Payer Integration Specialist
New
J
JobgetherHealthcare technology
Based in United StatesFull-TimeMiddle
SalaryAnnual base salary range of $85,000–$117,000. Potential eligibility for discretionary bonuses. Equity opportunities through discretionary restricted stock units. Monthly technology allowance.
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Job Details
- Experience
- 3+ years of professional experience
- Required Skills
- Project ManagementSalesforceAsana
Requirements
- Have 3+ years of professional experience in a high-growth, fast-paced environment; healthcare, health technology, payer operations, or a related field is preferred.
- Bring a deep understanding of health plan structures, payer operations, claims billing, utilization management, and healthcare administrative workflows.
- Have hands-on experience with healthcare integration standards and workflows such as RTE 270/271, claims 837, accumulators, or comparable payer connectivity technologies.
- Bring strong project management skills, including the ability to manage multiple workstreams, timelines, dependencies, and competing priorities.
- Use analytical and problem-solving skills to navigate ambiguity and identify practical solutions.
- Be organized and detail-oriented when managing integration projects and resolving issues.
- Be able to coordinate and support multiple stakeholders across functions and drive initiatives through to completion.
- Familiarity with Asana and Salesforce is preferred.
Responsibilities
- Coordinate with health plans and external partners to establish and maintain technical and operational connectivity for standard and customized integrations.
- Translate payer-specific requirements into implementation steps, workflows, configurations, and deliverables for internal teams.
- Serve as the primary point of contact for health plan integration setups, including eligibility, claims, billing, and related workflows.
- Implement, configure, test, and troubleshoot technical integrations involving health plans and health systems.
- Participate in customer and partner kickoff meetings and liaise between external stakeholders and internal technical and operational teams.
- Collaborate with Sales, Product, Engineering, Payer Billing Operations, and Customer Success throughout the customer journey.
- Develop and manage project plans, timelines, milestones, dependencies, and deliverables.
- Assist with annual benefit updates and ongoing configuration changes to maintain data integrity and accurate payer workflows.
- Identify integration risks, investigate issues, and drive problems toward resolution.
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