Associate Payor Operations Specialist

Beth Israel Lahey Health

. Support the day-to-day operations of the BILHPN Payor Operations department under the direction of the Director, Payor Operations .

Posted 11/12/2026full-timeWakefield • Massachusetts • United StatesJuniorMid-Level💰 $25 - $38 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong organizational and communication skills while effectively managing payor operations and stakeholder relationships. Proficient in tracking deliverables, coordinating meetings, and utilizing operational tools to support healthcare operations.

Highest-signal resume keywords

Healthcare Operations ExperiencePayor Operations CoordinationStrong Organizational SkillsExcellent Written And Verbal CommunicationProficiency With Microsoft Office Suite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisDocumentation SkillsMeeting CoordinationCustomer Service SkillsWorkflow Management

Soft Skills

Professional Interpersonal SkillsAttention To DetailAbility To Manage Multiple TasksService OrientationWillingness To Learn

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft PowerPointMicrosoft OutlookMicrosoft TeamsSmartsheet

Industry Keywords

Payor RequirementsRevenue CycleHealthcare ManagementProvider RelationsValue-Based Care

About the role

Key responsibilities & impact

Support the day-to-day operations of the BILHPN Payor Operations department under the direction of the Director, Payor Operations
Assist with tracking payor deliverables, requirements, deadlines, alerts, notifications, and action items
Maintain inventories and tracking tools for payor deliverables, requests, communications, issues, and resolutions
Coordinate with payor representatives and internal stakeholders to obtain information, confirm requirements, and support follow-up
Coordinate payor-specific meetings, prepare materials, document notes and action items, and complete follow-up
Intake, document, and route payor communications, requests, and operational issues
Compile payor requirements, contract-related information, reports, reference materials, and documentation
Disseminate payor alerts, notifications, program updates, training information, and operational requirements
Support practices and provider groups with questions, requests, operational needs, and follow-up
Coordinate with Revenue Cycle teams to research and track claims, billing, reimbursement, enrollment, and workflow issues
Gather information from practices, providers, Revenue Cycle, operations, and clinical teams to support issue resolution
Monitor deliverable status and identify deadlines, missing information, barriers, or risks for escalation
Maintain and refine workflows, reference materials, spreadsheets, Smartsheet trackers, and operational tools
Prepare routine reports, spreadsheets, presentations, correspondence, meeting summaries, and status updates
Develop working relationships with payor representatives, practices, provider groups, Revenue Cycle teams, and other stakeholders
Participate in training, mentoring, professional development, quality improvement activities, and mandatory education
Maintain adherence to BILH and BILHPN policies and perform other duties as directed

Requirements

What you’ll need

Bachelor's degree in healthcare management, administration, public health, business administration, health services, communications, or a related field preferred
Equivalent relevant education and/or experience may be considered
0–2 years of experience in healthcare operations, payor operations, provider relations, practice operations, revenue cycle, customer service, business administration, or a related field preferred
Healthcare or provider-facing experience is a plus but is not required for a strong entry-level candidate
No licensure, certification, or registration required
Strong organizational skills and attention to detail
Excellent written and verbal communication skills
Professional interpersonal skills and service orientation
Ability to establish positive working relationships with payor representatives, practices, provider groups, Revenue Cycle teams, internal departments, and other stakeholders
Ability to manage multiple tasks, track follow-up, meet deadlines, and seek guidance when priorities conflict
Ability to learn and apply healthcare operations, value-based care, payor requirements, and organizational workflows
Strong documentation, meeting coordination, follow-through, and customer service skills
Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, Teams, and related business applications
Familiarity with Smartsheet or similar tracking/workflow tools preferred
Demonstrated willingness to learn, receive coaching, and progressively assume greater responsibility
Strong analytical skills and proficiency in data analysis tools and software

Benefits

Comp & perks

Influenza vaccination required as a condition of employment
Equal Opportunity Employer/Veterans/Disabled