Payer Relations Analyst

Inovalon • Full-time • Bowie, MD, US • $76,800 - $96,000 / year • 3w ago

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Location: This position is a hybrid role based out of our HQ Bowie, Maryland office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month.

Overview: The Senior Payer Account Manager is responsible for overseeing, managing and growing key payer relationships. The Account Manager will plan, direct, or coordinate payer relationship-building and management tasks, as well as work with internal and external facing departments to coordinate all activities with payer and trading partner accounts with a special emphasis on driving revenue. The Senior Payer Account Manager is also responsible for coordinating tasks associated with new direct connections with payers and trading partners. Including, facilitating testing requirements, payer enrollment configuration and payer production deployment

Duties and Responsibilities:

Manages internal and external resources on behalf of Inovalon to meet payer needs and assure trading partner satisfaction;
Acts as escalation point for issue resolution;
Reviews operational records and reports to create monthly/quarterly/year-end reporting based on company standards.
Proactively reaches out to payer partners to better understand their needs and challenges;
Assist Sales with potential customers regarding service needs and advise as to current capabilities;
Represent company at Industry conferences and Workgroups;
Act as initial point of contact for payers and trading partners;
Increase Payer revenue;
Assist in building and maintaining in house documents, SOP’s and training materials;
Maintain compliance with Inovalon’s policies, procedures and mission statement;
Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;
Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company;
Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; and
We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such.

Job Requirements:

Minimum of 5 years’ experience managing healthcare payer relationships;
Proficient knowledge of EDI Transaction sets;
Proven track record understanding requirements, business issues, and knowledge of markets & solution segments;
Excellent critical thinking and logical reasoning abilities;
Excellent written and verbal communication skills;
Strong presentation skills;
Understanding and managing expectations, ability to drive win-win solutions, building and maintaining Payer relationships;
Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail;
Ability to thrive in fast-paced and changing environment;
Ability to work with all levels of individuals as a team player or in leadership role; project leadership experience preferred;

Education:

Bachelor’s degree or equivalent work experience;

Physical Demands and Work Environment:

Sedentary work, i.e. sitting for long periods of time;
Exerting up to 10 pounds of force occasionally and/or negligible amount of force;
Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;
Subject to inside environmental conditions; and
Travel for this position is expected to be approximately 25%.

Inovalon Offers a Competitive Salary And Benefits Package

In addition to the base compensation, this position may be eligible for performance-based incentives.

The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate.

Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That’s why Inovalon offers a valuable benefits package with a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more.

Base Compensation Range

$76,800—$96,000 USD

This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions)

If you don’t meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles.

By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement.

To review the legal requirements, including all labor law posters, please visit this link

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