Payer Integration Specialist

Accountabilities: Coordinate with health plans and external partners to establish and maintain technical and operational connectivity for standard and customized integrations. Translate payer-specific requirements into clear implementation steps, workflows, configurations, and deliverables for internal teams. Serve as the primary point of contact for health plan integration setups, with a focus on eligibility, claims, billing, and related workflows. Implement, configure, test, and troubleshoot technical integrations involving health plans and health systems. Participate in customer and partner kickoff meetings, acting as a liaison between external stakeholders and internal technical and operational teams. Collaborate closely with Sales, Product, Engineering, Payer Billing Operations, Customer Success, and other teams to maintain alignment throughout the customer journey. Develop and manage project plans, timelines, milestones, dependencies, and deliverables to ensure integrations are completed accurately and on schedule. Assist with annual benefit updates and ongoing configuration changes to maintain data integrity and accurate payer workflows. Identify potential integration risks, investigate issues, and proactively drive problems toward resolution. Contribute to additional integration and operational initiatives as needed to support business growth and improve payer connectivity. Requirements 3+ years of professional experience in a high-growth, fast-paced environment, preferably within healthcare, health technology, payer operations, or a related field. Deep understanding of health plan structures, payer operations, claims billing, utilization management, and healthcare administrative workflows. Hands-on experience with healthcare integration standards and workflows such as RTE 270/271, claims 837, accumulators, or comparable payer connectivity technologies. Familiarity with operational and project management tools such as Asana and Salesforce is preferred. Strong project management skills, including the ability to manage multiple workstreams, timelines, dependencies, and competing priorities. Exceptional written and verbal communication skills, with the ability to work effectively with both technical and non-technical stakeholders. Strong analytical and problem-solving capabilities, with the ability to navigate ambiguity and identify practical solutions. Proactive, organized, and detail-oriented approach to managing integration projects and resolving issues. Collaborative mindset and demonstrated ability to lead, coordinate, and support multiple stakeholders across functions. Ability to anticipate risks, maintain accountability, and drive initiatives through to successful completion. Benefits Annual base salary range of $85,000–$117,000 , depending on factors including skills, qualifications, experience, and location. Potential eligibility for discretionary bonuses. Comprehensive healthcare coverage, including medical, dental, vision, FSA/HSA, life, and disability insurance. Access to coaching and therapy services. Equity opportunities through discretionary restricted stock units. Paid vacation, sick leave, and company holidays. Paid parental leave. 401(k) plan with up to 3% employer matching. Monthly technology allowance. Well-being programs, community activities, employee events, and additional perks. Fully remote work environment with opportunities to collaborate across multidisciplinary teams.