Payer Relationship Manager

Accountabilities: Build, develop, and maintain strong strategic relationships with dedicated healthcare payer partners through regular communication and collaboration. Conduct recurring meetings with payer partners to review performance, discuss operational challenges, and identify opportunities for improvement. Identify inefficiencies, workflow disruptions, and process breakdowns affecting payer operations and overall performance. Analyze payer performance metrics and drive continuous improvement initiatives to enhance operational effectiveness. Develop, monitor, and report on key performance indicators related to payer efficiency, turnaround times, and authorization decision rates. Proactively identify operational issues and conduct root cause analyses to understand underlying challenges and improvement opportunities. Develop actionable recommendations and coordinate with internal and external stakeholders to implement effective solutions. Collaborate cross-functionally with relevant teams to improve workflows, strengthen communication, and ensure alignment between business objectives and payer requirements. Track operational trends, escalations, and resolution outcomes to measure progress and identify recurring issues. Provide regular performance updates and insights to relevant stakeholders, supporting informed decision-making and long-term partnership success. Requirements Bachelor's degree in Business Administration, Communications, Marketing, or a related field. Previous experience in account management, client support, customer success, or relationship management. Strong relationship-building, communication, and interpersonal skills, with the ability to establish trust and maintain productive partnerships. Demonstrated ability to analyze business needs, identify operational challenges, recognize growth opportunities, and recommend appropriate solutions. Strong analytical and problem-solving abilities, including the capacity to identify process inefficiencies and conduct root cause analysis. Excellent collaboration and coordination skills, with the ability to work effectively across multiple internal departments and external stakeholders. Proactive approach to problem-solving, decision-making, and continuous improvement. Ability to manage multiple client relationships, projects, and priorities simultaneously while consistently meeting deadlines. Strong organizational skills and attention to detail, particularly when monitoring performance metrics and tracking improvement initiatives. Excellent verbal and written communication skills, with the ability to present performance insights and recommendations clearly. Knowledge or previous experience in healthcare systems, healthcare operations, SaaS platforms, or related technology industries is considered an advantage. Adaptability and enthusiasm for working in a fast-paced, collaborative, and evolving technology environment. Benefits Annual Salary: $60,000–$70,000 USD, depending on experience, qualifications, and skills. Work Arrangement: Fully remote position, open to candidates based in the United States. Employment Environment: Opportunity to join a growing healthcare technology company at the forefront of healthcare process automation. Professional Development: Exposure to innovative healthcare technology, SaaS platforms, and complex technical integrations. Career Growth: Opportunity to take ownership of strategic projects and contribute directly to operational improvements and business impact. Collaborative Culture: Work alongside cross-functional teams and leading healthcare industry partners. Meaningful Impact: Contribute to improving healthcare workflows, streamlining prior authorizations, and strengthening collaboration between healthcare providers and insurance payers. How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether? Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. #LI-CL1