Manager, Payor Relations (Remote) jobs in United States
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Aeroflow Health · 2 months ago

Manager, Payor Relations (Remote)

Aeroflow Health is a rapidly growing company focused on transforming patient experience in healthcare. The Manager, Payor Relations will lead the payer strategy for the Southern Region, overseeing contracting, team development, and collaboration with various departments to ensure effective operations.

Health CareMedical Device
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Growth Opportunities

Responsibilities

Leading payer contracting and network development strategy across southern states (including Medicaid, Medicare, Commercial, IPAs, TPAs)
Managing and developing a high-performing team of three contracting professionals—helping guide, coach, and build up newer team members
Building and maintaining relationships with health plans; leading negotiations, policy escalations, and network development
Driving progress on three core strategic priorities: payer network expansion, payer policy change (working with medical teams), and fee schedule negotiations
Ensuring payer contract data is accurately updated and configured in internal systems
Collaborating with Legal, Compliance, Revenue Cycle, Sales, and Ops to streamline workflows and ensure payer contracts align with operational delivery
Leading and contributing to cross-functional projects with multiple stakeholders; managing priorities with clear communication
Auditing internal processes and coaching team members to ensure compliance, alignment, and continuous improvement
50% – Coaching and supporting your team on payer expansion, policy changes, and contract negotiation & configuration
25% – Leading or participating in company-wide payer strategy projects alongside other departments
25% – Process auditing, refinement, and team development to ensure accuracy, clarity, and effectiveness

Qualification

Healthcare operationsManaged care contractingContract negotiationPayer network developmentClaims workflowsCross-functional projectsPayer complianceTeam management

Required

5+ years in healthcare operations, network development, or managed care contracting (provider, hospital, or DME experience preferred)
Proven experience negotiating contracts with health plans or providers
Demonstrated success managing and developing teams—especially those newer to the industry or function
Experience working with a variety of payer types (Medicaid, Medicare, Commercial, IPAs, TPAs)
Strong understanding of claims workflows and payer/provider relationships
Ability to manage escalations, coach team members, and implement scalable processes

Preferred

Located within 1 hour of a major airport (with strong preference for the Northeast region)
Experience and a desire managing cross-functional projects and reporting to multiple stakeholders or leaders
Experience with fee schedule configuration and payer system setup
Familiarity with payer compliance and policy monitoring

Benefits

Competitive Pay
Health Plans with FSA or HSA options
Dental and Vision Insurance
Optional Life Insurance
401K with Company Match
12 weeks of parental leave for birthing parent / 4 weeks leave for non-birthing parent(s)
Additional Parental Benefits including fertility stipends and free diapers
Paid Holidays
PTO Accrual from day one
Employee Assistance Programs
SO MUCH MORE!

Company

Aeroflow Health

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Aeroflow Health is recognized as a premier provider of durable medical equipment (DME). It is a sub-organization of Aeroflow Breastpumps.