tavahealth - Payer Enablement Specialist
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Requirements
• Experience in operations, consulting, analytics, or a related field, or strong analytical training through university coursework • Strong analytical and problem-solving skills with the ability to break down complex systems • High attention to detail and a strong sense of ownership • Curiosity and willingness to learn the healthcare payer and revenue cycle space • Strong communication skills and ability to work cross-functionally • Comfort using modern tools (including AI) to improve workflows and efficiency • You are excited about using AI and modern tools to rethink how operational work gets done, rather than simply executing existing processes • Experience in high-growth environments • Experience with custom systems, rules engines, or configuration-heavy platforms
Responsibilities
• Payer Configuration & System Management • Build and maintain payer configurations within Tava’s EMR • Translate payer requirements into system logic and configuration standards • Ensure consistency and standardization across payer setups • Fee Schedule & Revenue Integrity • Manage fee schedules and validate contracted rates • Identify and resolve discrepancies in Tava’s EMR and across other platforms • Support accurate reimbursement through precise configuration • Documentation & Knowledge Management • Maintain SOPs and Insurance Articles to reflect current workflows and payer requirements • Continuously improve documentation for clarity and usability • Leverage AI tools for operational documentation efficiency • Operational Collaboration & Enablement • Partner with Payer Operations, RCM, Product, and Payer Partnerships • Support troubleshooting, payer updates, and system-related issues • Provide clear operational context to support system improvements • Quality Assurance & Continuous Improvement • Audit configurations and workflows to ensure accuracy and consistency • Identify inefficiencies or patterns in errors and escalate appropriately • Proactively identify opportunities to reduce manual work using tools, automation, and AI
Benefits
• Enjoy working remotely in this full-time, salaried position with Tava. We offer a highly competitive benefits package, including: • Tava mental health benefit – free access to therapy for you and your family • Medical and dental insurance – for you and your dependents • Monthly HSA contributions • Generous PTO and paid holidays • Work from anywhere • Paid parental leave • Weekly team lunches • Opportunity to shape a growing company and culture • For tax purposes, priority will be given to candidates living in states where we already have employees. These states are Alabama, Arizona, California, Colorado, Connecticut, District of Columbia, Florida, Georgia, Idaho, Indiana, Maine, Maryland, Massachusetts, Nevada, New Jersey, New York, North Carolina, Ohio, Oregon, Tennessee, Texas, Utah, and Washington. • Tava is unable to sponsor employment visas (such as the H-1B). Candidates must have authorization to work in the U.S. without company sponsorship now or in the future. • All hiring activities at Tava Health are handled by company representatives using @tavahealth.com http://tavahealth.com or @us.tavahealth.com http://us.tavahealth.com email addresses. • Please beware of unauthorized recruiting communications requesting personal information. We never hire anyone without first completing a real-time, face-to-face interview (conducted by video or in-person), nor do we use encrypted instant messaging services like Signal. If you have questions regarding the authenticity of any outreach, please do not hesitate to use the chat feature on our website or contact us at [email protected] • Tava Health does not discriminate on the basis of race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity, or any other reason prohibited by law in provision of employment opportunities and benefits.
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