Payer Knowledge Associate

We are looking for a Payer Knowledge Associate to join our Payer Connection Services team within our Operations division. Your job will be to research, communicate, and manage complex payer and industry changes, with a special focus on government payers such as Medicare and Medicaid, and state-level health policy developments that impact athenahealth and its operations or strategies.

Requirements

• Research and synthesize complex payer, regulatory, and industry changes to identify risks, impacts, and operational opportunities affecting key workflows in the claim cycle and our Rules Engine.
• Track and interpret state-level legislative and regulatory developments in areas such as prior authorization, coverage mandates, payment models, and provider enrollment requirements.
• Act as a central resource for Medicare, Medicaid, and state policy insight—bridging industry research with operational execution.

Benefits

• Health and financial benefits
• Commuter support
• Employee assistance programs
• Tuition assistance
• Employee resource groups
• Collaborative workspaces