Payer Knowledge Associate

Join us as we work to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.

Position Summary: 

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.

But enough about us; let’s talk about you. 

You’re curious about key healthcare industry players and how national and state-specific trends impact providers, payers, and technology platforms. You enjoy being the gatekeeper of payer and policy knowledge and collaborating with stakeholders to help drive internal improvements that ensure service continuity and compliance with evolving regulatory expectations.

The Team:

Our Payer Connection Services team is responsible for building the network knowledge and connectivity that enables performance—acquiring, curating, and communicating payer, industry, and regulatory intelligence that underpins our service offerings.

Job Responsibilities:

• 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.

Qualifications:

• Bachelor of Arts or Science degree or commensurate experience
• Able to keep track of numerous, detail-intensive and interdependent tasks and ensure their completion; 
• High degree of intellectual curiosity in the changes in healthcare 
• Strong communication skills, both verbal and written
• Resourceful and proactive
• Highly detail-oriented and a strong work ethic

Expected Compensation

The base salary range shown reflects the full range for this role from minimum to maximum. At athenahealth, base pay depends on multiple factors, including job-related experience, relevant knowledge and skills, how your qualifications compare to others in similar roles, and geographical market rates.  Base pay is only one part of our competitive Total Rewards package - depending on role eligibility, we offer both short and long-term incentives by way of an annual discretionary bonus plan, variable compensation plan, and equity plans.