Payer Relations/Managed Care Associate (Remote)

Payer Relations/Managed Care Associate (Remote)

Aeroflow Health – Payer Relations/Managed Care Associate (Remote) Location - Remote with some travel: 3-4 days at a time quarterly anticipated

Aeroflow Health is made up of creative and talented associates who are transforming the home medical equipment industry. Our patient-centric business model is founded on innovation through technology and cutting-edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest-growing healthcare companies in the country, and are recognized on Inc. 5000's list of fastest-growing companies in the U.S.

As Aeroflow has grown, our commitment to creating a strong employee experience has grown as well. We strive to remain a premier employer by fostering a collaborative, flexible, and mission-driven work environment that supports both professional growth and meaningful impact.

The Opportunity Within Aeroflow Health, the Payer Relations/Managed Care team partners closely with health plans across Commercial, Medicaid, Medicare, IPA, and TPA markets to expand access to covered services and strengthen payer relationships nationwide. The team supports Aeroflow's DME and professional service offerings, including Lactation Consultants, Registered Dietitians, and Doulas.

As a Payer Relations/Managed Care Associate, you will support payer-facing initiatives by managing relationships, coordinating operational execution, and translating payer requirements into actionable guidance for internal teams. This role is ideal for a proactive professional who thrives in a fast-paced healthcare environment, takes ownership of their work, and is eager to grow within payer relations and healthcare operations.

Your Primary Responsibilities We are currently seeking a Payer Relations/Managed Care Associate. This role is typically responsible for:

• Build and maintain relationships with existing payer partners while identifying 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.

• Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
• Compliance is a condition of employment and is considered an element of job performance.
• Maintain HIPAA and patient confidentiality.
• Other job duties as assigned.

• 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.

• 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.

We are looking for motivated and detail-oriented individuals who take ownership of their work and collaborate effectively across teams. The ideal candidate is adaptable, curious, relationship-driven, and comfortable operating in a fast-paced healthcare environment.

Join a team that balances excellence with personality. We take our work seriously, but not ourselves. Expect a supportive environment where laughter and hard work go hand in hand.

Team members can expect hands-on training, autonomy in their role, and opportunities for growth while making a meaningful impact on access to care.

What Aeroflow Offers Competitive Pay, Health Plans with FSA or HSA options, Dental, and 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 and SO MUCH MORE!!

Here at Aeroflow, we are proud of our commitment to all of our employees. Aeroflow Health has been recognized both locally and nationally for the following achievements:

• Family Forward Certified
• Great Place to Work Certified
• Inc. 5000 Best Place to Work award winner
• HME Excellence Award
• Sky High Growth Award

If you've been looking for an opportunity that will allow you to make an impact, and an organization with unlimited growth potential, we want to hear from you!

Aeroflow Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

We value transparency and candidate safety throughout the hiring process. Aeroflow recruiters may reach out through platforms such as LinkedIn or Indeed; however, all interviews and/or offer coordination and sensitive information requests will occur only through our official communication channels. You will never be asked to provide personal data outside our secure application portal, and all interview or offer details will come from an @aeroflowinc.com email address. We do not conduct interviews via text message or instant-messaging apps. If you have concerns, please contact our Talent Acquisition team for verification

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.