Payer Operations Specialist

Allara

. Serve as a subject matter expert and payer escalations contact on the credentialing and payer operations team .

Posted 9/21/2026full-timeRemote • United StatesJuniorMid-Level💰 $55,000 - $65,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider enrollment, credentialing, and payer contracting, with a strong focus on process documentation and quality control. Proven ability to manage application workflows and collaborate with cross-functional teams to drive strategic initiatives in a high-growth healthcare environment.

Highest-signal resume keywords

Provider EnrollmentCredentialingPayer ContractingSOP DocumentationPayer Portal Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payer ContractingCredentialingProvider EnrollmentSOP DocumentationMetrics ReportingQuality ControlApplication SubmissionPipeline Throughput ManagementAttention to DetailOrganizational Skills

Soft Skills

Highly IndependentDrivenProblem-SolvingCommunication

Tools & Technologies

Payer PortalsAvaility

Industry Keywords

Healthcare AdministrationMedicareMedicaidNCQACMSMulti-State TelehealthDigital Health

About the role

Key responsibilities & impact

Serve as a subject matter expert and payer escalations contact on the credentialing and payer operations team
Document and maintain end-to-end SOPs for payer contracting, enrollment, and credentialing workflows
Implement quality controls and error-catching checkpoints to reduce rework and rejected applications
Identify bottlenecks in the expansion pipeline and drive cycle-time improvements
Maintain enrollment and contracting trackers, flag aging items and delays, and escalate blockers with proposed solutions
Follow up with payers via phone, email, and payer portals to confirm application receipt, resolve deficiencies, and push applications through approval
Own each application item through completion
Partner with RCM and payer strategy/business development teams on collaborative problem-solving and strategic payer initiatives
Assist with application submission as needed

Requirements

What you’ll need

2+ years of experience in provider enrollment, credentialing, payer contracting, or healthcare administration (internship or adjacent revenue cycle experience considered)
Demonstrated experience building or documenting processes and SOPs
Comfort owning metrics and reporting on pipeline throughput
Highly independent and driven
Comfort calling and escalating within payer networks
Ability to manage own queue without reminders
Exceptional attention to detail and organizational skills
Experience with payer portals and third-party portals such as Availity (preferred)
Familiarity with commercial payer requirements; understanding Medicare and Medicaid processes is a plus (preferred)
Experience in multi-state telehealth, digital health, or a high-growth healthcare environment (preferred)
Exposure to credentialing standards such as NCQA and CMS (preferred)

Benefits

Comp & perks

Equity
Professional development & 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)
Collaborative, mission-driven culture focused on improving patient care