About Careertakes

👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Healthcare & Nursing.

Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.

---

What You’ll Do

The Associate Payor Operations Specialist supports day-to-day payor operations and helps ensure timely delivery on payor requirements and contracts. Working under Payor Operations leadership, you will coordinate communications with payors, internal teams, and provider groups; maintain tracking tools; prepare meeting materials and reports; and assist in resolving payor-related operational issues. This is an entry-level role designed for learning and career growth in value-based care and healthcare operations.

---

Key Responsibilities

• Track payor deliverables, deadlines, alerts, notifications, and follow-up items.
• Maintain accurate trackers, inventories, and documentation for payor requests and issue resolution.
• Coordinate with payor representatives and internal stakeholders to confirm requirements and obtain needed information.
• Support payor meetings: schedule, prepare materials, take notes, and manage action items.
• Intake, document, and route payor communications and operational requests to the appropriate teams.
• Compile contract-related information, reports, and reference materials for internal use.
• Communicate payor alerts, program updates, and training information under direction from Payor Operations leadership.
• Support practices and provider groups with payor-related questions and escalate when needed.
• Collaborate with Revenue Cycle teams to research and track claims, billing, reimbursement, enrollment, or workflow issues.
• Maintain and refine standard workflows, Smartsheet trackers, spreadsheets, and other tools.
• Prepare routine reports, spreadsheets, presentations, and status updates.
• Participate in training, mentoring, and professional development to expand responsibilities over time.

---

Minimum Qualifications

• Education: Bachelor’s degree in healthcare management, public health, business administration, health services, communications, or related field preferred. Equivalent education or experience considered.
• Experience: 0–2 years in healthcare operations, payor operations, provider relations, practice operations, revenue cycle, customer service, business administration, or related fields preferred.
• Licensure/Certifications: None required.

---

Skills & Abilities

• Strong organizational skills and attention to detail.
• Excellent written and verbal communication.
• Professional interpersonal skills and strong customer-service orientation.
• Ability to manage multiple tasks, track follow-up, and meet deadlines.
• Ability to learn healthcare operations, value-based care requirements, and organizational workflows.
• Strong documentation, meeting coordination, and follow-through skills.
• Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and Teams.
• Familiarity with Smartsheet or similar tracking tools preferred.
• Analytical aptitude and comfort working with data and reports.
• Collaborative team player, open to coaching and development.

---

Work Environment & Physical Requirements

• Primarily office-based work with frequent computer use and sustained mental/visual concentration.
• May require occasional lifting/moving of light weight (up to 20 pounds).
• Assignments may include repetitive motion and average manual dexterity.
• Minimal exposure to environmental elements; generally does not involve hazardous materials.
• This role has no direct patient care/contact.

---

Compensation

• Pay Range: $25.00 USD - $38.00 USD per hour. The pay range listed above is the base hourly rate the organization reasonably expects to pay for this position. Actual compensation is determined by factors such as experience, education, certifications, and location as permitted by law.

---

Additional Information & Employer Notes

• This role will work collaboratively with internal teams including payor optimization, provider enrollment, revenue cycle, clinical excellence, provider groups, and external payor representatives and vendors.
• Confidential Client requires adherence to organizational policies and participation in mandatory training and quality improvement activities.
• As part of standard health-organization practices, certain immunization or vaccination requirements (e.g., influenza vaccination) may apply per client policy.

---

Equal Opportunity & Hiring Transparency

Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind. To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.

If you have questions about how your data is used, please contact us directly.