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Local Infusion
Payer Operations ManagerLocal Infusion • Nashville, TN, United States
Payer Operations Manager

Payer Operations Manager

Local Infusion • Nashville, TN, United States
Less than 1 hour ago
Job type
  • Full-time
Job description

We Are Local Infusion

Local Infusion is the fastest growing infusion provider in the United States, with a mission to transform the specialty infusion industry, because patients deserve better. By providing both exceptional, patient-centered care and the proprietary, AI-driven technology powering it, Local Infusion accelerates access, simplifies workflows, and improves outcomes for everyone in the infusion journey from patients and clinicians to health plans, health systems, employers, and pharma. Clinicians can spend less time on paperwork and more time with patients, bringing comfort, connection, and community back to healthcare. With Local Infusion, every patient and every care team is fully supported, every step of the way.

The Role

Local Infusion is seeking an experienced and detail-oriented operations professional to own the implementation and onboarding of health plan partners across the organization - managing credentialing and payer enrollment, contract onboarding, and fee schedule accuracy, and driving timely, well-managed implementations. If you have a strong background in payer operations, project management, and a comprehensive understanding of insurance operations, this role offers the opportunity to build and scale payer operations for a rapidly growing organization.

Key Accountabilities

  • Lead the payer onboarding and implementation process, working cross functionally with internal teams and systems to ensure timely, accurate setup
  • Establish and improve workflows, designing measurable, scalable processes that support efficient operations as Local Infusion grows
  • Diagnose operational inefficiencies by synthesizing data across the business, surfacing root causes, and recommending targeted improvements
  • Manage payer enrollment process for new locations, including, fee schedule uploads, EDI/EFT and clearinghouse enrollment, as well as the provider credentialing process
  • Apply project management skills to ensure all partners follow best practices, deliver on time, and make full use of available tools and systems
  • Develop and share performance insights with internal teams, collaborating cross-functionally on opportunities and challenges
  • Identify and execute process improvements that make onboarding and implementation more effective, in close collaboration with Revenue Cycle, Enterprise Growth, and Operations teams

Requirements

  • Bachelor's degree preferred
  • 4+ years experience in payer operations, credentialing, provider enrollment, or revenue cycle operations, ideally at a high-growth health-tech start-up
  • Proven project management skills, with experience leading implementations or onboarding processes
  • Strong organizational & communication skills, with attention to detail
  • Nice to have: familiarity with fee schedule management, EDI/EFT set-up, credentialing, and/or payor enrollment

The Local Infusion Way

Local Infusion is a respectful upbeat team united by our mission of shaping the way specialty infusion care is delivered. We are highly ambitious but understand that in order to do a great job, we have to take care of ourselves; we expect that you will have time and energy devoted to your families, friends and hobbies.

As part of our team, full-time employees get:

  • Medical, dental, and vision insurance through our employer plan
  • Short and long-term disability coverage
  • 401(k) as an early-stage startup, and we match!
  • 15 Days PTO and we want you to take it!
  • Competitive paid parental leave and flexible return to work policy.
  • We invest in your career. Our company is growing quickly, and we'll give you the opportunity to do the same. You'll have access to a number of professional development opportunities so that you can keep up with the company's evolving needs and grow your career along the way.

We don't discriminateLocal Infusion is an Equal Employment Opportunity (EEO) Employer. We fundamentally believe that a more diverse and inclusive team leads to a stronger company more able to achieve our vision.

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Payer Operations Manager • Nashville, TN, United States

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