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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 conditions like PCOS, insulin resistance, and perimenopause.
You will serve as a Payer Operations Specialist and subject matter expert on the credentialing and payer operations team, directly owning the speed and accuracy of payer expansion. This role is critical to enabling providers to see members on day one rather than having applications stall.
Key responsibilities:
- Document and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows, converting tribal knowledge into repeatable, auditable processes
- Implement quality controls and error-catching checkpoints to reduce rework and rejected applications
- Identify bottlenecks in the expansion pipeline and drive cycle-time improvements
- Maintain enrollment and contracting trackers with meticulous accuracy; flag aging items, delays, and escalate blockers with proposed solutions
- Conduct persistent, proactive follow-up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications to approval
- Partner with RCM and payer strategy/business development teams on collaborative problem-solving and strategic initiatives
- Assist with application submission as needed
You will be highly independent, relentlessly follow up (including direct calls and escalations within payer networks), manage your own queue without reminders, and ensure applications do not sit idle. Exceptional attention to detail and organizational skills are essential.
REQUIREMENTS:
- 2+ 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 SOPs
- Comfort owning metrics and reporting on pipeline throughput
- Highly independent and driven; relentless follow-up capability including comfort calling and escalating within payer networks
- Exceptional attention to detail and organizational skills; pride in accurate, deadline-driven work
PREFERRED QUALIFICATIONS:
- Hands-on experience with payer portals and third-party portals (e.g., Availity)
- Familiarity with commercial payer requirements; understanding of Medicare and Medicaid processes a plus
- Experience in multi-state telehealth, digital health, or high-growth healthcare environments
- Exposure to credentialing standards (e.g., NCQA, CMS)
