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Payer Contracting Specialist

Allara - Remote - Remote - posted 2026-09-23

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Salary: USD 55,000 - 65,000 / annual

Allara is a comprehensive women's health platform serving over 60,000 patients nationwide, specializing in hormonal, metabolic, and reproductive care across life stages including PCOS, insulin resistance, and perimenopause. You will be the Payer Contracting Specialist responsible for accelerating Allara's payer contracting efforts and expanding women's access to services. This role is critical to ensuring that in-network status translates to operational success in practice, not just on paper. Key responsibilities: - Own provider data integrity across all systems, keeping payer records consistent, correct, and current - Audit provider appearances in payer directories and chase corrections until live - Reconcile rosters against payer records on a recurring schedule to surface discrepancies proactively - Serve as the escalation desk for enrollment and provider-data issues, partnering with Revenue Cycle to triage denials and identify root causes - Research and interpret payer policies including medical policy bulletins, telehealth rules, prior authorization requirements, fee schedules, and provider manuals - Document learnings from each new payer relationship and resolved escalation to create durable internal references - Support contracting and credentialing by preparing, submitting, and tracking payer applications for new health plan partnerships and service lines This early-career position offers unusual breadth, touching provider data, payer policy, contracting, revenue cycle, and credentialing—making it one of the fastest ways to learn how healthcare payment actually works. There is a clear path into more complex payer relationships and ownership over time. The role is 100% remote within the U.S. You will work in a fast-paced, mission-driven environment focused on improving patient care. REQUIREMENTS: - 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration (internship or adjacent RCM experience counts) - Self-directed; manage your own queue without reminders and follow up proactively - Enjoy research and investigation; comfortable hunting for policies and documents - Think in terms of root causes; understand why issues occur and prevent recurrence - Exceptional attention to detail with TINs, taxonomies, effective dates, and data accuracy - Comfortable on the phone with payers; able to be politely persistent - Strong spreadsheet skills and quick to learn new systems and payer portals - Comfortable with ambiguity and shifting priorities in a remote-first environment - Strong documentation and writing skills PREFERRED QUALIFICATIONS: - Hands-on experience with payer portals and clearinghouses (Availity, plan-specific portals) - Provider directory accuracy, roster submissions, or demographic data management experience - Denial management or AR follow-up experience, especially enrollment- and credentialing-related denials - Familiarity with commercial payer requirements; Medicare and Medicaid exposure 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

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