Payer Contracting Specialist
艾拉拉是专业的女性保健提供商，专门为妇女提供长途护理，支持她们在每一阶段的生活。全国各地有数千名妇女信任，艾拉拉让患者与具有深入了解荷尔蒙，代谢和生殖护理的多学科护理团队联系起来，使专家医疗服务可访问。艾拉拉持续支持 PCOS 等激素疾病，胰岛素耐药性等慢性病情和经期期等生命阶段，帮助患者看到改善的健康结果.com/637f55cdd2e0aa051d497c52/68e6aa0f8fcce5c60e922219_Outcomes%20影响%20报告%202025%20Web%20Display.pdf.作为美国增长最快的女性保健平台之一，艾拉拉拉正在弥合妇女医疗保健领域长期被忽视的差距。我们寻找一个有资源的付款人承包专家来加速我们的付款人服务取得努力。这将成为加大亚拉拉拉服务业务在全国范围内扩张的关键驱动力。在纸上网络工作并不等于实践工作。每个新付款人都有自己的书面和非书面要求。你会弄清楚每一个新付款人的实际需求，我们需要如何与他们合作，并找到最好的合同方式。你将加剧到根本原因，并与我们的团队一起努力快速找出解决方案。随着时间的推移，你将开始从端到端地做新的合约，密切地与其他团队合作。这是一个有异常广度的职业生涯中期位置，以及随着时间来扩大到更复杂的付款人关系和所有权。地点：美国内完全远程的影响 - 准备，提交和跟踪新医疗计划合作伙伴关系和服务线的付款申请；提供随访，解决缺陷，延期和追踪器方面的支持。- 确定关键合同要求，确保准确提交和跟进进展。- 审计我们的供应商如何出现在付款人目录中并追求纠正直到他们现实并且会员实际找到它们。- 在反复审核时间表上与付款人的记录进行调整，因此不一致性在一个序列上浮现而不是被拒绝索赔时。- 与收入周期合作伙伴来分辨否认和找出根源原因：- 研究和解释付款人政策：医疗政策公告，远程卫生和虚拟护理规则，前面的情况
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Allara https://www.allarahealth.com is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of 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 https://cdn.prod.website-files.com/637f55cdd2e0aa051d497c52/68e6aa0f8fcce5c60e922219_Outcomes%20Impact%20Report%202025%20Web%20Display.pdf. 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 Opportunity
We're looking for a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This role will be a critical driver of expanding women’s access to Allara’s services across the country.
Being in-network on paper isn't the same as working in practice. Each new payer has its own written and unwritten requirements. You'll figure out what each new payer actually requires, how we need to work with them, and figure out the best way to contract. You'll run escalations to the root cause, and work with our teams to figure out solutions quickly. With time, you will take on working new contracts end-to-end, collaborating closely with other teams.
This is a mid-career position with unusual breadth, and an opportunity to expand into more complex payer relationship and ownership over time.
Location: Fully remote within the U.S.
Your Impact
- Prepare, submit, and track payer applications for new health plan partnerships and service lines; provide surge support on follow-up, deficiency resolution, revalidations, and trackers.
- Determine key contracting requirements, ensure accurate submission and track progress.
- Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.
- Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied.
- Partner with Revenue Cycle to triage denials and figure out root causes.
- Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals.
- Codify what you learn. Turn each new payer's requirements and each resolved escalation into a durable internal reference so the next person doesn't start from zero.
Required Qualifications
- We care much more about how you work than what's on your resume.
- 4+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration. Internship or adjacent RCM experience counts.
- 2+ years contracting or credentialing experience specifically.
- Genuinely self-directed. You manage your own queue without reminders, follow up without being asked, and treat a stalled item as a personal affront.
- You enjoy the hunt. Being told "the policy is somewhere on their site" is interesting to you, not annoying.
- Monitor payer dashboards and escalations; Resolve issues driven by payer contracting gaps.
- Exceptional attention to detail. Wrong TIN, wrong taxonomy, wrong effective date - these are the difference between getting paid and not.
- Comfortable on the phone with payers. A lot of this job is being politely persistent with someone who'd rather not help.
- Strong with spreadsheets and quick to learn new systems and payer portals.
- Comfortable with ambiguity and shifting priorities in a fast-paced, remote-first environment.
- Strong at follow-up to make sure contracts and solutions work as intended.
Preferred Qualifications
- Hands-on experience with payer portals and clearinghouses (Availity, plan-specific portals)
- Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus
- Multi-state telehealth, digital health, or high-growth healthcare experience
What Allara Offers
- Compensation & Career Growth
- $55,000 - $65,000 with opportunities for advancement
- Equity
- Professional development & employee learning programs
Actual 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 & Flexibility
- 100% remote within the U.S.
- Unlimited PTO & 11 company holidays
- Health & Wellness
- Medical, dental, and vision benefits
- Health Savings Account (HSA) & Flexible Spending Account (FSA)
- Long- and short-term disability coverage
- Annual employee wellness stipend
- Family & Future Planning
- 401(k) plan
- Parental leave & family planning support benefits
- Additional Perks
- Company-issued laptop
- Annual work-from-home stipend
- Commuter benefits (if applicable)
- A collaborative, mission-driven culture focused on improving patient care
At Allara https://www.allarahealth.com/, 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 backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.