owns the speed and accuracy of payer expansion — the difference between providers who can see members on day one and applications that stall.You will be responsible for documenting processes across our workflows, relentless follow-up with payers to unblock the team, and oversight and coaching of enrollment functions.Location: Remote (US)Your ImpactBuild, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable processDesign quality controls and error-catching checkpoints that reduce rework and rejected applicationsIdentify bottlenecks in the expansion pipeline and drive cycle-time improvementsKeep enrollment and contracting trackers meticulously up to date, flag aging items and delays, and escalate blockers with proposed solutionsConduct 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 donePrepare, submit, and track payer contract applications for new health plan partnerships and new service lines, ensuring submissions are complete, accurate, and on timeServe as a quality and productivity coach for offshore enrollment team members: set standards, review work, give feedback, and build the playbooks they execute againstAssist Sr. Manager with onboarding and ramping offshore contributors on payer processes and toolsPartner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives.Required Qualifications2-3 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 SOPsExperience coaching, training, or quality-reviewing others' work (formal management not required)Comfort owning metrics and reporting on pipeline throughputHighly 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 sitExceptional attention to detail and organizational skills; you take pride in accurate, deadline-driven workPreferred QualificationsHands-on experience with payer portals and third party portals i.e. AvailityFamiliarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)Experience in multi-state telehealth, digital health, or a high-growth healthcare environmentExposure to credentialing standards (e.g., NCQA, CMS)What Allara OffersCompensation & Career Growth$60,000-$68,000 with opportunities for advancementEquityProfessional development & employee learning programsActual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.Work Environment & Flexibility100% remote within the U.S.Unlimited PTO & 11 company holidaysHealth & WellnessMedical, dental, and vision benefitsHealth Savings Account (HSA) & Flexible Spending Account (FSA)Long- and short-term disability coverageAnnual employee wellness stipendFamily & Future Planning401(k) planParental leave & family planning support benefitsAdditional PerksCompany-issued laptopAnnual work-from-home stipendCommuter benefits (if applicable)A collaborative, mission-driven culture focused on improving patient careAt Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgr