Payer Relations Associate
Job Category: Professional
Requisition Number: ASSOC001582
Job Details
Aeroflow Health – Payer Relations Associate - Fully Remote - EST Time Zone Preferred
Aeroflow Health is taking the home health products and equipment industry by storm. We have created a better way of doing business that prioritizes our customers, our community, and our coworkers. Aeroflow believes in career building. That is why we promote from within and reward individuals who have invested their time and talent in us. Whether you are looking for a place from which to launch your career - or a stable, ethical company in which to advance you will not find an organization better equipped to help you meet your professional goals than Aeroflow Healthcare.
The Opportunity
Within Aeroflow, the Payor Relations Team is part of the Corporate Development Department.
- Our team focuses on supporting health plan initiatives through program development, contracting, education and collaboration.
- Our clients include network management teams, care managers and navigators as well as customer service representatives within health plans.
- Our dynamic and fast-paced team coordinates expeditiously with multiple parties, both internally and externally, bringing together key stakeholders to deliver high-value solutions.
Your Primary Responsibilities
We are currently seeking a Payer Relations Associate whose responsibilities include:
- Managing key partner relationships, actively engaging to meet sales & marketing goals while also handling the operational day-to-day functions
- Working alongside the payer relations team to build out strategy for executing on shared volume goals with our health plan partners
- Engaging, educating, collaborating, and problem-solving with partners
- Performing data analysis and provide insights to partners and internal stakeholders to improve partnership results
- Establishing processes and reporting to help streamline the team’s operations
- Providing pipeline management by maintaining a structured pipeline of accounts with strong velocity of deals
- Aligning customer segmentation to improve market strategy and execution augmenting our market share with existing regional payers within all lines of business (MCO; MA; Commercial etc.)
- Developing and selling the Aeroflow evidence-based value proposition by customer segment
- Communicating with the Senior Management team regarding the viability of the plan/fees
- Maintaining all fee schedules and plan alerts in the practice management system
- Ensuring fee schedules remain current and accurate
- Distributing all insurance and fee schedule updates to internal stakeholders
- Reviewing and analyzing all fee schedule updates for errors and to ensure accuracy and viability of fees
- Presenting analyses to Senior Management for review
- Maintaining assigned Payor ID's in fee schedules and maintain all insurance companies in company internal database
- Managing and overseeing insurance grievance and refund functions
- Advising management team of emerging trends and methodologies in the areas of managed care, payer relations, and legal issues
- Partnering with marketing team to develop and launch new marketing campaigns with partners
- Developing a deep understanding of Aeroflow’s business operations, including internal processes, functional group strategies, and competitive context
- Collaborating with partners to ensure that the experiences we build together are the best possible for users, support our partners' goals, and align with Aeroflow’s mission
- Developing strong relationships at all levels, identifying key decision makers and influencers
- Developing and implementing sales strategies, client service and retention plans
- Assisting with drafting and presenting business plans, sales pitches, presentations, reference material, and other documents as required
- Possessing the ability to manage multiple projects concurrently and meet deadlines
- Demonstrating strong interpersonal skills with the ability to engage effectively with various levels of management, staff, and clients
- Maintaining HIPAA/patient confidentiality
- Possessing an individual responsibility for knowledge of and compliance with all laws, regulations, and policies.
- Compliance is a condition of employment and is considered an element of job performance
- Performing other job related instructions as requested
Required Qualifications:
- 2+ years of experience in partnerships, business development, sales support, account management, or management consulting
- Previous experience in a client or partner facing role
- Motivated, self-starter, who can work with little supervision
- Strong organizational, analytical, written, and verbal communication skills
- Outstanding interpersonal skills and ability to build effective working relationships with any team internally or externally
- Ability to think creatively, critically and thrive in a fast-paced, dynamic, work environment
- Appetite to actively learn and immediately apply learnings to make decisions and change behaviors
- Exhibits initiative when problem solving
- BA/BS preferred
- Travel up to 25-50% of the time
Desired Qualifications:
- Experience or familiarity with the healthcare industry
- Knowledge of advanced sales techniques, such as consultative selling or solution selling
- Familiarity with various customer relationship management (CRM) software platforms
- Understanding of data analysis and the ability to leverage data to drive business development strategies
- Experience in negotiating and closing complex business deals
- Ability to conduct market research and competitive analysis
- Familiarity with digital marketing strategies and social media platforms for business development purposes
- Strong presentation and communication skills.
- Knowledge of project management principles and methodologies
- Familiarity with legal and contract matters related to business development
- Experience in working with cross-functional teams and managing internal stakeholders
- Proven ability to build and maintain relationships with clients and partners
- Experience in conducting effective sales presentations and product demonstrations
- Familiarity with financial and budgeting concepts for business development activities
What we look for
We are looking for high motivated talented individuals who can expect to:
- Take initiative and drive business development activities proactively
- Think strategically and identify new opportunities for growth
- Adapt quickly to changing business environments and market dynamics
- Collaborate effectively with team members and cross-functional stakeholders to accomplish a shared vision and goals
- Communicate confidently and persuasively, both verbally and in writing
- Prioritize and manage multiple projects and tasks simultaneously
- Analyze and interpret market trends and data to inform business development strategies
- Build and maintain strong relationships with clients, partners, and industry contacts
- Demonstrate resilience and persistence in overcoming challenges and achieving targets
- Continuously learn and develop new skills and knowledge relevant to the business development field
- Demonstrate a strong business acumen and understanding of market dynamics
- Embrace innovation and think creatively to generate new ideas and approaches
- Work well under pressure and meet deadlines without compromising quality
- Demonstrate integrity, professionalism, and ethical behavior in all business dealings
Salary: Minimum salary starting at $45,000 - $50,000 + Bonus opportunities (based on performance)
Perks and Benefits:
Competitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:
- 5000 Best Place to Work award winner
- Family Forward Certified
- HME Excellence Award
- Sky High Growth Award
Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
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If this opportunity appeals to you, and you are able to demonstrate that you meet the minimum required criteria for the position, please contact us as soon as possible.