Manager of Payer Operations

A company is looking for a Manager, Payer Operations (Remote). Key Responsibilities Establish and monitor performance metrics for payer data feeds and define standard operating procedures for data issue triage Serve as the primary point of escalation for high-priority payer data issues and collaborate with cross-functional teams Oversee documentation processes for HEDIS and ensure compliance with healthcare regulations and data security standards Required Qualifications Bachelor's degree in Healthcare Administration, Data Analytics, Information Systems, or a related field, or equivalent experience 5+ years of experience in healthcare data operations, payer relations, or health informatics, with at least 2-4 years in a leadership role Advanced proficiency in SQL for data investigation and familiarity with data observability tools Deep understanding of payer data structures and healthcare quality reporting Proven ability to lead teams through complex technical troubleshooting and manage high-volume issue queues