86 payer jobs at 47 companies in Atlanta, GA

1mo
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Vice President, Trade & Payer
United States or Roswell or Braintree or Holbrook or Dublin
$250k-$300k/yr RemoteFull Time
Sebela Pharmaceuticals
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.
2w
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Payer Dispute Analyst (57547)
Atlanta, Georgia, United States
OnsiteFull Time
ApolloMD
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
1mo
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Director, Payer Modernization & Innovation
Atlanta or Chicago or Nashville
OnsiteFull Time
KPMG
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.
1mo
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Payer Operations Lead
Atlanta, Georgia, United States
$60k-$68k/yr RemoteFull Time
Allara
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.
Availity
2mo
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Epic Payer Platform Lead
Nashville or Dallas or Columbus or Atlanta
$80k-$266k/yr HybridFull Time
Accenture
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
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Credentialing & Payer Enrollment Specialist - Buckhead
Atlanta, Georgia, United States
OnsiteFull Time
Alliance Spine & Pain Centers
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.
Qgenda, Smartsheet, CAQH
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Payer Relations Contracting Specialist
Lawrenceville, Georgia, United States
OnsiteFull Time
Summit Spine & Joint Centers
Summit Spine & Joint Centers: Provides interventional pain management and ambulatory surgery center services.
5+ YOERelationship and project management required; 5+ years healthcare contracting preferred; financial analysis, contract negotiation, and advanced Excel skills preferred.
Microsoft Excel
3w
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Epic Payer Platform Lead
Atlanta or Columbus or Irving or Nashville or United States or Dallas
$80k-$266k/yr HybridFull Time
Accenture
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.
Epic Systems, Excel, FHIR R4, EDI X12, CDA/CCDA
3w
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Payer Operations & Transformation Consultant, Experienced Associate
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/yr OnsiteFull Time
PwC
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%.
1w
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Senior Product Strategy Manager - Payer (MedInsight)
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/yr RemoteFull Time
Milliman
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
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
Kearney
Kearney: Global management consulting firm providing strategic and operational advice.
10+ YOESenior-level leader with healthcare/LS payer experience, able to lead engagements and drive growth.
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
Kearney
Kearney: Global management consulting firm providing strategic and operational advice.
10+ YOELead client engagements; develop insights; growth; payer/health insurance experience; product/pricing strategy in Healthcare.
3mo
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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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Collections Specialist
Peachtree City, Georgia, United States
OnsiteFull Time
Kingston Wellness Retreat
Kingston Wellness Retreat: Residential and outpatient mental health and addiction treatment center.
Experience collecting accounts receivable from insurance payers, reviewing EOBs/remittances, resolving denials/underpayments, knowledge of payer portals and billing rules, Excel proficiency, and HIPAA compliance.
Microsoft Excel
1w
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Clinical Care Coordinator
Atlanta, Georgia, United States
OnsiteFull Time
Grady Health System
Grady Health System: Public academic healthcare system providing comprehensive hospital and emergency services.
Coordinates patient flow, bed placement, utilization management, admissions, payer requirements, and length-of-stay improvement across healthcare teams.
3mo
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Professional Coding Auditor & Educator
Atlanta, Georgia, United States
OnsiteFull Time
WellStreet Urgent Care
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.
Epic, EMR, CPT, ICD-10
2mo
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Sr. Roster Administrator
Arlington or Austin or Atlanta or United States
RemoteFull Time
Aledade
Aledade: Enables independent primary care practices to succeed in value-based care.
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
1mo
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Senior Specialist, Issue Management
Atlanta or New York City
$68k-$89k/yr RemoteFull Time
Oscar Health
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.
1mo
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Care Manager
Atlanta, Georgia, United States
OnsiteFull Time
Emory Healthcare
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.
EMR
2w
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Accounts Receivable Specialist
Smyrna, Georgia, United States
OnsiteFull Time
Curant Health
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.