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Remote Payer Relations Associate

Remote Payer Relations Associate

AeroflowAsheville, NC, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Job Description

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.

    • Leadership & Development

  • Collaborate with other Payor Relations Associates 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

  • Healthcare Expertise : Strong background in healthcare, with an understanding of payer relations, policy, and managed care.
  • Strategic Thinker : Ability to align customer segmentation strategies to enhance market presence.
  • 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 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

  • Experience supporting payor contract
  • 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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