About us:

Parsley Health is a digital health company with a mission to transform the health of everyone, everywhere with the world’s best possible medicine. Today, Parsley Health is the nation’s largest health care company helping people suffering from chronic conditions find relief with root cause resolution medicine. Our work is inspired by our members’ journeys and our actions are focused on impact and results.

The opportunity:

The Insurance Operations Manager is responsible for managing day-to-day operations of ongoing insurance workflows, as well as ensuring that Parsley maintains strong relationships with our external payer partners. This individual will work closely with the Director of Commercial Operations and the Billing and Care Management teams to support the on-going optimization and maintenance of Parsley’s payer partners.

What you’ll do:

• Oversee all operations related to Parsley’s insurance contracts, in-network members, out of network members: monitoring and delivering regular reports on key metrics for this business line, including member growth and retention, revenue & collections, clinical outcomes, wait-times, etc.
• Own day-to-day workflows and field escalations requiring additional research and problem solving
• Recommend, develop, and implement operational initiatives and processes with payer partners to ensure equal service experience to in-network members
• Support Director of Commercial Operations with strategic discussions and decision making regarding new contracts and renewal conversations
• Coordinate cross-functionally with Product, Data, Member Experience, Billing, Finance, and Clinical Operations to ensure appropriate support and maximize efficiency for our in-network members
• Operate and serve as internal champion for our payer partners, and maintain up-to-date knowledge base with relevant information for internal stakeholders
• Manage and optimize medical coding for both fee-for-service and value-based care contracts
• Manage and optimize the provider credentialing process for our payer partners
• Build out team to support Insurance Operations as Parsley continues its growth in payer membership
• Develop OKRs / SLAs with insurance partners
• Work closely with the Billing Manager & Client Operations Manager to build out billing and invoicing systems & workflows including but not limited to in-network, out-of-network, and B2B employer clients
• Work closely with our payer partners to ensure a successful partnership per each contracts requirements

What you’ll need:

• Bachelor’s Degree required
• Direct customer facing and payer integration delivery experience
• Previous experience in provider enrollment and account maintenance within a medical group
• Proficiency in enrollment and credentialing platforms [CAQH, Modio, etc]
• Deep knowledge of CPT and ICD-10 coding
• Direct customer facing and payer integration delivery experience
• Ability to quickly learn new concepts and technologies and convert them into customer solutions.
• Excellent oral and written communication skills.
• Possess the ability to motivate and maintain effective working relationships.
• Ability to rely on experience and judgment to plan and accomplish goals.
• Experience managing others including contractors and suppliers.
• Customer-service driven
• Analytical and problem-solving aptitude

Benefits and Compensation:

• Equity Stake
• 401(k) + Employer Matching program
• Remote-first with the option to work from one of our centers in NYC or LA
• Complimentary Parsley Health Complete Care membership
• Subsidized Medical, Dental, and Vision insurance plan options
• Generous 4+ weeks of paid time off
• Annual professional development stipend

Parsley Health is committed to providing an equitable, fair and transparent compensation program for all employees. The starting salary for this role is between$72,250 - $85,000, depending on skills and experience. We take a geo-neutral approach to compensation within the US, meaning that we pay based on job function and level, not location.

Individual compensation decisions are based on a number of factors, including experience level, skillset, and balancing internal equity relative to peers at the company. We expect the majority of the candidates who are offered roles at our company to fall healthily throughout the range based on these factors. We recognize that the person we hire may be less experienced (or more senior) than this job description as posted. If that ends up being the case, the updated salary range will be communicated with candidates during the process.

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At Parsley Health we believe in celebrating everything that makes us human and are proud to be an equal opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. 

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Important note:

In light of recent increase in hiring scams, if you’re selected to move onto the next phase of our hiring process, a member of our Talent Acquisition team will reach out to you directly from an @parsleyhealth.com email address to guide you through our interview process. We look forward to connecting!

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