140 payer jobs at 59 companies in Arlington, VA
6d
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Managed Care Payer Contract Analyst
Washington or Charlottesville or Philadelphia or United States
$90k-$125k/yr HybridFull Time, Part Time
5+ YOEBachelor’s degree and 5+ years in payer-related provider or insurance roles, including 3+ years in reimbursement modeling, financial analysis, and performance computation. Hospital and professional fee schedule modeling required.
Microsoft Excel, Microsoft PowerPoint, Contract Modeling tools
1w
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Payer Implementation Analyst
Washington, District of Columbia, United States
RemoteFull Time
3+ YOEBachelor's degree,3+ years client-facing implementation experience in healthcare (health plans preferred),strong project management,excellent communication,proficiency with Microsoft Office,authorized to work in the US without sponsorship.
Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook
1mo
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Director, Payer Growth & Strategic Partnership
Baltimore, Maryland, United States
RemoteFull Time
8+ YOEBachelor's degree; 8+ years healthcare leadership; 5+ years payer/provider partnerships or managed care; experience with Medicaid, Medicare Advantage and D-SNP; ability to travel ~30% and work remotely with HIPAA compliance.
2mo
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Epic Payer Platform Business Consultant, Manager
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/yr FieldFull Time
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.
Epic, Epic Tapestry
2w
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Payer Services Assistant (Hunt Valley, MD)
Hunt Valley, Maryland, United States
$19-$26/hr OnsiteFull Time
High school diploma, proficiency with EHR and Microsoft Excel, experience with records management and office procedures, strong verbal/written communication and organizational skills.
TRENDConnect, Electronic Health Record (EHR), Microsoft Excel
1mo
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Director: Payer Strategy & Program Design
Washington, District of Columbia, United States
RemoteFull Time
7+ YOE7+ years of relevant experience including in-house Medicare Advantage health plan experience; deep MA knowledge (STARS, risk adjustment, performance management); client-facing consulting, project leadership, mentoring, and strong communication skills.
3mo
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Kearney Healthcare & Life Sciences Practice Principal (Payer)
Chicago or San Francisco or Dallas or Washington D.C. or New York or Boston or Atlanta
$245k-$270k/yr HybridFull Time
10+ YOESenior-level leader with healthcare/LS payer experience, able to lead engagements and drive growth.
1mo
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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
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
3mo
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Kearney Healthcare & Life Sciences Practice Principal (Payer)
Chicago or San Francisco or Dallas or Washington or New York or Boston or Atlanta
$245k-$270k/yr HybridFull Time
10+ YOELead client engagements; develop insights; growth; payer/health insurance experience; product/pricing strategy in Healthcare.
2w
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Project Manager, Payer Implementation
United States or Minneapolis or Washington or New York City
$100k-$125k/yr HybridFull Time
5+ YOEBachelor’s degree, PMP in progress or obtained, 5+ years project management experience (software implementation), healthcare knowledge, MS Project and MS Office proficiency, PM methodology experience, ability to travel up to 10%.
Microsoft Project, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, PMBOK
1mo
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Associate, Payer Advocacy & Value Solutions
Washington, District of Columbia, United States
$115k-$135k/yr HybridFull Time
5+ YOEBachelor's or equivalent; 5+ years progressive project management experience in physician reimbursement or provider relations; substantial knowledge of managed care and payment reform; strong communication, organization, and time-management; travel 5-10%.
1w
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Senior Solution Sales Executive Payer - Remote
Eden Prairie or Minneapolis or Washington
$90k-$195k/yr RemoteFull Time
10+ YOE10+ years full-cycle healthcare sales, proven quota attainment, willingness to travel 50%, driver's license and reliable transportation required.
1mo
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Manager, Implementations
Washington, District of Columbia, United States
$100k-$115k/yr RemoteFull Time
5+ YOE5+ years implementing COB or payer/healthcare administrative solutions, experience managing teams, BA/BS required, strong COB and payer workflow knowledge, CRM and Microsoft Office proficiency.
CRM, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
2mo
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Licensed Nurse Practitioner (1099) – License & DEA Sponsorship for State Expansion
Washington, District of Columbia, United States
OnsiteContract
Active Washington DC nurse practitioner license and DEA registration; eligibility for Medicaid/Medicare/commercial payer enrollment; ability to provide credentialing documentation; no sanctions/exclusions; payer credentialing experience preferred.
1w
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Enterprise Sales Leader (Remote - US, ~50% travel)
United States or Barcelona or New York City or Miami or Washington, D.C.
RemoteFull Time
10+ YOERequires 10+ years of enterprise healthcare sales, complex payer deal experience, quota performance, payer economics fluency, and experience navigating 9–18 month multi-stakeholder sales cycles.
AI, NCQA, CMS, STAR, HEDIS, Medicare Advantage, Managed Medicaid, MLR, PMPM, D-SNPs, MSOs, BCBS
2mo
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Director, Healthcare - Payment Integrity
Chicago or Dallas or Minneapolis or New York or Washington, D.C.
$200k-$250k/yr HybridFull Time
10+ YOE10+ years in healthcare payer consulting with leadership of complex engagements in Payment Integrity.
1mo
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Director, US Market Access Strategy
United States or Tysons
$226k-$376k/yr RemoteFull Time
10+ YOEBachelor's required; advanced degree preferred. 10+ years in market access, payer strategy, pricing/reimbursement or related commercial functions. Strong US payer knowledge, strategic thinking, cross-functional influence, and analytical skills.
1mo
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Billing & Collections Supervisor
Towson, Maryland, United States
$58k-$90k/yr OnsiteFull Time
1+ MgmtSupervisory experience in billing/accounts receivable, knowledge of medical billing and payer requirements, analytical skills, and experience in behavioral health billing preferred.
2w
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Pediatric Gastroenterology Advanced Practice Provider (NP/PA)
Fairfax, Virginia, United States
$132k-$163k/yr OnsiteFull Time
Licensed NP or PA with BLS, ability to complete payer and medical staff credentialing, and capability to support pediatric gastroenterology clinical services and procedures.
2mo
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Sr. Roster Administrator
Arlington or Austin or Atlanta or United States
RemoteFull Time
3+ YOEBachelor’s degree or equivalent; 3+ years payer/provider operations; data accuracy; Excel/Sheets; Salesforce CRM; cross-functional collaboration.
Google Sheets, Microsoft Excel, Salesforce
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