Compile monthly outcomes decks for payer partners (currently Horizon, NovaOne/HCSC, and Regence) * Coordinate Joint Operating Committee (JOC) outcomes decks for IBC in partnership with the Data ...
Compile monthly outcomes decks for payer partners (currently Horizon, NovaOne/HCSC, and Regence) * Coordinate Joint Operating Committee (JOC) outcomes decks for IBC in partnership with the Data ...
Revenue Cycle Manager
Little River, SC · On-site
Attend monthly payer meetings as needed. * Submit payer concerns to the Quality Department for payer meetings as needed. * Strive to meet Billing Metrics and End of Month goals within the A/R process.
Revenue Cycle Manager
Little River, SC · On-site
Attend monthly payer meetings as needed. * Submit payer concerns to the Quality Department for payer meetings as needed. * Strive to meet Billing Metrics and End of Month goals within the A/R process.
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Payer Enrollment Coord II
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
Payer Enrollment Coord II
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Payer Enrollment Coord II
Rochester, NY · On-site
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
Payer Enrollment Coord II
Rochester, NY · On-site
$18.65 - $26.11/hr
Tracks and maintains individual provider specific information in database for the APPs for commercial delegated payers for monthly submission. Completes the Electronic Provider Assisted Claim Entry ...
Manager, Clinical Denials
$66K - $91K/yr
Facilitate monthly payer calls and team communications. 19. Maintains Payer Grid by insurance provide for inpatient/outpatient submission with the payer representatives for both hospital and ...
Manager, Clinical Denials
$66K - $91K/yr
Facilitate monthly payer calls and team communications. 19. Maintains Payer Grid by insurance provide for inpatient/outpatient submission with the payer representatives for both hospital and ...
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Actively participate in the Company's monthly Insurance Committee meeting and other internal EDI ... payer resources, while further orchestrating communication and corrective activities. * Provide ...
Payer Enrollment Coord IV
Rochester, NY · On-site
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
Payer Enrollment Coord IV
Rochester, NY · On-site
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
Payer Enrollment Coord IV
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
Payer Enrollment Coord IV
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
$23.06 - $32.29/hr
Generates and formats rosters from the credentialing software system for monthly submission to the delegated commercial payers and other internal key stakeholders. * Coordinates additions or changes ...
VP, Payer Partnerships
New York, NY · Remote
We are looking for an experienced VP of Payer Partnerships. This person will be responsible for ... Monthly Wellness Stipend to promote mental and physical self-care * Flexible PTO and Remote First ...
VP, Payer Partnerships
New York, NY · Remote
We are looking for an experienced VP of Payer Partnerships. This person will be responsible for ... Monthly Wellness Stipend to promote mental and physical self-care * Flexible PTO and Remote First ...
VP, Payer Partnerships
New York, NY · Remote
We are looking for an experienced VP of Payer Partnerships. This person will be responsible for ... Monthly Wellness Stipend to promote mental and physical self-care * Flexible PTO and Remote First ...
VP, Payer Partnerships
New York, NY · Remote
We are looking for an experienced VP of Payer Partnerships. This person will be responsible for ... Monthly Wellness Stipend to promote mental and physical self-care * Flexible PTO and Remote First ...
Senior Payer Enrollment Coordinator
$41K - $55K/yr
Processes and submits monthly provider data updates/changes in MD Staff. Follows up with payers for timely loading and runs delegated audit rosters. * Manages payer enrollment/EPriv in MD Staff and ...
Senior Payer Enrollment Coordinator
$41K - $55K/yr
Processes and submits monthly provider data updates/changes in MD Staff. Follows up with payers for timely loading and runs delegated audit rosters. * Manages payer enrollment/EPriv in MD Staff and ...
The Payer Services Credentialing Coordinator will report directly to the Manager of Payer Relations ... Monthly Birthday Parties * Team Outings * And so much more! You may be thinking, "this is too good ...
The Payer Services Credentialing Coordinator will report directly to the Manager of Payer Relations ... Monthly Birthday Parties * Team Outings * And so much more! You may be thinking, "this is too good ...
Fractional VP, Payer Contract Analytics - Remote
Chicago, IL · Remote
$184K - $237K/yr
Senior payer executive with provider-side experience Compensation Overview Base Retainer You will receive a fixed monthly payment that reflects your part-time commitment to the role. This ensures a ...
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Fractional VP, Payer Contract Analytics - Remote
Chicago, IL · Remote
$184K - $237K/yr
Senior payer executive with provider-side experience Compensation Overview Base Retainer You will receive a fixed monthly payment that reflects your part-time commitment to the role. This ensures a ...
Fractional VP, Payer Contract Analytics - Remote
Chicago, IL · On-site +1
$185K - $239K/yr
Senior payer executive with provider-side experience Compensation Overview Base Retainer You will receive a fixed monthly payment that reflects your part-time commitment to the role. This ensures a ...
