Associate Payor Operations Specialist
The Associate Payor Operations Specialist supports the daily operations of the Payor Operations department by coordinating payor requirements, tracking deliverables, and facilitating communication between internal teams and external payor partners. This entry-level role focuses on building foundational knowledge in healthcare operations, value-based care, and revenue cycle processes while providing operational support to various stakeholders and progressively assuming greater responsibility.
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 is an entry-level role supporting payor operations for the Confidential Client. You will help track payor requirements and deliverables, coordinate communications with payor representatives and internal teams, support meetings and follow-up, and assist with value-based care and revenue-cycle related tasks. This role is designed to build foundational knowledge of payor operations, provider workflows, and revenue cycle processes while you grow into increased responsibility.
Responsibilities
- Track payor deliverables, requirements, deadlines, alerts, notifications, and related follow-up items.
- Maintain organized trackers, inventories, and documentation for payor requests, communications, issues, and resolutions.
- Coordinate with payor representatives and internal stakeholders to collect information, confirm requirements, and support timely follow-up.
- Prepare meeting agendas/materials, take meeting notes, capture action items, and complete or route follow-up tasks.
- Intake and route payor communications, operational issues, and requests to appropriate teams.
- Compile contract-related references, reports, and documentation for internal stakeholders.
- Support dissemination of payor alerts, program updates, training materials, and operational requirements.
- Assist practices, provider groups, and revenue cycle teams with payor-related questions and operational needs, escalating as appropriate.
- Help research and track payor-related claims, billing, reimbursement, enrollment, or workflow issues with Revenue Cycle teams.
- Prepare routine reports, spreadsheets, presentations, meeting summaries, and status updates.
- Maintain and refine standard workflows, Smartsheet trackers, and other tools used to manage payor operations.
- Participate in training, mentoring, and professional development activities to build proficiency and assume greater responsibility over time.
Minimum Qualifications
- Education: Bachelor’s degree in healthcare management, public health, business, communications, or related field preferred. Equivalent relevant experience may be considered.
- Experience: 0–2 years in healthcare operations, payor operations, provider relations, practice operations, revenue cycle, customer service, or related field preferred.
- Skills:
- Strong organizational skills and attention to detail.
- Excellent written and verbal communication.
- Professional interpersonal skills and customer-service orientation.
- Ability to manage multiple tasks, track follow-up, and meet deadlines.
- Proficiency with Microsoft Word, Excel, PowerPoint, Outlook, and Teams.
- Familiarity with Smartsheet or similar tracking/workflow tools preferred.
- Strong documentation, meeting coordination, and follow-through skills.
- Analytical aptitude and comfort working with data and trackers.
- Willingness to learn, receive coaching, and assume increasing responsibility.
Compensation & Benefits
- Pay Range: $25.00 USD - $38.00 USD. This is the pay range the organization reasonably and in good faith expects to pay for this position at this time. Actual pay will be determined by factors permitted by law (e.g., experience, education, location, and other qualifications).
- Additional benefits and details (health, retirement, paid time off, etc.) will be provided by the Confidential Client during the hiring process.
Physical Requirements & Work Environment
- High degree of mental and visual concentration required.
- Lifting or moving light weight (up to 20 pounds) may be required.
- Average manual coordination and range of motion required.
- Work typically allows variation in positioning and tasks; frequent repetitive motion may occur.
- Minimal exposure to environmental elements such as noise or airborne pathogens.
- No direct patient care/contact required for this role.
Location & Schedule
- Location: Wakefield, MA (onsite or hybrid as determined by the Confidential Client).
- Employment Type: Full-time.
- Schedule: Standard business hours; flexibility may be required to support meetings with internal or external stakeholders.
About the Client
Confidential Client is a healthcare organization operating in the Healthcare & Nursing industry. The client serves patients and provider networks and seeks team members who are collaborative, detail-oriented, and committed to excellent service and continuous learning.
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.
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