Payer Contracting Specialist

About this role

Allara https://www.allarahealth.com is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by thousands of women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes https://cdn.prod.website-files.com/637f55cdd2e0aa051d497c52/68e6aa0f8fcce5c60e922219_Outcomes%20Impact%20Report%202025%20Web%20Display.pdf.

As one of the fastest-growing women’s health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women. The Opportunity We're looking for a resourceful Payer Contracting Specialist to accelerate our payer contracting efforts. This role will be a critical driver of expanding women’s access to Allara’s services across the country. Being in-network on paper isn't the same as working in practice.

Each new payer has its own written and unwritten requirements. You'll figure out what each new payer actually requires, how we need to work with them, and figure out the best way to contract. You'll run escalations to the root cause, and work with our teams to figure out solutions quickly. With time, you will take on working new contracts end-to-end, collaborating closely with other teams. This is a mid-career position with unusual breadth, and an opportunity to expand into more complex payer relationship and ownership over time.

Location: Fully remote within the U.S. Your Impact - Prepare, submit, and track payer applications for new health plan partnerships and service lines; provide surge support on follow-up, deficiency resolution, revalidations, and trackers. - Determine key contracting requirements, ensure accurate submission and track progress. - Audit how our providers appear in payer directories and chase corrections until they're live and members can actually find them.

- Reconcile rosters against payer records on a recurring audit schedule, so discrepancies surface on a cadence rather than when a claim is denied. - Partner with Revenue Cycle to triage denials and figure out root causes. - Research and interpret payer policy: medical policy bulletins, telehealth and virtual care rules, prior authorization requirements, fee schedules, and provider manuals. - Codify what you learn. Turn each new payer's requirements and each resolved escalation into a durable internal reference so the next person doesn't start from zero.