Manager, Payor Relations – Northern Region; Remote
Asheville, Buncombe County, North Carolina, 28814, USA
Listed on 2026-03-08
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Healthcare
Healthcare Management, Healthcare Administration
Aeroflow Health – Manager, Payor Relations – Northern Region (Remote)
Aeroflow Health is made up of creative and talented associates who are transforming patient experience and how consumers receive their healthcare. Our patient‑centric business model is founded on innovation through technology and cutting‑edge delivery platforms. We have grown to be a leader in the home medical equipment segment of the healthcare industry, are among the fastest‑growing healthcare companies in the country, and are recognized on Inc. 5000’s
list of fastest‑growing companies in the U.S.
As Aeroflow has expanded, our need for strong leadership in managed care operations has grown with it. To support our national payer strategy and rapid market expansion, we’re splitting the country into two regions—North and South—and adding a new leadership role to oversee the Northern Region.
The OpportunityWe are currently seeking a Manager, Payor Relations – Northern Region to lead and grow our payer strategy across multiple states. This is more than a traditional management position—it’s an opportunity to lead with vision, build scalable systems, and coach a growing team within one of Aeroflow’s fastest‑moving departments.
Your Primary Responsibilities- Leading payer contracting and network development strategy across Northern states (including Medicaid, Medicare, Commercial, IPAs, TPAs).
- Managing and developing a high‑performing team of three contracting professionals—helping guide, coach, and build up newer team members.
- Building and maintaining relationships with health plans; leading negotiations, policy escalations, and network development.
- Driving progress on three core strategic priorities: payer network expansion, payer policy change (working with medical teams), and fee schedule negotiations.
- Ensuring payer contract data is accurately updated and configured in internal systems.
- Collaborating with Legal, Compliance, Revenue Cycle, Sales, and Ops to streamline workflows and ensure payer contracts align with operational delivery.
- Leading and contributing to cross‑functional projects with multiple stakeholders; managing priorities with clear communication.
- Auditing internal processes and coaching team members to ensure compliance, alignment, and continuous improvement. Employee has an individual responsibility for knowledge of and compliance with laws, regulations, and policies.
- Compliance is a condition of employment and is considered an element of job performance.
- Maintain HIPAA/patient confidentiality.
- Regular and reliable attendance as assigned by your schedule.
- Other job duties assigned.
- 50% – Coaching and supporting your team on payer expansion, policy changes, and contract negotiation & configuration.
- 25% – Leading or participating in company‑wide payer strategy projects alongside other departments.
- 25% – Process auditing, refinement, and team development to ensure accuracy, clarity, and effectiveness.
- 5+ years in healthcare operations, network development, or managed care contracting (provider, hospital, or DME experience preferred).
- Proven experience negotiating contracts with health plans or providers.
- Demonstrated success managing and developing teams—especially those newer to the industry or function.
- Experience working with a variety of payer types (Medicaid, Medicare, Commercial, IPAs, TPAs).
- Strong understanding of claims workflows and payer/provider relationships.
- Ability to manage escalations, coach team members, and implement scalable processes.
- Located within 1 hour of a major airport (with strong preference for the Northeast region).
- Experience and a desire managing cross‑functional projects and reporting to multiple stakeholders or leaders.
- Experience with fee schedule configuration and payer system setup.
- Familiarity with payer compliance and policy monitoring.
- Quarterly travel to Aeroflow’s corporate office.
We’re looking for someone who can operate as a player/coach
—equally confident mentoring a team and rolling up their sleeves when needed. The ideal candidate is:
- Process‑oriented, with a knack for holding others accountable in…
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