1w
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Payer Rate Analytics Liaison
Phoenix, Arizona, United States
OnsiteFull Time
5+ YOEBachelor's in finance/healthcare/analytics required; 5+ years payer analytics or reimbursement modeling; knowledge of FFS, P4P, full risk; rate-setting experience; advanced Excel and SQL; Power BI/Tableau preferred.
Microsoft Excel, SQL, Microsoft Power BI, Tableau
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.
2w
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Payer Strategy Contract Specialist
Phoenix, Arizona, United States
$29-$44/hr RemoteFull Time
3+ YOEBachelor's or equivalent,3 years contract management experience in healthcare,contract review and negotiation support skills,and strong attention to contractual detail.
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
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.
3w
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Strategic Advisor - Contractor
Phoenix, Arizona, United States
FieldContract
10+ YOE10+ years executive healthcare leadership with payer relationships, strategic partnership development, payer contracting and population health expertise; valid driver's license and travel availability.
CRM
1w
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VP, Sales - Health Plans & Direct Payers
Phoenix, Arizona, United States
RemoteFull Time
7+ YOE7+ years enterprise sales to health plans/payers, proven track record meeting revenue goals, executive relationship building, consultative sales, confidentiality, territory management.
CRM, Healthcare Blue Book, KISx Card, VPN
2mo
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Admissions Manager Full Time
Phoenix, Arizona, United States
OnsiteFull Time
2+ YOETwo years experience in rehabilitation or closely related field; associate or bachelor's degree; familiarity with insurance payers and pre-authorization preferred.
1mo
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Senior Specialist, Issue Management
Tempe or New York City
$68k-$89k/yr HybridFull Time
1+ YOE1+ years experience in payer/provider or healthcare operations with process improvement, data-driven decision making, and presenting recommendations to senior leadership.
Lean Six Sigma
3w
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Billing Readiness Specialist
Phoenix or Nashville
OnsiteFull Time
3+ YOE3+ years experience in medical billing/insurance verification/authorizations, knowledge of Medicare and commercial payers, strong attention to detail, communication and problem-solving skills.
EMR
2w
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Medical Insurance Collector
Chandler, Arizona, United States
OnsiteFull Time
3+ YOEHigh school diploma or equivalent; 3+ years admissions or collections experience in a hospital setting; psychiatric experience preferred; strong claim review and payer communication skills.
6d
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Credentialing Specialist
Phoenix, Arizona, United States
OnsiteFull Time
2+ YOEMinimum 2 years credentialing/payer enrollment experience in a medical practice, knowledge of CAQH, NPPES/PECOS, NCQA standards, primary source verification, and Microsoft Office.
CAQH, NPPES/PECOS, Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Medical Front Office - Patient Service Specialist
Gilbert, Arizona, United States
OnsiteFull Time
Greet and register patients, schedule appointments, manage payer approvals/verifications; high school diploma/GED required; 1 year front-desk or healthcare experience preferred.
2d
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Benefit and Eligibility Specialist - Multiple Locations (8552)
Phoenix or Phoenix or Phoenix or Phoenix or Phoenix or Tempe or Glendale
OnsiteFull Time
1+ YOEVerify insurance eligibility, assist with enrollment and renewals, perform financial screening, use EHR and payer portals, maintain documentation, and meet AZ driving and background/TB requirements.
Electronic Health Record (EHR), payer portals, Microsoft Office
3w
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Territory Director of Business Development
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOE3+ years healthcare marketing management (preferably hospice); ability to supervise staff, develop marketing plans, build referral/payer relationships, negotiate contracts, and perform strategic planning.
3w
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Territory Director of Business Development
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOE3+ years healthcare marketing management (hospice preferred); ability to supervise staff, develop marketing plans, negotiate with payers, and build referral relationships; bachelor's in marketing/business preferred.
2w
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Intake Coordinator - Infusion Pharmacy
Scottsdale, Arizona, United States
OnsiteFull Time
2+ YOEHigh school/GED required, 2+ years collecting healthcare referrals, experience with Medicare/Medicaid/commercial payers, insurance verification and pre-certification knowledge, strong verbal and written communication.
1mo
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Virtual Regional Reimbursement Manager
Phoenix, Arizona, United States
$155k-$165k/yr RemoteFull Time
5+ YOE3+ MgmtBS/BA required, 5+ years reimbursement experience, 3+ years management, patient call center experience, expertise in payer access/prior authorization, and knowledge of commercial/Medicare/Medicaid plans.
2w
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Edifecs/EDI Programmer
Hartford or Raleigh or Richardson or Tempe
OnsiteFull Time
Experience with healthcare payer EDI (X12 837/835/834/820), EDI mapping and analysis, SQL/Microsoft SQL Server, bachelor's degree or equivalent, healthcare EDI upgrades/migrations experience.
Edifecs, EDI, EDI X12, Microsoft SQL Server
3d
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Business Office Assistant Phoenix Hourly
Phoenix, Arizona, United States
OnsiteFull Time
Experience with billing and accounts receivable for skilled nursing, familiarity with Medicare/Medicaid and third-party payers, ability to lift 50 lbs, English proficiency, fingerprinting clearance, TB and background screening required.