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
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.
Microsoft Excel, SQL, Microsoft Power BI, Tableau
3mo
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Director of Payer Compliance & Quality Assurance
Chandler, Arizona, United States
$120k-$130k/yr OnsiteFull Time
Embark Behavioral Health
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.
Regulatory standards, Payer compliance tools, Quality assurance tools, LOCUS criteria, Joint Commission, CARF
1mo
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Payer Quality Consultant, Director
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/yr OnsiteFull Time
PwC
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.
3mo
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Director of Payer Compliance & Quality Assurance
Chandler, Arizona, United States
$120k-$130k/yr OnsiteFull Time
Embark Behavioral Health
Embark Behavioral Health: Provides residential and outpatient mental health treatment for adolescents.
5+ YOESenior leadership role overseeing payer compliance, QA, and revenue integrity; 5–7+ years in behavioral health; advanced degree preferred; independent licensure preferred.
2w
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Payer Strategy Contract Specialist
Phoenix, Arizona, United States
$29-$44/hr RemoteFull Time
CommonSpirit Health
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.
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Healthcare Payer AI Decision Science Consultant
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/yr FieldFull Time
Accenture
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
2w
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Payer Strategy Contract Specialist
Phoenix, Arizona, United States
OnsiteFull Time
CommonSpirit Health
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.
2mo
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Director, US Field Market Access
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/yr RemoteFull Time
LivaNova
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.
2w
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Strategic Advisor - Contractor
Phoenix, Arizona, United States
FieldContract
Adobe Population Health
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.
CRM
1w
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VP, Sales - Health Plans & Direct Payers
Phoenix, Arizona, United States
RemoteFull Time
Valenz Health
Valenz Health: Data-driven platform simplifying healthcare for employers and payers.
7+ YOE7+ years enterprise sales to health plans/payers, proven track record meeting revenue goals, executive relationship building, consultative sales, confidentiality, territory management.
CRM, Healthcare Blue Book, KISx Card, VPN
2mo
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Admissions Manager Full Time
Phoenix, Arizona, United States
OnsiteFull Time
Reunion Rehabilitation Hospital
Reunion Rehabilitation Hospital: Specialized inpatient hospital providing intensive physical and neurological rehabilitation care.
2+ YOETwo years experience in rehabilitation or closely related field; associate or bachelor's degree; familiarity with insurance payers and pre-authorization preferred.
1mo
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Senior Specialist, Issue Management
Tempe or New York City
$68k-$89k/yr HybridFull Time
Oscar Health
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.
Lean Six Sigma
3w
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Billing Readiness Specialist
Phoenix or Nashville
OnsiteFull Time
BrightSpring Health Services
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.
EMR
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Credentialing Specialist
Phoenix, Arizona, United States
OnsiteFull Time
Foothills Neurology
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
3mo
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ACCOUNTS RECEIVABLE SPECIALIST
Scottsdale, Arizona, United States
OnsiteFull Time
Southwest Medical Imaging
Southwest Medical Imaging: Physician-led provider of diagnostic medical imaging and radiology services.
1+ YOEManage denial inventory, appeals, follow-ups with payers; verify eligibility; HIPAA compliant; 1+ year medical A/R experience preferred; HS diploma required.
Microsoft Excel, Microsoft Word, Microsoft Office
2w
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Medical Insurance Collector
Chandler, Arizona, United States
OnsiteFull Time
Acadia Healthcare
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.
1w
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Lead Medical Collections Specialist
Tempe or Phoenix
OnsiteFull Time
PHI Group
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.
Microsoft Office Suite, Microsoft Excel
1w
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Medical Front Office - Patient Service Specialist
Gilbert, Arizona, United States
OnsiteFull Time
Select Medical
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.
2d
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Accounts Receivables Team Lead
Dallas or Hartford or Minneapolis or Phoenix or Tampa
$24-$43/hr RemoteFull Time
UnitedHealth Group
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.
Epic
3w
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Territory Director of Business Development 
Phoenix, Arizona, United States
OnsiteFull Time
The Pennant Group
The Pennant GroupNASDAQ: PNTG: Provides home health, hospice, and senior living healthcare services.
3+ YOE3+ years healthcare marketing management (hospice preferred); ability to supervise staff, develop marketing plans, negotiate with payers, and build referral relationships; bachelor's in marketing/business preferred.