Junior Analyst, Payer Management

Teladoc Health is a global, whole person care company made up of a diverse community of people dedicated to transforming the healthcare experience. As an employee, you’re empowered to show up every day as your most authentic self and be a part of something bigger – thriving both personally and professionally. Together, let’s empower people everywhere to live their healthiest lives.

Essential Duties and Responsibilities

• Independently perform payer reimbursement data analysis, AR analysis, and ad hoc reports for the Payer Management Team. 30%
• Obtain, document, and have a detailed knowledge of payer relationships including onboarding requirements and specialized client needs. 10%
• Research and develop benefit setup, accumulators, and override policies. 10%
• Collaborate with Payer Management Analysts and Revenue Cycle Management as appropriate. 10%
• Detailed knowledge of payer policy guidelines, payer management and claims processes. 5%
• Work with internal partners to answer inquiries and resolve account issues.
• They will work with Subject Matter Experts and management from the following Teladoc teams to maximize, processes, and revenue: 10%

• Revenue Cycle Management.
• Payer Management Analysts

• Performs payer audits and monitors Payer Management issues. 15%
• Proactively manage and prioritize analysis and facilitation activities. This includes managing outstanding tickets to ensure they are up to date to and current. 5%
• Other duties as assigned. 5%

This position requires a knowledge of Teladoc’s Whole Care Solutions, products, and services.

The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.

Supervisory Responsibilities

No

Qualifications Expected for Position

• Bachelor’s degree preferred.
• 3-5 Experience with various healthcare structures (Medicare, Medicaid, HMO and PPO preferred.)
• Experience in Telehealth preferred.
• Motivated self-starter and excellent time management.
• Written and oral communication skills as appropriate to effectively communicate the needs of the business and clients.
• Strong critical thinking and business judgement to use logic to identify issues, alternative solutions, and approaches to drive accurate conclusion to complex problems.
• Detail oriented, organized, and flexible individual that can perform multiple tasks with varying priorities.
• Effective Listening for complex communications from providers, clients, and internal partners.
• Experience working with business users, technical teams as well as payers.
• Expertise in relevant business software and Windows environments (Excel, PPT, Word, Visio).
• Successful in multi-tasking.
• Ability to use Teladoc’s resources to research complex Payer issues.
• Quality Focused.
• Team Oriented.

Required license or credential needed to perform job: N/A

The above qualifications, knowledge, experience, and/or background are expected but not required for this role.

Work Environment                                       

                              ☐ Office           ☒  Remote                 ☐ Hybrid (Office & Remote)

Travel: ≤10%

Travel percentage reflects an estimate and is subject to change dependent on business needs.

Physical Requirements

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.  Teladoc Health will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual in line with company policy.

About Us

Teladoc Health is the global virtual care leader, offering the only comprehensive virtual care solution spanning telehealth, expert medical, and licensed platform services. Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence.

Job Description Acknowledgment

This job description is a general overview of nature and level of work performed by employees with this job designation It is not intended to be a comprehensive list of all duties, responsibilities and qualifications required of this position.  Management reserves the right to add, delete, and/or modify any of the job duties or requirements at any time.  I acknowledge that I have read and understand the above job description. By signin