75 payer jobs at 44 companies in Apache Junction, AZ
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Payer Rate Analytics Liaison
Phoenix, Arizona, United States
OnsiteFull Time
Community Bridges: Provides integrated behavioral health and addiction treatment services.
5+ YOEBachelor's in finance/healthcare/analytics required; 5+ years payer analytics or reimbursement modeling; knowledge of FFS, P4P, full risk; rate-setting experience; advanced Excel and SQL; Power BI/Tableau preferred.
Embark Behavioral Health: Provides mental health treatment for adolescents and young adults.
5+ YOESenior leadership role overseeing payer compliance, quality assurance, and revenue integrity across all care levels; requires 5–7+ years in behavioral health compliance, QA/UR; advanced knowledge of payer standards.
Boston or Indianapolis or Raleigh or Charlotte or Jacksonville or Chicago or Cincinnati or Cleveland or Columbia or Kansas City or Columbus or Dallas or Las Vegas or Los Angeles or Baltimore or Birmingham or St. Louis or Salt Lake City or San Diego or San Francisco or San Jose or Seattle or Stamford or Tampa or Toledo or Austin or Washington or Melville or Miami or Denver or Des Moines or Nashville or Detroit or New Orleans or New York or Florham Park or Oklahoma City or Philadelphia or Phoenix or Pittsburgh or Houston
$155k-$410k/yrOnsiteFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
10+ YOEBachelor's degree and at least 10 years' experience; leadership and operations consulting experience; knowledge of Medicare Advantage and Medicaid preferred; strong communication, analytical, and client relationship skills.
CommonSpirit Health: Operates a national non-profit Catholic health system.
3+ YOEBachelor's or equivalent,3 years contract management experience in healthcare,contract review and negotiation support skills,and strong attention to contractual detail.
New York City or Milwaukee or Dallas or Columbus or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Scottsdale or Morristown or San Francisco or Boston or Denver or Philadelphia or Des Moines or Overland Park or Los Angeles or Walnut Creek or Charlotte or Seattle or Carmel or Houston or Arlington or Atlanta or Bentonville or Nashville or San Diego
$54k-$206k/yrFieldFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
3+ YOEBachelor's in a quantitative field, 3+ years in data science/ML/AI, payer domain knowledge, experience with frontier AI tools (e.g., Claude), strong communication and consulting skills.
Claude, Python, R, SQL, TensorFlow, PyTorch, scikit-learn, Open AI, Anthropic, AWS, Azure, Google Cloud, Hadoop, Spark, Tableau, Power BI
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
3+ YOEBachelors or equivalent and three years' contract management experience in healthcare; strong contracting, negotiation support, and attention to contractual detail.
Chicago or Las Vegas or San Diego or Atlanta or Salt Lake City or Austin or Houston or Denver or Sacramento or Phoenix or Los Angeles or San Francisco or Minneapolis or Charlotte or Dallas
$165k-$220k/yrRemoteFull Time
LivaNovaNASDAQ: LIVN: Manufactures medical devices for cardiac and neurological therapies.
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
Adobe Population Health: Provides integrated health care management and social support services.
10+ YOE10+ years executive healthcare leadership with payer relationships, strategic partnership development, payer contracting and population health expertise; valid driver's license and travel availability.
2+ YOETwo years experience in rehabilitation or closely related field; associate or bachelor's degree; familiarity with insurance payers and pre-authorization preferred.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
1+ YOE1+ years experience in payer/provider or healthcare operations with process improvement, data-driven decision making, and presenting recommendations to senior leadership.
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
3+ YOE3+ years experience in medical billing/insurance verification/authorizations, knowledge of Medicare and commercial payers, strong attention to detail, communication and problem-solving skills.
Foothills Neurology: Specialized neurology and movement disorder medical practice.
2+ YOEMinimum 2 years credentialing/payer enrollment experience in a medical practice, knowledge of CAQH, NPPES/PECOS, NCQA standards, primary source verification, and Microsoft Office.
CAQH, NPPES/PECOS, Microsoft Word, Microsoft Excel, Microsoft Outlook
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
3+ YOEHigh school diploma or equivalent; 3+ years admissions or collections experience in a hospital setting; psychiatric experience preferred; strong claim review and payer communication skills.
PHI GroupOTCPK: PHIG: Provides helicopter services for global energy and medical transport.
3+ YOE3+ years collections experience in healthcare, SME/lead experience preferred, strong payer knowledge, Excel and Microsoft Office proficiency, excellent communication and analytical skills.
Select MedicalNYSE: SEM: Provides specialized inpatient and outpatient rehabilitation and recovery healthcare.
Greet and register patients, schedule appointments, manage payer approvals/verifications; high school diploma/GED required; 1 year front-desk or healthcare experience preferred.
Dallas or Hartford or Minneapolis or Phoenix or Tampa
$24-$43/hrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
3+ YOEHigh school/GED, 3+ years AR experience, Epic and professional billing experience, knowledge of California payers, must be 18+, ability to telecommute with a dedicated workspace and secure internet.