Payer Enablement Specialist

Tava Health•Salt Lake City, UT

2d•Remote

About The Position

Tava Health is seeking a Payer Enablement Specialist to play a critical role in building and maintaining Tava’s payer infrastructure across its systems. This individual will own payer configurations within the EMR, fee schedule management, and the documentation and workflows that enable scalable payer operations. Reporting to the VP of Payer Operations and Strategy, this role will work cross-functionally with Payer Operations, RCM, and Product to ensure payer requirements are accurately translated into system logic and operational processes. The role will focus on improving operational efficiency, helping Tava scale payer operations, and continuously identifying ways to reduce manual work and improve system quality.

Requirements

Experience in operations, consulting, analytics, or a related field, or strong analytical training through university coursework
Strong analytical and problem-solving skills with the ability to break down complex systems
High attention to detail and a strong sense of ownership
Curiosity and willingness to learn the healthcare payer and revenue cycle space
Strong communication skills and ability to work cross-functionally
Comfort using modern tools (including AI) to improve workflows and efficiency
Excited about using AI and modern tools to rethink how operational work gets done, rather than simply executing existing processes

Nice To Haves

Digital health experience
Experience in high-growth environments
Experience with custom systems, rules engines, or configuration-heavy platforms

Responsibilities

Build and maintain payer configurations within Tava’s EMR
Translate payer requirements into system logic and configuration standards
Ensure consistency and standardization across payer setups
Manage fee schedules and validate contracted rates
Identify and resolve discrepancies in Tava’s EMR and across other platforms
Support accurate reimbursement through precise configuration
Maintain SOPs and Insurance Articles to reflect current workflows and payer requirements
Continuously improve documentation for clarity and usability
Leverage AI tools for operational documentation efficiency
Partner with Payer Operations, RCM, Product, and Payer Partnerships
Support troubleshooting, payer updates, and system-related issues
Provide clear operational context to support system improvements
Audit configurations and workflows to ensure accuracy and consistency
Identify inefficiencies or patterns in errors and escalate appropriately
Proactively identify opportunities to reduce manual work using tools, automation, and AI