United States or Roswell or Braintree or Holbrook or Dublin
$250k-$300k/yrRemoteFull Time
Sebela Pharmaceuticals: Developing and commercializing prescription pharmaceutical products.
12+ YOEBachelor's degree,12+ years pharmaceutical payer or trade experience,deep knowledge of US payer landscape (commercial, Medicare Part D, Medicaid),launch experience,pricing and contracting expertise,strong communication and negotiation skills.
ApolloMD: Provides multispecialty physician and practice management services to hospitals.
2+ YOERequires 2+ years in healthcare claims, payer disputes, or revenue cycle; Excel and Microsoft Office proficiency; high school diploma; strong analytical, organizational, communication, and problem-solving skills.
Microsoft Excel, Microsoft Office, CMS portal, Athena
KPMG: Global professional services network providing audit, tax, and advisory.
8+ YOE8+ years consulting or executive payer experience, master's degree, strong payer operations and transformation expertise, consulting skills, project and budget management, and willingness to travel up to 80-100%. Must be authorized to work in the U.S. without sponsorship.
Allara: Provides longitudinal virtual care for women's hormonal conditions.
2+ YOE2+ years in provider enrollment/credentialing or healthcare administration, experience documenting SOPs, coaching or quality-review, strong follow-up and communication, metrics ownership, high attention to detail.
AccentureNYSE: ACN: Global provider of management consulting and technology services.
8+ YOE5+ MgmtMinimum 8 years Healthcare IT experience (EPP payer platform), 5+ years program/project management, Epic non-clinical certification required, hands-on Epic build experience in at least two EPP areas, familiarity with Epic integration standards, bachelor’s degree or equivalent.
Epic, Epic Tapestry, Resolute PB, Resolute HB, GrandCentral, ADT, FHIR R4, EDI X12, CDA/CCDA, Microsoft Excel
Alliance Spine & Pain Centers: Provider of specialized interventional pain management and spine care.
2+ YOEHigh school/GED required; 2 years credentialing experience; CPCS preferred; knowledge of payer enrollment (Medicare/Medicaid/commercial), CAQH/CAQH attestation, strong written/verbal communication and attention to detail.
Atlanta or Columbus or Irving or Nashville or United States or Dallas
$80k-$266k/yrHybridFull Time
AccentureNYSE: ACN: Global professional services firm providing consulting and technology solutions.
8+ YOE5+ MgmtRequires 8+ years in Healthcare IT, 5+ years in program or project management, Epic non-clinical certification, and a bachelor's degree or equivalent experience.
New York City or Atlanta or Charlotte or Austin or Washington or Kansas City or Dallas or Los Angeles or Baltimore or Denver or Minneapolis or Boston or St. Louis or San Francisco or Philadelphia or Pittsburgh or Houston
$63k-$140k/yrOnsiteFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
2+ YOEBachelor's degree, at least 2 years' experience, skills in business data analytics, process improvement, stakeholder engagement and change management; ability to travel up to 60%.
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
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.
WellStreet Urgent Care: Operates and manages a national network of urgent care centers.
3+ YOEAuditing and education on coding, CMS and payer regulations; 3+ years auditing in urgent care; CPC/CCS; strong documentation and coding knowledge.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
1+ YOE1+ years payer/provider or healthcare operations experience, data-driven process improvement and workflow design experience, ability to present recommendations to senior leadership.
Emory Healthcare: Provides clinical care through a comprehensive academic health system.
2+ YOECoordinating patient care and discharge planning, securing post-acute services, patient/family advocacy, payer communication, and compliance with regulatory and case management systems.
Curant Health: Provides personalized medication management and specialty pharmacy services.
2+ YOEPosting and processing payments, answering billing inquiries, researching and resolving account discrepancies, maintaining AR records, monitoring aging reports, and ensuring HIPAA and payer compliance.