Payer Operations Specialist

Job Summary

A company is looking for a Payer Operations Specialist to manage and support payer partners for operational performance.

Key Responsibilities

• Collect and analyze data to assess payer performance and trends
• Monitor KPIs and assist with audit preparation and reconciliation efforts
• Facilitate information flow across internal teams and maintain documentation

Required Qualifications

• 1-3 years of experience in healthcare operations, revenue cycle, or data analysis
• Strong analytical skills with knowledge of Excel/Google Sheets
• A systems thinker eager to learn and grow in a fast-paced environment
• Experience with BI tools like Looker or Tableau is a plus
• Familiarity with payer setup workflows or healthcare claims systems is beneficial