Payer Contracting Specialist

The role

The Payer Contracting Specialist will accelerate payer contracting efforts and expand women's access to services. This role involves preparing payer applications, auditing provider directories, and researching payer policies.

What you will do

• 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 and ensure accurate submission
• Audit how providers appear in payer directories and chase corrections
• Reconcile rosters against payer records on a recurring audit schedule
• Partner with Revenue Cycle to triage denials and figure out root causes
• Research and interpret payer policy including medical policy bulletins, telehealth rules, and fee schedules
• Codify learned requirements and resolved escalations into internal references
• Monitor payer dashboards and escalations
• Resolve issues driven by payer contracting gaps

Required qualifications

• 4+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration
• 2+ years contracting or credentialing experience specifically
• Self-directed
• Exceptional attention to detail
• Comfortable on the phone with payers
• Strong with spreadsheets
• 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

Nice to have

• 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

Benefits

• Equity
• Professional development & employee learning programs
• Unlimited PTO
• 11 company holidays
• Medical, dental, and vision benefits
• Health Savings Account (HSA) & Flexible Spending Account (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

About the company

Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. It is one of the fastest-growing women’s health platforms in the U.S.