Offer summary

Qualifications:

Experience in healthcare, especially payer relations or managed care., Strong relationship management and strategic thinking skills., Effective communication and problem-solving abilities., Operational and analytical skills to interpret policies and data..

Key responsibilities:

Build and maintain relationships with health plan partners.

Collaborate on strategies aligning with payer and company goals.

Oversee fee schedule accuracy and policy updates.

Conduct data analysis to improve partnership outcomes.

Job description

Payer Relations Associate

Your Opportunity to Make an Impact
As a Payer Relations Associate at Aeroflow Health, you will play a key role in strengthening relationships with health plans nationwide, aligning operational strategies, and driving seamless collaboration with internal teams. This role is ideal for a strategic and resourceful professional who thrives in a dynamic healthcare environment and is ready to take full ownership of responsibilities.

What You’ll Do

Relationship Management & Strategy

Build and maintain relationships with existing payer partners while identifying opportunities for new partnerships.
Collaborate with internal stakeholders to develop strategies that align with health plan goals and Aeroflow’s objectives.
Engage with Senior Manager to Director level leadership at health plans to address claims, policy updates, and service improvements.
Act as a liaison between Aeroflow’s sales, marketing, and operational teams, ensuring alignment with payer expectations and contractual obligations.

Operations & Compliance

Oversee the maintenance of fee schedules, ensuring they are current, accurate, and aligned for reimbursement.
Review and analyze policy updates, providing internal teams with concise summaries and actionable insights.
Ensure compliance with payer-related regulatory requirements and stay up to date with industry trends.
Manage key operational processes through our internal systems.
Serve as a subject matter expert on payer relations processes.

Data Analysis & Reporting

Conduct data analysis to identify trends and provide strategic recommendations to enhance partnership results.
Present findings to senior management to support data-driven decision-making.
Develop reports and processes to improve operational efficiency and team performance.

Leadership & Development

Collaborate with other Payor Relations Associates, offering guidance and sharing expertise to support the professional growth both individually and collectively as a team.
Actively engage in and sometimes lead internal forums such as Landmark Committee and PR Operational sessions.
Represent Aeroflow in industry associations, staying informed on market trends and advocating for organization interests.

Who You Are
Must-Have Qualifications

Strategic Thinker: Ability to align customer segmentation strategies to enhance market presence.
Sales & Relationship Management: Proven experience in maintaining and developing partnerships with health plans.
Resourceful & Independent: Takes initiative and thrives in problem-solving situations.
Effective Communicator: Can engage effectively with various stakeholders, adapting communication style to different audiences.
Operationally Savvy: Strong ability to analyze policies and navigate internal systems.
Leadership Mindset: Experience leading projects and educating team members, committed to continuous learning and development.
Extreme Ownership/Accountability: Takes full responsibility for outcomes, proactively addresses challenges, and follows through on commitments to drive results.

Preferred Qualifications

Healthcare Expertise: Strong background in healthcare, with an understanding of payer relations, policy, and managed care.
Prior experience in payer relations, provider network management, or healthcare account management.
Familiarity with Commercial, Medicaid, Medicare, IPAs, and TPAs.
Strong analytical skills with the ability to interpret data and provide insights.

Why Join Aeroflow Health?

Make a Real Impact: Support new and expectant mothers while driving business success.
Fully Remote Role: Work from anywhere while staying connected to a fast-growing, mission-driven team.
Competitive Compensation: Includes health, dental, vision, life insurance, 401K match, and more.
Innovative Work Environment: Creativity and collaboration are encouraged with tools and flexibility to succeed.
Work-Life Balance: Enjoy PTO accrual, paid holidays, and additional benefits from day one.

What Aeroflow Offers

Competitive Pay, Health Plans with FSA or HSA options, Dental, Vision Insurance, Optional Life Insurance, 401K with Company Match, Parental Leave, Paid Holidays, PTO, and more!
Recognized for awards such as the Inc. 5000 Best Place to Work award, Family Forward Certified, and HME Excellence Award.

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