Payer Relations Associate

Aeroflow Career • Asheville, NC

10d • Hybrid

About The Position

Aeroflow Health is a leader in the home medical equipment industry, driven by innovation and a patient-centric approach. We are recognized as one of the fastest-growing healthcare companies in the U.S. Our commitment to a strong employee experience fosters a collaborative, flexible, and mission-driven work environment. The Payer Relations team collaborates with health plans across various markets to enhance access to covered services and strengthen relationships. This team supports Aeroflow’s DME and professional service offerings, including Lactation Consultants, Registered Dietitians, and Doulas. The Payer Relations Associate will manage relationships, coordinate operational execution, and translate payer requirements into actionable guidance for internal teams. This role is suited for a proactive professional in a fast-paced healthcare setting who takes ownership and seeks growth in payer relations and healthcare operations.

Requirements

• Ability to build and maintain effective working relationships with payer partners and internal stakeholders.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Clear written and verbal communication skills, with the ability to explain complex information in a concise manner.
• Action-oriented mindset with a strong sense of accountability and follow-through.
• Comfortable learning new systems, processes, and payer requirements in a dynamic environment.
• Bachelor’s degree or equivalent professional experience.
• Minimum of 2–4 years of experience in payer relations, provider network management, healthcare operations, or a related field.
• Familiarity with Commercial, Medicaid, and or Medicare health plans.
• Proficiency with payer portals, internal systems, Google Workspace, and Microsoft Office.
• Strong analytical and reporting skills.
• Willingness to travel at least quarterly for payer meetings, conferences, or team collaboration events.

Nice To Haves

• Experience supporting payer contract negotiations.
• Prior experience in payer relations, provider network management, or healthcare account management.
• Familiarity with IPAs and TPAs.
• Ability to interpret data and provide actionable insights.
• Transferable experience demonstrating relationship management, strategic problem-solving, or project coordination skills.

Responsibilities

• Build and maintain relationships with existing payer partners and identify opportunities for new partnerships.
• Collaborate with internal stakeholders to develop strategies aligned with health plan goals and Aeroflow’s objectives.
• Engage with Senior Manager to Director-level leadership at health plans to address claims issues, policy updates, and service improvements.
• Act as a liaison between payer partners and Aeroflow’s sales, marketing, and operational teams to ensure alignment with payer expectations and contractual requirements.
• Support the identification and pursuit of new payer contracting opportunities to expand network access and service coverage.
• Oversee the maintenance of fee schedules to ensure accuracy and alignment with reimbursement requirements.
• Review and analyze payer policy updates, providing internal teams with clear summaries and actionable insights.
• Ensure compliance with payer-related regulatory requirements and remain current on industry trends.
• Manage key operational processes through internal systems and payer portals.
• Serve as a subject matter resource on payer relations processes and workflows.
• Conduct data analysis to identify trends and opportunities to improve payer partnership performance.
• Prepare and present findings to senior management to support data-driven decision-making.
• Develop reports and processes that improve operational efficiency and team performance.
• Maintain HIPAA and patient confidentiality.
• Regular and reliable attendance as assigned by your schedule.
• Other job duties as assigned.

Benefits

• Competitive Pay
• Health Plans with FSA or HSA options
• Dental Insurance
• Vision Insurance
• Optional Life Insurance
• 401K with Company Match
• 12 weeks of parental leave for birthing parent
• 4 weeks leave for non-birthing parent(s)
• Additional Parental benefits to include fertility stipends, free diapers, breast pump
• Paid Holidays
• PTO Accrual from day one
• Employee Assistance Programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level