3w
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Senior Director, Payer Accounts
United States or Houston
$260k-$300k/yr FieldFull Time
12+ YOE5+ MgmtBachelor's degree with 12+ years pharma/biotech market access experience,5+ years national payer account management,cell/gene therapy experience,HEOR knowledge,strong negotiation and project leadership;able to travel up to 50%.
1mo
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Payer Quality Consultant, Director
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/yr OnsiteFull Time
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.
3w
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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
1mo
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Senior Managed Care Contracts Administration - Payer Contracting & Relations
Bellaire or Houston
OnsiteFull Time
5+ YOEMinimum 5 years hospital managed-care experience; High School diploma/GED; knowledge of TDI and HHSC (STAR & CHIP) regulations; contract negotiation and financial/claims analysis skills; ability to review and negotiate provider contracts and maintain executive-level relationships.
2mo
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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
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
4d
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Region VP Population Health-South
Houston, Texas, United States
OnsiteFull Time
10+ YOEBachelor's required, Master's preferred; 10+ years progressive leadership in payer/provider strategy, managed care, value-based care and population health; expertise in payer contracting and network strategy.
4d
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Physisican Administration Manager
Houston, Texas, United States
$90k/yr OnsiteFull Time
5+ YOE5+ years in physician administration with leadership experience; knowledge of credentialing, onboarding, payroll, payer enrollment, and healthcare compliance.
2w
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Business Office Manager/ SNF Medicare & Managed Care Biller
Houston, Texas, United States
OnsiteFull Time
Experience in nursing home billing, knowledge of CMS/Medicare/Medicaid payer rules, accounting and month-end reconciliations, leadership or supervisory experience preferred.
1mo
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Credentialing and Enrollment Specialist
Houston, Texas, United States
OnsiteFull Time
2+ YOE2+ years credentialing/enrollment experience, proficiency with Medallion, knowledge of payer enrollment, CAQH, Medicare/Medicaid, strong attention to detail, communication, and organizational skills.
Medallion, CAQH
3mo
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Billing Associate
Shenandoah, Texas, United States
OnsiteFull Time
2+ YOE2+ years medical billing experience; high school diploma; CPT/ ICD-10/ HCPCS knowledge; payer policies familiarity; EHR/PM experience preferred.
EHR, Practice Management, Billing Software, ICD-10, CPT, HCPCS
4d
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Scheduler
Stafford, Texas, United States
$13-$20/hr OnsiteFull Time
Coordinating clinician schedules, matching staff availability to care plans, managing calendars, handling call-outs, and tracking visit utilization to meet agency and payer guidelines.
1d
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Insurance Coordinator - Temp
Houston, Texas, United States
OnsiteTemporary
2+ YOEMinimum 2 years computerized medical billing and collections experience, high school diploma or equivalent, accounting background a plus, knowledge of Medicare/Medicaid/commercial payers.
3mo
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Restructuring and Turnaround Services, Healthcare and Life Sciences - Senior Associate (Revenue Cycle Management)
Atlanta or Chicago or New York or Dallas or San Jose or Detroit or Miami or Houston or Washington or Denver or Orange County
$90k-$145k/yr HybridFull Time
3+ YOEBachelor’s degree; 3+ years in provider/payer analytics; expertise in reimbursement, denial management, contract evaluation; strong Excel, Power BI/Tableau, SQL; RCM experience.
Excel, Power BI, Tableau, SQL, EPIC, Cerner, Athenahealth, Waystar, Change Healthcare, Optum360
2w
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Insurance Appeals Rep
Houston, Texas, United States
OnsiteFull Time
2+ YOEReview clinical documentation and payer guidelines to draft appeals; 2+ years hospital denials experience, Epic HB required, Microsoft Excel, strong research and communication skills.
Epic HB, Microsoft Excel
1w
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Patient Care Coordinator - Weight Management
Houston, Texas, United States
OnsiteFull Time
3+ YOEHigh school diploma, 3 years insurance verification experience in healthcare, proficiency with EHR, knowledge of CPT/ICD-10 and payer policies, strong communication and medical terminology skills.
Electronic Health Record (EHR)
4d
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Region VP Population Health-South
Houston, Texas, United States
$96-$134/hr OnsiteFull Time
10+ YOEBachelor's required, Master's preferred; 10+ years progressive leadership in payer/provider strategy, managed care, and population health; executive negotiation and multi-state program leadership experience.
1w
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Insurance Authorization Specialist (50597)
Houston, Texas, United States
OnsiteFull Time
1+ YOE1–2 years insurance authorization experience in radiology, knowledge of payer guidelines (commercial, Medicare, Medicaid), strong communication and customer-service skills, familiarity with EMR and scheduling systems.
EMR
1d
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Intake Coordinator
Houston, Texas, United States
OnsiteFull Time
2+ YOEHigh school diploma/GED, 2 years collecting referral information in healthcare, experience with Medicare/Medicaid/commercial payers, insurance verification and pre-certification knowledge, strong communication skills.
1w
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Patient Access Liaison - UPLIZNA -(Rare Disease) Houston, TX
Houston, Texas, United States
$158k-$222k/yr FieldFull Time
2+ YOEField-based patient access specialist with payer/reimbursement experience, prior authorization and appeals knowledge, strong communication and analytical skills, ability to manage complex cases and travel up to 50%.
Microsoft Office, CRM, AI
3d
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Insurance Authorization Specialist
The Woodlands, Texas, United States
OnsiteFull Time
2+ YOE2+ years insurance verification/authorization experience, high school diploma/GED, expert payer knowledge, Microsoft Word/Excel/Outlook proficiency, fluent English, strong communication skills.
Microsoft Word, Microsoft Excel, Outlook
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