支付方合同专员
Payer Contracting Specialist
Allara是一家全面的女性健康服务提供商,专注于专家、长期护理,支持女性在人生的每个阶段。全国有超过6万名女性信任Allara,通过将患者与具有激素、代谢和生殖护理深入理解的多学科护理团队连接起来,使专家级医疗更加可及。Allara为多囊卵巢综合征等激素状况、胰岛素抵抗等慢性状况以及围绝经期等生命阶段提供持续支持,帮助患者改善健康结果。作为美国增长最快的女性健康平台之一,Allara正在填补长期以来被忽视的女性医疗缺口。
职位机会
我们正在寻找一位富有资源意识的支付方合同专员,以加速我们的支付方合同工作。这个职位将是推动全美范围内女性接触Allara服务的关键力量。
纸上在保单内并不等于实际在合作中。每个新的支付方都有自己的明文和隐含要求。你将弄清楚每个新支付方真正需要什么,我们需要如何与他们合作,并将其记录下来,以避免不必要的问题。你将追踪根本原因并快速与我们的团队合作解决问题。你将保持我们的供应商数据干净,确保申请在提交前就正确,而不是在支付方退回后才纠正。
这就是这份工作的内容。你将成为那个发现差异、从源头解决它、与支付方合作直到问题解决的人,并记录下你的做法,让其他人不必重复摸索。
这是一份早期职业岗位,涉及范围广泛,但对经验和专业知识的要求较低。你将接触到供应商数据、支付方政策、合同、收入周期和认证,这使其成为了解医疗支付实际运作方式的最快途径之一。随着时间推移,你将有明确的路径进入更复杂的支付方关系并最终拥有相关责任。
地点:全美范围内远程办公
你的影响
- 在所有系统中负责供应商数据的完整性。确保所有支付方记录一致、正确且最新。
- 审核我们的供应商在支付方目录中的显示情况,并跟进修正,直到它们上线,成员可以真正找到它们。
- 按照定期审计计划核对名单与支付方记录,使差异在固定节奏中显现,而不是在索赔被拒时才被发现。
- 成为注册和供应商数据问题的首选联系人。与团队合作
查看英文原文
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 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 write it down so we never experience an issue we don’t need to. You'll run escalations to the root cause, and work with our teams to figure out solutions quickly. You'll keep our provider data clean so that applications are right before they go out the door, not after a payer sends them back.
That's this job. You'll be the person who finds the discrepancy, fixes it at the source, works the payer until it sticks, and writes down how you did it so nobody has to figure it out twice.
This is an early-career position with unusual breadth, but requires minimal experience and expertise. You'll touch provider data, payer policy, contracting, revenue cycle, and credentialing, which makes it one of the fastest ways to learn how healthcare payment actually works. There's a clear path into more complex payer relationships and ownership over time.
Location: Fully remote within the U.S.
Your Impact
- Own provider data integrity across every system. Keep all payer records consistent, correct, and current.
- 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.
- Be the go-to desk for enrollment and provider-data escalations. 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. Find the documents nobody can find such as executed agreements, amendments, rosters, W9s, welcome letters.
- 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.
- Support contracting and credentialing: 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.
Required Qualifications
- We care much more about how you work than what's on your resume.
- 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration. Internship or adjacent RCM experience counts
- 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
- You think about root causes. Fixing the claim is table stakes; understanding why it denied and stopping the next twenty is the job
- 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
- You write things down. Solving a problem once is good; documenting it so the team never re-solves it is better
Preferred Qualifications
- Hands-on experience with payer portals and clearinghouses (Availity, plan-specific portals)
- Experience with provider directory accuracy, roster submissions, or demographic data management
- Denial management or AR follow-up experience, especially enrollment- and credentialing-related denials
- Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus
- Multi-state telehealth, digital health, or high-growth healthcare experience
- Exposure to credentialing standards (NCQA, CMS)
- Working familiarity with CPT/ICD-10 and modifiers - no certification required
What Allara Offers
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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.
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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, 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.
Originally posted on Himalayas