About the Role
The Payer Enablement Specialist is responsible for streamlining the onboarding of insurance payers by managing data setup, troubleshooting issues, and ensuring compliance with technical and operational standards.
Responsibilities
- Manage the end-to-end setup and activation of payer connections
- Collaborate with technical teams to ensure accurate data mapping
- Verify payer data integrity and resolve discrepancies
- Support the integration of new insurance partners into the platform
- Troubleshoot and resolve payer-related system issues
- Maintain up-to-date documentation for payer configurations
- Work with external partners to confirm onboarding requirements
- Ensure compliance with payer-specific technical standards
- Coordinate testing procedures with internal and external stakeholders
- Monitor payer performance post-activation
- Escalate complex issues to appropriate technical teams
- Provide updates on onboarding timelines and roadblocks
- Assist in identifying process improvements for payer enablement
- Track key metrics related to payer activation success
- Serve as a point of contact for payer integration inquiries
- Support audits and compliance reviews involving payer data
- Validate payer network details for accuracy
- Facilitate communication between product, engineering, and operations teams
- Ensure timely resolution of onboarding delays
- Maintain a high level of attention to detail in data handling
- Adapt to evolving payer requirements and technical specifications
- Contribute to the development of onboarding playbooks
- Assist in training team members on payer processes
- Respond to internal requests for payer status updates
- Promote consistency across payer implementation workflows
Nice to Have
- Experience with payer enrollment systems
- Exposure to HL7 or FHIR standards
- Background in health tech startups
- Knowledge of mental health or behavioral healthcare
- Prior work with insurance clearinghouses
- Familiarity with API-based integrations
- Project management experience
- Certification in healthcare administration
Compensation
Competitive salary and benefits package
Work Arrangement
Remote
Team
Collaborative team focused on payer integration and operational efficiency
About the Team
This team focuses on accelerating payer onboarding and ensuring reliable connectivity between insurance partners and the platform. Members work closely with engineering, product, and operations to maintain high standards of data accuracy and system performance.
What You’ll Do
- Own the technical and operational aspects of payer activation, from initial setup to go-live support.
- Ensure payer data is correctly mapped and validated.
- Work cross-functionally to resolve integration challenges.
- Track progress and communicate status updates to stakeholders.
Not available
