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:

Relationship Management & Strategy

• 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.

Operations & Compliance

• 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.
  
  

Data Analysis & Reporting

• 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.

Compliance Responsibilities

• 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.

Skills for Success

• 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.

Required Qualifications

• 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 wi