Payer Contracting Specialist

Allara

. Own provider data integrity across every system .

Posted 9/23/2026full-timeRemote • North Carolina • United StatesJuniorMid-Level💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider data management, including auditing provider listings, reconciling rosters, and navigating payer policies. Proficient in denial management and credentialing processes, with strong attention to detail and the ability to adapt in a fast-paced environment.

Highest-signal resume keywords

Provider Data ManagementDenial ManagementPayer OperationsCredentialing StandardsRoot-Cause Analysis

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider Directory AccuracyDemographic Data ManagementCPT/ICD-10 FamiliarityPayer Policy ResearchData Reconciliation

Soft Skills

Attention to DetailSelf-DirectedComfortable with AmbiguityStrong Communication

Tools & Technologies

Payer PortalsClearinghousesSpreadsheets

Industry Keywords

Revenue Cycle ManagementHealthcare AdministrationMedicareMedicaidNCQACMSTelehealthDigital Health

About the role

Key responsibilities & impact

Own provider data integrity across every system
Audit provider listings in payer directories and pursue corrections
Reconcile provider rosters against payer records on a recurring schedule
Serve as the point person for enrollment and provider-data escalations
Partner with Revenue Cycle to triage denials and identify root causes
Research and interpret payer policy, including medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals
Locate and maintain executed agreements, amendments, rosters, W9s, and welcome letters
Document payer requirements and resolved escalations in durable internal references
Support contracting and credentialing by preparing, submitting, and tracking payer applications for new health plan partnerships and service lines
Provide surge support for follow-up, deficiency resolution, revalidations, and trackers

Requirements

What you’ll need

2+ years in provider data management, revenue cycle, denials, payer operations, credentialing, or healthcare administration; internship or adjacent RCM experience counts
Genuinely self-directed
Enjoy researching and finding payer policies and requirements
Root-cause analysis mindset
Exceptional attention to detail
Comfortable on the phone with payers
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
Able to document solutions and processes
Hands-on experience with payer portals and clearinghouses such as Availity is preferred
Experience with provider directory accuracy, roster submissions, or demographic data management is preferred
Denial management or AR follow-up experience is preferred
Familiarity with commercial payer requirements; Medicare and Medicaid exposure is a plus
Multi-state telehealth, digital health, or high-growth healthcare experience is preferred
Exposure to credentialing standards such as NCQA and CMS is preferred
Working familiarity with CPT/ICD-10 and modifiers; no certification required

Benefits

Comp & perks

Equity
Professional development and employee learning programs
Comprehensive health benefits (medical, dental, vision)
Generous paid time off
Additional wellness and professional development perks
100% remote within the U.S.
Unlimited PTO
11 company holidays
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
Commuter benefits (if applicable)
Opportunities for advancement
Collaborative, mission-driven culture focused on improving patient care