Payer Operations Specialist

Position Summary The Payer Operations Analyst plays a critical role in ensuring the accuracy, efficiency, and integrity of payer-related setup and operations across Thriveworks systems. This provider-side position is responsible for translating payer contracts into precise system configurations, managing fee schedules, maintaining high-quality payer data, and supporting operational readiness across Revenue Cycle, Credentialing, and EHR functions. The ideal candidate is detail-oriented, proactive, and highly skilled in payer configuration workflows, EHR setup, system QA, and payer portal navigation. This role includes regular collaboration with internal partners and a third‑party billing vendor to ensure flawless execution of payer operations. Key Responsibilities Payer Configuration & System Management Implement and maintain payer configuration details (payer IDs, claims routing, EDI enrollment details, billing requirements, plan IDs, etc.) across the EHR and related systems. Support the loading, updating, and auditing of payer fee schedules based on executed contracts, amendments, or updates from payer portals (e.g., Availity, NaviNet, Change Healthcare). Establish and enforce sta... Click Apply to read the full job description.