Fractional VP, Payer Contract Analytics - Remote
Chicago, IL · On-site +1
$185K - $239K/yr
Senior payer executive with provider-side experience Compensation Overview Base Retainer You will receive a fixed monthly payment that reflects your part-time commitment to the role. This ensures a ...
EDI Specialist, direct hire opportunity paying up to $65k plus full benefits!
Vernon Hills, IL · On-site
This is a direct hire opportunity paying up to $65k with full benefits! EDI Specialist * This ... Experience with reporting on monthly transactions. * Experience working with Invoicing for accounts ...
EDI Specialist, direct hire opportunity paying up to $65k plus full benefits!
Vernon Hills, IL · On-site
This is a direct hire opportunity paying up to $65k with full benefits! EDI Specialist * This ... Experience with reporting on monthly transactions. * Experience working with Invoicing for accounts ...
This is a direct hire opportunity paying up to $65k with full benefits! EDI Specialist * This ... Experience with reporting on monthly transactions. * Experience working with Invoicing for accounts ...
This is a direct hire opportunity paying up to $65k with full benefits! EDI Specialist * This ... Experience with reporting on monthly transactions. * Experience working with Invoicing for accounts ...
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Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 28 days ago
Job description
NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, Members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed Therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the "gold standard" in OCD treatment.
At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We're changing the world and need other like-minded individuals to accelerate and expand our efforts.
About The Role
The Account Manager- Payer Operations position partners closely with the Chief Revenue Officer to ensure the payer side of NOCD's business operates seamlessly and aligns with broader organizational goals. This role is highly cross-functional and operational, with a strong emphasis on payer relationships, outcomes reporting, contract management, and internal coordination across multiple teams.
This is an ideal opportunity for a seasoned payer-focused Account Manager who thrives in complex healthcare environments and enjoys balancing relationship management with detailed operational execution.
Who You Are
- A self-starter who can embody our core value of Extreme Ownership
- Ambitious and ready to keep up with a goal-driven, start-up environment
- A strong communicator who can build trust with key stakeholders
- Highly organized and responsive
What You'll Do
Payer Relationship & Account Management
- Maintain and strengthen relationships with payer partners
- Serve as a key liaison between payers and internal NOCD teams
- Ensure smooth communication and issue resolution related to billing, enrollment, eligibility, and reporting
Contract & Documentation Management
- Ensure all payer contracts are fully executed and properly stored in shared drives
- Maintain accurate and up-to-date contract documentation
Outcomes Reporting & Meetings
- Schedule and coordinate Quarterly, Bi-Annual, and Annual Outcomes meetings with payers
- Coordinate calendars between payer teams and NOCD leadership, including the Chief Medical Officer (CMO)
- Schedule internal prep meetings with the CMO one week prior to payer calls to surface potential issues
- Compile monthly outcomes decks for payer partners (currently Horizon, NovaOne/HCSC, and Regence)
- Coordinate Joint Operating Committee (JOC) outcomes decks for IBC in partnership with the Data Analytics team
Cross-Functional Collaboration
- Partner with the Billing team to ensure accurate accounts receivable and resolve payment discrepancies
- Work closely with the Enrollment team to ensure timely provider enrollment and resolve payer-related issues
- Collaborate with the Revenue Cycle Management (RCM) team to address eligibility challenges
- Coordinate new payer implementations, including:
-
- Scheduling implementation calls
- Activating internal Slack channels
- Ensuring required decks and materials are completed
Operational Support
- Maintain and update key spreadsheets and documents, including:
-
- Payer Rate Sheets
- State Density / Coverage Sheets
- Conduct payer and market research as needed
- Provide coverage and support for the Chief Revenue Officer during travel or absences
Requirements
- 10+ years of Account Management experience supporting health plan payer accounts
- Proven experience working cross-functionally within complex healthcare organizations
- Strong proficiency with:
-
- Shared Drives
- Excel
- PowerPoint
- PDF tools
- DocuSign
- Adobe Acrobat
- Highly organized with strong attention to detail
- Excellent communication and relationship-building skills
- Strong cultural alignment with NOCD's mission and values
What We Offer
- Competitive base salary plus commission plan
- Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match
- PTO based on an accrual system
- 11 observed holidays a year
- Casual and engaging startup environment with an outstanding mission-driven team atmosphere
- NOCD provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.
About NOCD
Sourced by ZipRecruiter
NOCD is the #1 telehealth provider for the treatment of obsessive-compulsive disorder (OCD). OCD is one of the most severe, prevalent, and misunderstood mental health conditions. NOCD creates access to online therapy for people with OCD through our telehealth platform. In the NOCD app, members can quickly access and schedule live, face-to-face video therapy sessions with our national network of licensed therapists that specialize in Exposure and Response Prevention Therapy (ERP) - considered the gold standard" in OCD treatment. At NOCD, we help people reclaim their lives with clinically proven OCD treatment, by removing barriers to OCD care, and reducing the stigma associated with OCD. We're changing the world and need other like-minded individuals to accelerate and expand our efforts.
Industry
Hospitals
Company size
51 - 200 Employees
Headquarters location
Chicago, IL, US
Year founded
2014