Payer Operations Specialist

Posted Yesterday
Be an Early Applicant
Hiring Remotely in Florida, 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
Own payer enrollment, contracting, and credentialing operations by investigating stalled applications, maintaining SOPs and trackers, implementing quality controls, monitoring pipeline metrics, and escalating blockers. Follow up with payers through phone, email, and portals to resolve deficiencies and secure approvals. Partner with revenue cycle and payer strategy teams on process improvements and strategic initiatives in a remote, multi-state healthcare environment.
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 over 60,000 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 seeking an enthusiastic and process-driven Payer Operations Specialist to serve as a subject matter expert and payer escalations contact on the credentialing and payer operations team. As we expand in-network access across the country, this role directly owns the speed and accuracy of payer expansion — the difference between providers who can see members on day one and applications that stall. You will be responsible for investigating stalled applications, new payer processes, and reviewing quality across the team to ensure consistency and SLA execution.

Location: Remote (US)

Your Impact

  • Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows — turning tribal knowledge into repeatable, auditable processes

  • Implement quality controls and error-catching checkpoints that reduce rework and rejected applications

  • Identify bottlenecks in the expansion pipeline and drive cycle-time improvements

  • Keep enrollment and contracting trackers meticulously up to date, flag aging items and 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 through to approval. You own each item until it's done

  • Partner with RCM and payer strategy/business development teams in collaborative problem-solving or strategic payer initiatives.

  • Assist with application submission, as needed.

Required Qualifications

  • 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. You follow up relentlessly (including comfort calling and escalating within payer networks), manage your own queue without reminders, and don't let applications sit

  • Exceptional attention to detail and organizational skills; you take pride in accurate, deadline-driven work

Preferred Qualifications

  • Hands-on experience with payer portals and third party portals i.e. Availity

  • Familiarity with commercial payer requirements (Understanding Medicare and Medicaid processes is a plus)

  • Experience in multi-state telehealth, digital health, or a high-growth healthcare environment

  • Exposure to credentialing standards (e.g., NCQA, CMS)

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 enrollment, credentialing, payer contracting, or healthcare administration; internship or adjacent revenue cycle experience may be considered
  • Experience building or documenting processes and standard operating procedures
  • Experience owning metrics and reporting on pipeline throughput
  • Ability to work independently, manage a queue without reminders, and proactively follow up and escalate within payer networks
  • Exceptional attention to detail and organizational skills for accurate, deadline-driven work
  • Hands-on experience with payer portals and third-party portals such as Availity
  • Familiarity with commercial payer requirements; Medicare and Medicaid experience is a plus
  • Experience in multi-state telehealth, digital health, or a high-growth healthcare environment
  • Exposure to credentialing standards such as NCQA and CMS
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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.

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