[Hiring] Payer Contracting Specialist @Allara

Role Description

We're looking for a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This role will be a critical driver of expanding women’s access to Allara’s services across the country.

• Own provider data integrity across every system. Keep all payer records consistent, correct, and current.
• Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.
• Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied.
• Be the go-to desk for enrollment and provider-data escalations. Partner with Revenue Cycle to triage denials and figure out root causes.
• Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals.
• Find the documents nobody can find such as executed agreements, amendments, rosters, W9s, welcome letters.
• Codify what you learn. Turn each new payer's requirements and each resolved escalation into a durable internal reference.
• Support contracting and credentialing: 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.

Qualifications

• 2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration. Internship or adjacent RCM experience counts.
• Genuinely self-directed. You manage your own queue without reminders, follow up without being asked, and treat a stalled item as a personal affront.
• You enjoy the hunt. Being told "the policy is somewhere on their site" is interesting to you, not annoying.
• You think about root causes. Fixing the claim is table stakes; understanding why it denied and stopping the next twenty is the job.
• Exceptional attention to detail. Wrong TIN, wrong taxonomy, wrong effective date - these are the difference between getting paid and not.
• Comfortable on the phone with payers. A lot of this job is being politely persistent with someone who'd rather not help.
• Strong with spreadsheets and quick to learn new systems and payer portals.
• Comfortable with ambiguity and shifting priorities in a fast-paced, remote-first environment.
• You write things down. Solving a problem once is good; documenting it so the team never re-solves it is better.

Requirements

• Hands-on experience with payer portals and clearinghouses (Availity, plan-specific portals).
• Experience with provider directory accuracy, roster submissions, or demographic data management.
• Denial management or AR follow-up experience, especially enrollment- and credentialing-related denials.
• Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus.
• Multi-state telehealth, digital health, or high-growth healthcare experience.
• Exposure to credentialing standards (NCQA, CMS).
• Working familiarity with CPT/ICD-10 and modifiers - no certification required.

Benefits

• Compensation: $55,000 - $65,000 with opportunities for advancement.
• Equity.
• Professional development & employee learning programs.
• Comprehensive health benefits (medical, dental, vision).
• Generous paid time off.
• Additional wellness and professional development perks.