Payer Strategy & Operations jobs in United States
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Stedi · 2 months ago

Payer Strategy & Operations

Stedi is a leading programmable healthcare clearinghouse focused on facilitating the exchange of critical transactions in the healthcare sector. They are looking for a Payer Strategy & Operations professional to manage integrations with payers and clearinghouses, ensuring efficient routing and handling of eligibility checks, claims, and remittances.

B2BHealth CareInformation Technology

Responsibilities

Lead the technical integration, implementation, and ongoing management of integrations with hundreds of payers and major clearinghouses
Analyze data to make high velocity decisions on how and where to route traffic
Build internal tooling to streamline payer onboarding, payer routing and mapping, and data synchronization across internal applications
Handle payer and clearinghouse-related incidents, from escalating directly to payers to sounding internal alarms and diving into root causes
Collaborate with product and engineering to advance our roadmap for internal applications, as well as external payer-related products and APIs

Qualification

API integrationData analysisClient-facing experienceInternal tooling developmentSystems mindsetResourcefulnessOrganizational skillsSelf-motivationCommunication skills

Required

ample experience integrating with APIs
familiar with REST/SOAP APIs
hands-on experience building integrations to backend systems and applications
experience building internal tools
running queries
manipulating data to move faster
exceptional at staying on top of many open threads simultaneously
hyper-responsive
organized
thorough
experience in client-facing roles
experience in consulting, technical support, implementation and onboarding, or solutions engineering roles
systems mindset
able to intuitively understand gaps as you work through implementations
able to articulate gaps to the product, payer operations, and engineering team
resourceful
self-motivating
self-disciplined
ability to match the organization's pace
ability to respond with urgency
communicating what you are working on
proactively asking for help or feedback when needed
lead the technical integration, implementation, and ongoing management of integrations with hundreds of payers and major clearinghouses
analyze data to make high velocity decisions on how and where to route traffic
build internal tooling to streamline payer onboarding, payer routing and mapping, and data synchronization across internal applications
handle payer and clearinghouse-related incidents
collaborate with product and engineering to advance our roadmap for internal applications, as well as external payer-related products and APIs

Company

Stedi

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Stedi is the only API-first healthcare clearinghouse.

Funding

Current Stage
Growth Stage
Total Funding
$95.08M
Key Investors
StripeVTF Capital
2024-11-26Series B· $20M
2020-08-18Series B· $50.1M
2019-11-08Series Unknown· $21.28M

Leadership Team

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Zack Kanter
Founder & CEO
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Company data provided by crunchbase