Job Description

Description :
Payer Relations Associate
Your Opportunity to Make an Impact
As a Payer Relations Associate at Aeroflow Health, you will play a key role in strengthening relationships with health plans nationwide, aligning operational strategies, and driving seamless collaboration with internal teams. This role is ideal for a strategic and resourceful professional who thrives in a dynamic healthcare environment and is ready to take full ownership of responsibilities.
What You'll Do
Relationship Management & Strategy

• Build and maintain relationships with existing payer partners while identifying opportunities for new partnerships.
• Collaborate with internal stakeholders to develop strategies that align with health plan goals and Aeroflow's objectives.
• Engage with Senior Manager to Director level leadership at health plans to address claims, policy updates, and service improvements.
• Act as a liaison between Aeroflow's sales, marketing, and operational teams, ensuring alignment with payer expectations and contractual obligations.

Operations & Compliance

• Oversee the maintenance of fee schedules, ensuring they are current, accurate, and aligned for reimbursement.
• Review and analyze policy updates, providing internal teams with concise summaries and actionable insights.
• Ensure compliance with payer-related regulatory requirements and stay up to date with industry trends.
• Manage key operational processes through our internal systems.
• Serve as a subject matter expert on payer relations processes.

Data Analysis & Reporting

• Conduct data analysis to identify trends and provide strategic recommendations to enhance partnership results.
• Present findings to senior management to support data-driven decision-making.

Leadership & Development

• Collaborate with other Payor Relations Associates and sharing expertise to support the professional growth both individually and collectively as a team.
• Actively engage in and sometimes lead internal forums such as Landmark Committee and PR Operational sessions.
• Represent Aeroflow in industry associations, staying informed on market trends and advocating for organization interests.

Who You Are
Must-Have Qualifications

• Healthcare Expertise: Strong background in healthcare, with an understanding of payer relations, policy, and managed care.
• Strategic Thinker: Ability to align customer segmentation strategies to enhance market presence.
• Resourceful & Independent: Takes initiative and thrives in problem-solving situations.
• Effective Communicator: Can engage effectively with various stakeholders, adapting communication style to different audiences.
• Operationally Savvy: Strong ability to analyze policies and navigate internal systems.
• Leadership Mindset: Experience leading projects and committed to continuous learning and development.
• Extreme Ownership/Accountability: Takes full responsibility for outcomes, proactively addresses challenges, and follows through on commitments to drive results.

Preferred Qualifications

• Experience supporting payor contract
• Prior experience in payer relations, provider network management, or healthcare account management.
• Familiarity with Commercial, Medicaid, Medicare, IPAs, and TPAs.
• Strong analytical skills with the ability to interpret data and provide insights.

Why Join Aeroflow Health?

• Make a Real Impact: Support new and expectant mothers while driving business success.
• Fully Remote Role: Work from anywhere while staying connected to a fast-growing, mission-driven team.
• Competitive Compensation: Includes health, dental, vision, life insurance, 401K match, and more.
• Innovative Work Environment: Creativity and collaboration are encouraged with tools and flexibility to succeed.
• Work-Life Balance: Enjoy PTO accrual, paid holidays, and additional benefits from day one.

What Aeroflow Offers

• Competitive Pay, Health Plans with FSA or HSA options, Dental, Vision Insurance, Optional Life Insurance, 401K with Company Match, Parental Leave, Paid Holidays, PTO, and more!
• Recognized for awards such as the Inc. 5000 Best Place to Work award, Family Forward Certified, and HME Excellence Award.

Skills Required