Account Manager- Payer Operations

About The Role

The Account Manager- Payer Operations position partners closely with the Chief Revenue Officer to ensure the payer side of NOCD’s business operates seamlessly and aligns with broader organizational goals. This role is highly cross-functional and operational, with a strong emphasis on payer relationships, outcomes reporting, contract management, and internal coordination across multiple teams.

This is an ideal opportunity for a seasoned payer-focused Account Manager who thrives in complex healthcare environments and enjoys balancing relationship management with detailed operational execution.

Who You Are

• A self-starter who can embody our core value of Extreme Ownership
• Ambitious and ready to keep up with a goal-driven, start-up environment
• A strong communicator who can build trust with key stakeholders
• Highly organized and responsive

What You'll Do

Payer Relationship & Account Management

• Maintain and strengthen relationships with payer partners
• Serve as a key liaison between payers and internal NOCD teams
• Ensure smooth communication and issue resolution related to billing, enrollment, eligibility, and reporting

Contract & Documentation Management

• Ensure all payer contracts are fully executed and properly stored in shared drives
• Maintain accurate and up-to-date contract documentation

Outcomes Reporting & Meetings

• Schedule and coordinate Quarterly, Bi-Annual, and Annual Outcomes meetings with payers
• Coordinate calendars between payer teams and NOCD leadership, including the Chief Medical Officer (CMO)
• Schedule internal prep meetings with the CMO one week prior to payer calls to surface potential issues
• Compile monthly outcomes decks for payer partners (currently Horizon, NovaOne/HCSC, and Regence)
• Coordinate Joint Operating Committee (JOC) outcomes decks for IBC in partnership with the Data Analytics team

Cross-Functional Collaboration

• Partner with the Billing team to ensure accurate accounts receivable and resolve payment discrepancies
• Work closely with the Enrollment team to ensure timely provider enrollment and resolve payer-related issues
• Collaborate with the Revenue Cycle Management (RCM) team to address eligibility challenges
• Coordinate new payer implementations, including:
• • Scheduling implementation calls
  • Activating internal Slack channels
  • Ensuring required decks and materials are completed

Operational Support

• Maintain and update key spreadsheets and documents, including:
• • Payer Rate Sheets
  • State Density / Coverage Sheets
• Conduct payer and market research as needed
• Provide coverage and support for the Chief Revenue Officer during travel or absences

Requirements

• 10+ years of Account Management experience supporting health plan payer accounts
• Proven experience working cross-functionally within complex healthcare organizations
• Strong proficiency with:
• • Shared Drives
  • Excel
  • PowerPoint
  • PDF tools
  • DocuSign
  • Adobe Acrobat
• Highly organized with strong attention to detail
• Excellent communication and relationship-building skills
• Strong cultural alignment with NOCD’s mission and values

What We Offer

• Competitive base salary plus commission plan
• Comprehensive benefits package, including medical, dental, vision coverage, and 401(k) match
• PTO based on an accrual system
• 11 observed holidays a year
• Casual and engaging startup environment with an outstanding mission-driven team atmosphere
• NOCD provides 12 weeks of fully paid parental leave for the primary caregiver, and 6 weeks of fully paid leave for the secondary caregiver, for qualifying full-time employees.