Payer Contracting Specialist

Posted 15 Days Ago
Be an Early Applicant
Hiring Remotely in North Carolina, USA
Remote or Hybrid
55K-65K Annually
Junior
Healthtech
Allara is the virtual care platform closing the gap in women's hormonal and metabolic health.
The Role
Manage provider data integrity, payer directory accuracy, roster reconciliation, enrollment and credentialing applications, and payer-related escalations. Research payer policies, investigate denial root causes, maintain documentation, and coordinate with Revenue Cycle and internal teams to resolve discrepancies. The role is fully remote and supports contracting and credentialing across commercial, Medicare, and Medicaid payers.
Summary Generated by Built In

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.

The Opportunity

We're looking for a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This role will be a critical driver of expanding women’s access to Allara’s services across the country.

Being in-network on paper isn't the same as working in practice. Each new payer has its own written and unwritten requirements. You'll figure out what each new payer actually requires, how we need to work with them, and figure out the best way to contract. You'll run escalations to the root cause, and work with our teams to figure out solutions quickly. With time, you will take on working new contracts end-to-end, collaborating closely with other teams.

This is a mid-career position with unusual breadth, and an opportunity to expand into more complex payer relationship and ownership over time.

Location: Fully remote within the U.S.

Your Impact

  • Prepare, submit, and track payer applications for new health plan partnerships and service lines; provide surge support on follow-up, deficiency resolution, revalidations, and trackers.

  • Determine key contracting requirements, ensure accurate submission and track progress.

  • Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.

  • Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied.

  • Partner with Revenue Cycle to triage denials and figure out root causes.

  • Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals.

  • Codify what you learn. Turn each new payer's requirements and each resolved escalation into a durable internal reference so the next person doesn't start from zero.


Required Qualifications

  • We care much more about how you work than what's on your resume.

  • 4+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration. Internship or adjacent RCM experience counts.

  • 2+ years contracting or credentialing experience specifically.

  • Genuinely self-directed. You manage your own queue without reminders, follow up without being asked, and treat a stalled item as a personal affront.

  • You enjoy the hunt. Being told "the policy is somewhere on their site" is interesting to you, not annoying.

  • Monitor payer dashboards and escalations; Resolve issues driven by payer contracting gaps.

  • Exceptional attention to detail. Wrong TIN, wrong taxonomy, wrong effective date - these are the difference between getting paid and not.

  • Comfortable on the phone with payers. A lot of this job is being politely persistent with someone who'd rather not help.

  • Strong with spreadsheets and quick to learn new systems and payer portals.

  • Comfortable with ambiguity and shifting priorities in a fast-paced, remote-first environment.

  • Strong at follow-up to make sure contracts and solutions work as intended.


Preferred Qualifications

  • Hands-on experience with payer portals and clearinghouses (Availity, plan-specific portals)

  • Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus

  • Multi-state telehealth, digital health, or high-growth healthcare experience


What Allara Offers

  • Compensation & Career Growth

    • $55,000 - $65,000 with opportunities for advancement

    • Equity

    • Professional development & employee learning programs

Actual compensation will be determined based on a variety of factors, including but not limited to: candidate experience, location, education, certifications, and skill set. In addition to base salary, our total compensation package includes equity, comprehensive health benefits (medical, dental, vision), generous paid time off, and additional wellness and professional development perks.

  • Work Environment & Flexibility

    • 100% remote within the U.S.

    • Unlimited PTO & 11 company holidays

  • Health & Wellness

    • Medical, dental, and vision benefits

    • Health Savings Account (HSA) & Flexible Spending Account (FSA)

    • Long- and short-term disability coverage

    • Annual employee wellness stipend

  • Family & Future Planning

    • 401(k) plan

    • Parental leave & family planning support benefits

  • Additional Perks

    • Company-issued laptop

    • Annual work-from-home stipend

    • Commuter benefits (if applicable)

    • A collaborative, mission-driven culture focused on improving patient care

At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We’re an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.

Skills Required

  • 2+ years of experience in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration; internship or adjacent revenue cycle experience counts
  • Self-directed ability to manage an independent queue and follow up proactively
  • Strong research skills and ability to locate and interpret payer policies and documentation
  • Root-cause analysis skills for claims, enrollment, and payer-related issues
  • Exceptional attention to detail, including TIN, taxonomy, and effective-date accuracy
  • Comfort communicating by phone with payers
  • Strong spreadsheet skills and ability to learn new systems and payer portals quickly
  • Ability to work effectively with ambiguity and shifting priorities in a fast-paced remote environment
  • Strong documentation and process-codification skills
  • Hands-on experience with payer portals and clearinghouses, including Availity
  • Experience with provider directory accuracy, roster submissions, or demographic data management
  • Denial management or accounts receivable follow-up experience, especially enrollment- or credentialing-related denials
  • Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus
  • Multi-state telehealth, digital health, or high-growth healthcare experience
  • Exposure to credentialing standards such as NCQA and CMS
  • Working familiarity with CPT, ICD-10, and modifiers; certification is not required
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: New York, New York
200 Employees
Year Founded: 2020

What We Do

Allara is a virtual care platform for women living with hormonal, metabolic, and gynecological conditions like PCOS, endometriosis, perimenopause, and thyroid disorders. These conditions affect millions of women, yet they remain under-diagnosed and under-treated. The typical patient spends years bouncing between disconnected specialists, repeating her story, and leaving without a clear plan. We exist to fix that broken experience. Allara brings OB/GYNs, Endocrinologists, Nurse Practitioners, and Registered Dietitians onto one connected care team. Instead of treating a single symptom in isolation, our clinicians look at the whole picture, from labs and medication to nutrition and lifestyle, and build a coordinated, evidence-based plan for each member. Care is delivered virtually, on the member's schedule, with the kind of continuity that traditional healthcare rarely offers for these conditions. Making that possible takes serious technology and clinical infrastructure. Our team builds and scales the systems behind the entire member journey: care delivery and messaging, scheduling, clinical and provider workflows, data pipelines, and the member-facing experience. Every part of the product connects directly to how well we can treat people. We treat women's health as the serious, science-backed field it has always deserved to be, and we're growing quickly in a market that legacy healthcare has overlooked for decades. It's a rare combination: a large, meaningful problem, real momentum, and a team small enough that your work is visible and matters.

Why Work With Us

We're a small, fast-moving team where engineers own real systems end to end and ship quickly. Modern stack, meaty problems, and a short line from your work to patient outcomes. If you want to build in a space finally getting the investment it deserves, this is the place.

Gallery

Gallery

Similar Jobs

Headway Logo Headway

Team Lead

Consumer Web • Healthtech • Professional Services • Social Impact • Software
Remote
USA
819 Employees
78K-115K Annually

PwC Logo PwC

Procurement-Senior Associate

Artificial Intelligence • Professional Services • Business Intelligence • Consulting • Cybersecurity • Generative AI
Remote or Hybrid
67 Locations
370000 Employees
151K-187K Annually
Remote or Hybrid
United States
1750 Employees

SentiLink Logo SentiLink

Demand Generation Associate/Specialist

Fintech • Information Technology • Software
Remote
United States
170 Employees
95K-120K Annually

Similar Companies Hiring

Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees
Vitalize Thumbnail
Artificial Intelligence • Healthtech • Software
US
50 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account