Director of Payor Operations

Responsibilities:

• Partner with cross functional leaders to ensure internal processes and care delivery are in accordance with health plan needs across commercial and Medicaid lines of business
• Translate health plan contracts, provider manuals, and regulatory requirements into scalable operational workflows
• Serve as the internal subject-matter expert on credentialing and payor operational requirements

Qualifications:

• Experience and expertise with commercial health plans and Medicaid, including regulatory and compliance requirements.
• Proven leadership experience managing operational teams in a fast-paced environment.
• Ability to translate complex contracts and regulations into clear, executable workflows.

Benefits:

• Competitive Medical, Dental, Vision, Life, and AD&D insurance.
• Spring Health, a 100% employer paid mental health benefit through Guardian
• Employee Assistance Program (EAP), a company paid resource for mental health, legal services, financial support, and more!

Work From Home:

• $50/month stipend added directly to an employee’s paycheck to cover home internet expenses.
• $250/month stipend to use a co-working space.
• Initial work-from-home stipend of up to $500.