The Payer Relations Analyst will own the process for building payer relationships, identifying payer requirements, and ensuring payer connections are successful in production. The role will also require expertise in healthcare prior authorizations, notice of admission processes, and Da Vinci FHIR standards.
Requirements
- Subject matter expert knowledge of healthcare prior authorizations and notice of admission processes
- 2+ years of experience working with prior authorization submissions and status to payers and UMOs
- Knowledge of Da Vinci FHIR and ability to become a Da Vinci FHIR subject matter expert
- Strong analytical and critical thinking skills to solve complex business problems
- Experience working directly with healthcare providers, payers, or RCM vendors
- Experience in Agile Scrum and SAFe development methodologies
- Healthcare revenue cycle management knowledge specifically related to prior authorizations
- Knowledge of healthcare EDI transactions
Benefits
- Award-winning Culture of Customer-centricity and Reliability
- Competitive salary and benefits package
- Opportunities for professional growth and development
- Flexible work arrangements
- Professional development and training opportunities