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.
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 City or Florham Park or Oklahoma City or Philadelphia or Phoenix or Pittsburgh or Houston
$99k-$232k/yrFieldFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
7+ YOEBachelor's degree, 7+ years Epic implementation experience, at least one active Epic certification, ability to lead teams and oversee program delivery across the Epic payer implementation lifecycle. Master's preferred; Epic Tapestry Administration preferred.
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.
Seattle or Atlanta or Appleton or Boise or Wakefield or South Burlington or Chicago or Dallas or Windsor or Houston or Indianapolis or Little Falls Township or Pasadena or Brookfield or Eden Prairie or Omaha or Irvine or Berwyn or Phoenix or Portland or Portland or San Diego or San Francisco or St. Louis or Salt Lake City or Tampa or Walnut Creek
$118k-$223k/yrRemoteFull Time
Milliman: Global provider of actuarial and risk management consulting services.
5+ YOEBachelor's degree and 5–8+ years in product strategy, product management, healthcare consulting, or commercial strategy serving payer organizations; requires payer, claims analytics, roadmap, commercialization, and stakeholder expertise.
SQL, business intelligence, analytics, data visualization
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
Alabama or Arizona or Arkansas or Colorado or Connecticut or Delaware or Florida or Georgia or Idaho or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or North Dakota or Ohio or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Vermont or Virginia or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Quest Analytics: A health technology providing provider network management and analytics to health plans.
7+ YOE7+ years strategic SaaS selling experience, 4+ years selling to national commercial health plans, direct payer sales experience, strong account development and presentation skills, proven quota attainment, strategic thinking, willing to travel up to 30%.
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.
Mount Graham Regional Medical Center: Provides regional hospital, emergency, and outpatient medical services.
Associate degree and experience in healthcare revenue cycle areas such as patient access, billing, insurance verification, prior authorization, revenue integrity, or denial management; English fluency required.
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.
Chiricahua Community Health Centers: Provides comprehensive primary medical, dental, and behavioral healthcare.
Performs revenue cycle tasks including payer and patient AR, payment posting, charge processing, claims reconciliation, and communication with payers; HS diploma or GED required.
Pure Infusion Suites: Provides outpatient medical infusion and injection therapy services.
0.5+ YOERequires a high school diploma or equivalent, six months of federal payer authorization experience, three months of commercial payer authorization experience, computer literacy, and strong communication skills.
Health Plan Payment Solutions Vice President - Healthcare Payments
Kingman or Apple Valley or Monument or Las Vegas or Bend or Orem or Brush Prairie or California or Colorado or Nevada or Oregon or Utah or Washington or Chicago
$105k-$197k/yrRemoteFull Time
JPMorgan ChaseNYSE: JPM: Global financial services firm providing banking and investment solutions.
5+ YOE5+ years experience in product/sales solutioning for healthcare payers, quota-driven sales experience, deep payer knowledge, enterprise deal management, strong problem-solving and stakeholder skills; travel up to 25%.
United States or Cambridge or Alaska or Hawaii or Washington or Oregon or Idaho or Montana or Wyoming or North Dakota or South Dakota or Minnesota or Nebraska or California or Nevada or Utah or Colorado or Arizona or New Mexico or Texas or Michigan or Tennessee
$223k-$265k/yrFieldFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's degree required; 10+ years in pharma/biotech and 5+ years managing national/regional payer and PBM accounts. Experience with rare disease/specialty launches, payer engagement, strategic planning, and ability to travel 25–50%.
Field Health Economics & Outcomes Research Liaison (fHEOR) – Payers & PBMs (Field Based)
Acton or Texas or New York or California or Georgia or Arizona or Colorado or Nevada or Florida or Massachusetts or New Jersey or Pennsylvania
$166k-$248k/yrFieldFull Time
InsuletNasdaq: PODD: Manufactures wearable tubeless insulin pumps for diabetes care.
7+ YOE7+ years in pharma/biotech/med device; PharmD/PhD/MD or equivalent; training in health economics, epidemiology, or biostatistics; experience with HEOR, RWE, economic models, and payer engagement.
Imagine Therapy: Providing mental health therapy for children, adults, and families.
3+ YOE3+ years healthcare administration with medical billing, credentialing, payer knowledge, supervisory experience, strong organizational and communication skills.
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.