ImmaticsNASDAQ: IMTX: Develops T-cell receptor-based immunotherapies for cancer treatment.
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%.
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/yrFieldFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
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.
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
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
Senior Managed Care Contracts Administration - Payer Contracting & Relations
Bellaire or Houston
OnsiteFull Time
Texas Children's Hospital: Provides specialized pediatric and maternal healthcare and clinical research.
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.
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.
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
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.
Altus Community Healthcare: Operates freestanding emergency rooms and micro-hospitals throughout Texas.
5+ YOE5+ years in physician administration with leadership experience; knowledge of credentialing, onboarding, payroll, payer enrollment, and healthcare compliance.
Senior Psych Care: Psychiatric and psychological services for seniors in care facilities.
2+ YOE2+ years credentialing/enrollment experience, proficiency with Medallion, knowledge of payer enrollment, CAQH, Medicare/Medicaid, strong attention to detail, communication, and organizational skills.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
10+ YOE10+ years healthcare analytics; extensive SQL, SAP, data management; CMS knowledge; Power BI; experience with claims data and payer financial models.
SQL, SAP, Power BI, Excel, Access, Microsoft Data Services
ScionHealth: Operates community and specialty hospitals providing acute healthcare services.
2+ YOEAssociate degree required; healthcare sales or clinical experience preferred. Requires driver's license, fluent English, payer knowledge, and competence in business planning and marketing initiatives.
Ventex Home Health Agency: Provides full-service in-home nursing and caregiving services.
Coordinating clinician schedules, matching staff availability to care plans, managing calendars, handling call-outs, and tracking visit utilization to meet agency and payer guidelines.
CommonSpirit Health: Operates a national non-profit Catholic health system.
1+ YOEHigh school diploma or GED and one year of hospital, physician office, medical group, admitting, business office, payer communication, or managed care experience required.
The Rose: Provides breast cancer screenings and diagnostic imaging services.
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.
Behavioral Health Works: Provides behavioral health and ABA therapy services for autism.
2+ YOEMaster’s degree in a related field, BCBA certification or qualifying healthcare license, Texas payer credentialing, and strong leadership, communication, and organizational skills. Remote ABA experience preferred.
PFS Group: Provides revenue cycle management and patient billing services.
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.
Houston Methodist: A non-profit health system providing comprehensive hospital and specialty medical services.
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.
Emerus: Operates a network of community-based micro-hospitals and emergency centers.
2+ YOE2+ years insurance verification/authorization experience, high school diploma/GED, expert payer knowledge, Microsoft Word/Excel/Outlook proficiency, fluent English, strong communication skills.