Jobgether

Program Lead, Payor Connections/Interoperability

U.S.

Full-Time

Remote

$91,659 – $120,303 per year

TLDR

Drives cross-functional interoperability programs to improve payor-provider data exchange and Risk Adjustment, overseeing end-to-end strategy, execution, and compliance in healthcare data ecosystems.

Accountabilities:

Lead end-to-end interoperability programs supporting Risk Adjustment and payor-provider data exchange initiatives
Develop and manage relationships with provider organizations, vendor partners, and external stakeholders to ensure effective data connectivity
Build and maintain detailed project plans, ensuring timely execution and alignment across multiple workstreams
Oversee testing, validation, and monitoring of healthcare data connections to ensure accuracy, compliance, and functionality
Partner cross-functionally to define operational strategies, improve workflows, and drive measurable program impact
Identify, troubleshoot, and resolve data quality, integration, and system issues across interoperability initiatives
Develop, maintain, and enhance operational dashboards to track performance and support decision-making
Serve as a subject matter expert on TEFCA and related interoperability frameworks and regulations

Requirements:

3+ years of experience in healthcare operations, health insurance, or provider-facing healthcare roles
2+ years of experience delivering interoperability programs or large-scale data integration initiatives
Strong understanding of healthcare data exchange, payor-provider systems, and interoperability standards, including TEFCA
Proven ability to manage complex projects end-to-end in ambiguous, fast-changing environments
Strong analytical and problem-solving skills with the ability to interpret data and identify actionable insights
Experience working with cross-functional stakeholders including technical, operational, and clinical teams
Excellent communication skills and ability to build and maintain external partner relationships
Bonus: experience in Risk Adjustment operations
Bonus: familiarity with SQL or BigQuery for data analysis and reporting

Benefits:

Competitive base salary range: $91,659 – $120,303 per year
Annual performance-based bonus eligibility
Unlimited paid time off program
Comprehensive medical, dental, and vision insurance coverage
Paid parental leave and paid sick time
401(k) retirement savings plan
Life and disability insurance coverage
Wellness time and reimbursement programs
Flexible remote work arrangement (U.S.-based eligibility requirements apply)
Opportunity to work on high-impact healthcare interoperability initiatives.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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Benefits

Health Insurance

Comprehensive medical, dental, and vision insurance coverage

Healthcare interoperability initiatives

Opportunity to work on high-impact healthcare interoperability initiatives.

Paid Parental Leave

Paid parental leave and paid sick time

Paid Time Off

Unlimited paid time off program

Remote-Friendly

Flexible remote work arrangement (U.S.-based eligibility requirements apply)

Wellness Stipend

Wellness time and reimbursement programs

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Jobgether

Jobgether runs the largest remote job platform, effectively linking job seekers with over 200,000 flexible and remote opportunities that match their unique skills and preferences. Our focus is on enhancing the hiring process, ensuring efficiency while prioritizing the candidate experience, particularly in the growing health and wellness sector.

Founded: Founded 2020
Employees: 11-50 employees
Industry: Professional Services

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