Payer Integration Specialist

What You'll Do:

Coordinate with payers to establish technical and operational connectivity

Translate payer-specific requirements into actionable implementation steps for internal teams

Focus on the day-to-day coordination with payers to establish technical and operational connectivity for standard integrations systems

Serve as the primary point of contact for health plan integration setups, focusing on eligibility, claims, and billing workflows

Participate in customer and partner kickoff meetings and act as a liaison between internal team and external stakeholders

Implement, configure, and troubleshoot health plan and health systems technical integrations

Work closely with Sales, Product, Engineering, Payer Billing Operations and Customer Success to ensure alignment throughout the customer journey

Manage project plans, timelines and milestones to ensure timely and accurate delivery

Assist with the execution of annual benefit updates throughout the customer lifecycle to maintain data integrity

Participate in other projects as directed

Requirements:

3+ years of work experience in a high-growth, fast paced environment

Deep understanding of health plan structures, payer operations, claims billing and utilization management workflows

Hands-on experience with RTE (270/271), claims (837), accumulators and/or similar healthcare integrations, preferably including systems like Asana and SalesForce

Strong project management skills with the ability to manage multiple work streams and competing priorities

Exceptional communication skills and the ability to work cross-functionally with technical and non-technical stakeholders

Comfortable navigating ambiguity, anticipating risks, and proactively driving issues to resolution

Passion for working in collaboration across internal teams, both leading and supporting multiple stakeholders