Payer Operations Specialist

Allara is a comprehensive women's health provider that specializes in expert, longitudinal care that supports women through every life stage. 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. You will be responsible for investigating stalled applications, new payer processes, and reviewing quality across the team to ensure consistency and SLA execution.

Responsibilities

Assist Payer Operations leadership with documenting and maintaining end-to-end SOPs for payer contracting, enrollment, and credentialing workflows; 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 up to date, flag aging items and delays, and escalate blockers with proposed solutions; Conduct proactive follow-up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications through to approval; Partner with RCM and payer strategy/business development teams on problem-solving and strategic payer initiatives; Assist with application submission, as needed; Investigate stalled applications and new payer processes; Review quality across the team to ensure consistency and SLA execution

Requirements

4+ years of experience in provider enrollment and credentialing; Demonstrated experience building or documenting processes and SOPs; Comfort owning metrics and reporting on pipeline throughput; Highly independent and driven, with comfort following up relentlessly, including calling and escalating within payer networks; Exceptional attention to detail and organizational skills

Nice to have

Hands-on experience with payer portals and third-party portals (e.g., Availity); Familiarity with commercial payer requirements; Understanding of Medicare and Medicaid processes; Experience in multi-state telehealth, digital health, or a high-growth healthcare environment; Exposure to credentialing standards (e.g., NCQA, CMS)

Benefits

Compensation and career growth opportunities with advancement; Equity; Professional development and employee learning programs; Medical, dental, and vision benefits; Health Savings Account (HSA) and Flexible Spending Account (FSA); Long- and short-term disability coverage; Annual employee wellness stipend; Unlimited PTO and 11 company holidays; 401(k) plan; Parental leave and family planning support benefits; Company-issued laptop; Annual work-from-home stipend; Commuter benefits (if applicable)