CommUnityCare Health Centers: Provides accessible healthcare services to underserved Central Texas communities.
7+ YOE7+ years payer contracting experience in healthcare; experience with Medicaid, Medicare, MCOs, commercial payers; Bachelor's in business/healthcare/finance; experience with value-based arrangements; strong analytic and negotiation skills.
Central Health: Public hospital district providing safety-net healthcare for Travis County.
7+ YOEBachelor's degree,7+ years payer contracting experience with Medicaid/Medicare/MCOs,experience with value-based arrangements,financial modeling and contract negotiation skills.
Austin or Albuquerque or Texas or California or Illinois or North Dakota or New York or Ohio or Washington or Wyoming or United States
HybridFull Time
Presbyterian Healthcare Services: Operates hospitals and health insurance plans in New Mexi.
15+ YOEMaster's required; 15+ years progressive experience in payer strategy/managed care or healthcare finance; demonstrated senior leadership, negotiation, reimbursement expertise, and financial modeling ability.
Central Health: Travis County public hospital district providing safety-net healthcare services.
7+ YOE7+ years payer contracting experience, Bachelor's in business/healthcare/finance, experience with Medicaid/Medicare/MCOs, value-based arrangements, strong analytical and negotiation skills.
Aledade: Enables independent primary care practices to succeed in value-based care.
15+ YOE7+ Mgmt15+ years in health plans or payer contracting with value-based care; 7+ years leading teams; strong relationship-building; deep knowledge of commercially insured populations; track record in business development.
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/yrOnsiteFull Time
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.
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
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.
Insurance Directory Optimization Specialist (backed by Y Combinator, $5M+ ARR, $20M+ raised)
Austin, Texas, United States
RemoteMultiple Commitments Available
Legion Health: Provides AI-enabled telepsychiatry and medication management services covered by insurance.
2+ YOE2+ years provider-data or payer operations experience; experience with NPPES/CAQH, payer portals, Google Sheets/Excel, basic SQL/APIs; strong communication and attention to data quality.
Allegiance Mobile Health: Provides emergency medical services and ambulance transport.
0.75+ YOEVerify patient and payer eligibility for ground ambulance transports (Medicare/Medicaid/commercial), document results in LOGIS, and communicate with payers, dispatch, and patients; high attention to detail and data entry accuracy required.
Fort Worth or Pittsburgh or Andover or Memphis or Austin or United States
$104k-$198k/yrRemoteFull Time
Smith & NephewLondon Stock Exchange: SN: Develops medical equipment for tissue repair, regeneration, and replacement.
5+ YOEBachelor's degree, 5+ years payer relations/market access or related healthcare experience, strong understanding of U.S. reimbursement, ability to present clinical and economic evidence, established payer relationships, advanced degree preferred.
3+ YOEVerifies insurance eligibility, obtains pre-certifications/authorizations, communicates with payers and clinical staff, and documents authorization details in the medical record.
TeleMed2U: Provider of virtual specialty medical and behavioral healthcare services.
Experience in credentialing and provider enrollment, strong attention to detail, excellent communication, ability to multitask, knowledge of state licensure and payer enrollment processes.
US Anesthesia Partners: Provides comprehensive anesthesia and pain management services to facilities.
Collect and follow up on outstanding payer claims, process appeals/refiles, maintain spreadsheets, audit adjustments, and meet productivity and accuracy standards.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft Teams, Electronic Objection/Explanation of Benefits (EOB)
Sensi.AI: AI-powered operating system for senior home care providers.
7+ YOE7+ years selling to PACE or payers preferred, strong new-logo outbound experience, ability to navigate clinical review and procurement, executive communication and startup mindset.
Chicago or Austin or Philadelphia or Franklin or Bloomfield or Denver
$120k-$199k/yrHybridFull Time
The Cigna GroupNYSE: CI: Provides health insurance and pharmacy benefit management services.
6+ YOEBachelor's degree required,6+ years in healthcare strategy/consulting or payer/provider settings; strong strategic, analytical, communication skills; experience with affordability, provider engagement, and executive presentation.