Payer Relations Analyst

Location: This position is a hybrid role based out of our Minneapolis, MN office. The current expectation is that we are in office two days each week (Tuesday-Wed), with extra additional days as required during the month. 

Overview:  The Senior Payer Account Manager is responsible for overseeing, managing and growing key payer relationships.  The Account Manager will plan, direct, or coordinate payer relationship-building and management tasks, as well as work with internal and external facing departments to coordinate all activities with payer and trading partner accounts with a special emphasis on driving revenue. The Senior Payer Account Manager is also responsible for coordinating tasks associated with new direct connections with payers and trading partners. Including, facilitating testing requirements, payer enrollment configuration and payer production deployment 

Duties and Responsibilities: 

• Manages internal and external resources on behalf of Inovalon to meet payer needs and assure trading partner satisfaction;


• Acts as escalation point for issue resolution; 


• Reviews operational records and reports to create monthly/quarterly/year-end reporting based on company standards.


• Proactively reaches out to payer partners to better understand their needs and challenges;


• Assist Sales with potential customers regarding service needs and advise as to current capabilities;


• Represent company at Industry conferences and Workgroups;


• Act as initial point of contact for payers and trading partners;


• Increase Payer revenue;


• Assist in building and maintaining in house documents, SOP’s and training materials;


• Maintain compliance with Inovalon’s policies, procedures and mission statement;


• Adhere to all confidentiality and HIPAA requirements as outlined within Inovalon’s Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position;


• Fulfill those responsibilities and/or duties that may be reasonably provided by Inovalon for the purpose of achieving operational and financial success of the Company;


• Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function; and


• We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such. 

Job Requirements: 

• Minimum of 5 years’ experience managing healthcare payer relationships;


• Proficient knowledge of EDI Transaction sets;


• Proven track record understanding requirements, business issues, and knowledge of markets & solution segments;


• Excellent critical thinking and logical reasoning abilities;


• Excellent written and verbal communication skills;


• Strong presentation skills;


• Understanding and managing expectations, ability to drive win-win solutions, building and maintaining Payer relationships;


• Self-motivated with strong organizational/prioritization skills and ability to multi-task with close attention to detail;


• Ability to thrive in fast-paced and changing environment;


• Ability to work with all levels of individuals as a team player or in leadership role; project leadership experience preferred; 

Education: 

• Bachelor’s degree or equivalent work experience;  

Physical Demands and Work Environment: 

• Sedentary work, i.e. sitting for long periods of time;


• Exerting up to 10 pounds of force occasionally and/or negligible amount of force;  


• Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions;


• Subject to inside environmental conditions; and


• Travel for this position is expected to be approximately 25%.