# Payer Operations Lead

**Company:** [Allara Health](https://hotfix.jobs/companies/allara-health)
**Location:** Remote
**Role:** Revenue Operations
**Salary:** $60k – $68k/yr
**Experience:** 2+ years
**Skills:** Provider Enrollment, Credentialing, Payer Contracting, Sop Documentation, Process Improvement, Payer Portals, Availity, Medicare, Medicaid, Ncqa, Cms
**Posted:** 2026-07-09

> Own complex payer enrollments, credentialing, and contracting for a women's health telehealth provider. Build and document SOPs, coach an offshore enrollment team, drive follow-up with payers, and improve pipeline speed/accuracy to expand in-network access nationwide.

## Job Description

## Responsibilities
- Build, document, and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows.
- Design quality controls and error-catching checkpoints to reduce rework and rejected applications.
- Identify bottlenecks in the expansion pipeline and drive cycle-time improvements.
- Keep enrollment and contracting trackers 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 receipt, resolve deficiencies, and push applications to approval.
- Prepare, submit, and track payer contract applications for new health plan partnerships and new service lines.
- Serve as a quality and productivity coach for offshore enrollment team members: set standards, review work, give feedback, and build playbooks.
- Assist Sr. Manager with onboarding and ramping offshore contributors on payer processes and tools.
- Partner with RCM and payer strategy/business development teams on collaborative problem-solving or strategic payer initiatives.

## Requirements
- 2-3 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.
- Experience coaching, training, or quality-reviewing others' work (formal management not required).
- Comfort owning metrics and reporting on pipeline throughput.
- Highly independent and driven; relentless follow-up (including calling and escalating within payer networks), manage own queue without reminders.
- Exceptional attention to detail and organizational skills.

## Nice-to-Haves
- 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).

## Compensation & Benefits
- $60,000-$68,000 base salary with opportunities for advancement.
- Equity.
- Professional development & employee learning programs.
- 100% remote within the U.S.
- Unlimited PTO & 11 company holidays.
- Medical, dental, and vision benefits; HSA & FSA.
- Long- and short-term disability coverage.
- Annual employee wellness stipend.
- 401(k) plan.
- Parental leave & family planning support benefits.
- Company-issued laptop.
- Annual work-from-home stipend.
- Commuter benefits (if applicable).

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