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Admin & Support 5h ago

Payer Enablement Specialist

United StatesUnited States
Full-time
Not Disclosed
Mid-level

Job Description

About the Role: Tava Health is an online mental health platform that partners with employers to provide accessible mental health resources. We are seeking a Payer Enablement Specialist to play a critical role in building and maintaining Tava's payer infrastructure. You will own payer configurations within our EMR, fee schedule management, and workflows that enable scalable payer operations.

What You'll Do

  • Build and maintain payer configurations within Tava's EMR and translate payer requirements into system logic.
  • Manage fee schedules, validate contracted rates, and support accurate reimbursement.
  • Maintain SOPs and Insurance Articles to reflect current workflows and leverage AI tools for documentation efficiency.
  • Partner with Payer Operations, RCM, Product, and Payer Partnerships to support troubleshooting and system-related issues.
  • Audit configurations and workflows to ensure accuracy, identifying opportunities to reduce manual work.

What You Bring

  • Experience in operations, consulting, analytics, 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, a strong sense of ownership, and strong cross-functional communication skills.
  • Comfort using modern tools (including AI) to improve workflows and efficiency.
  • Bonus: Digital health experience, experience in high-growth environments, or familiarity with custom systems and rules engines.

Benefits

  • Competitive salary and stock options.
  • Tava mental health benefit – free access to therapy for you and your family.
  • Medical and dental insurance, plus monthly HSA contributions.
  • Generous PTO, paid holidays, and paid parental leave.
  • Fully remote work flexibility from anywhere in the USA.

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