Aeroflow Health - Manager, Payor Relations - Southern Region (Remote)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 Southern Region.
The OpportunityWe are currently seeking a
Manager, Payor Relations - Southern 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 ResponsibilitiesAs Manager, Payor Relations - Southern Region, you'll be responsible for:
- Leading payer contracting and network development strategy across southern 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
Breakdown of Responsibilities- 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.
Must-Have Experience- 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.
Nice-to-Haves- 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.
Travel Expectations- Quarterly travel to Aeroflow's corporate office.
What We Look ForWe'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 a friendly and supportive way.
- Comfortable navigating ambiguity and shifting priorities.
- Collaborative and relationship-driven-internally and externally.
- Energetic, proactive, and able to anticipate needs and take action without waiting to be asked.
What Aeroflow OffersCompetitive Pay, Health Plans with FSA or HSA options, Dental, and Vision Insurance, Optional Life Insurance, 401K with Company Match, 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s), Additional Parental benefits to include fertility stipends, free diapers, breast pump, Paid Holidays, PTO Accrual from day one, Employee Assistance Programs and SO MUCH MORE!!
