Job Title: Payer Relations Associate
Department: Contracting

About the Role:

We are currently seeking a highly motivated Payer Relations Associate. This role will report to the Associate VP – Institutional Network Development and Contracting and enable us to continue to scale in the healthcare industry.

What You'll Do:

• Owns Health Plan relationship for assigned medical group
• Drive root cause solutions
• Lowering misdirected claims
• Proper administration of DOFR
• CAPs arising from Health Plan
• Oversee project(s) from Health Plans
• RFPs
• Amendments
• Routine communication / requests
• Project manage all aspects of Payer and Provider contracting
• Provide guidance for Payer Relations Specialist
• Own ApolloMed’s Contract Management Software
• Efficiently delegate and coordinate the flow of contracts to all relevant stakeholders.
• Interpret and assess risk for provider-facing and payer-facing agreements for time sensitive negotiations
• Perform Delegation Oversight / Compliance analysis to reduce ApolloMed’s risk exposure and likelihood of incurring penalties, sanctions, and or deductions
• Work directly with Claims, Configuration, Business Development, and Data Management teams to gather reports regarding data to support proposal

• Bachelor’s Degree required or equivalent experience in the healthcare industry
• Minimum of 2-3 years of contracting / negotiation / payer / provider relations experience in the healthcare industry
• Technical backgrounds are a plus with a passion for the healthcare industry

You're great for this role if:

• High level of comfort working with numbers and large bodies of text
• Strong problem-solving skills with ability to showcase a methodical approach to troubleshooting
• You are meticulous, highly organized, and able to engage in exhaustive investigation when initial information is vague
• Excellent communication skills – both verbal and written. Experience in technical writing is a plus
• Understands and has experience working within the delegated network environment
• Strong comfortability with Microsoft Office Suite (Excel, Word, PowerPoint)
• Very knowledgeable with EZ-Cap and able to understand and work with proprietary software applications – preferred

Who We Are:

ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1.2 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity and Excellence
• Be Innovative
• Work as One Team

Environmental Job Requirements and Working Conditions:

• This position is in office. The office is located at 1668 S Garfield Avenue 2nd Floor, Alhambra, CA 91801
• The total compensation target pay range for this role is: $64,480 - $100,000. This salary range represents our national target range for this role.

ApolloMed is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.