1mo
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Director, Payer Partnerships
United States or Arizona or California or Colorado or Florida or Georgia or Idaho or Illinois or Kentucky or Massachusetts or Michigan or North Carolina or New Jersey or New York or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Washington or West Virginia or Portland
$160k-$180k/yr RemoteFull Time
5+ YOE5+ years in healthcare sales or payer contracting, proven experience negotiating value-based care contracts, deep knowledge of payment models, strong negotiation/analytical skills, executive presence, and excellent communication.
CRM
1mo
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Senior Manager, Payer Access & Reimbursement
Tampa, Florida, United States
$130k-$155k/yr RemoteFull Time
8+ YOEMinimum 8 years' experience across laboratory medicine, payer policy/claims, or clinical practice; bachelor's required, master's preferred; strong communication, strategic mindset, project execution, and intermediate-advanced Microsoft Word/Excel/PowerPoint skills; up to 25% travel.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
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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Manager, Payer Strategy & Success
Florida, United States
RemoteFull Time
5+ YOE5+ years experience (3+ years customer/account management), Bachelor’s or equivalent, US permanent work status, strong communication, healthcare and analytics familiarity, HIPAA compliance, up to 10% travel.
Microsoft Teams
1w
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Senior Analyst US Healthcare Payer Domain
Tampa, Florida, United States
$100k-$140k/yr OnsiteFull Time
8+ YOE8+ years in US Healthcare Payer domain, knowledge of claims/enrollment/benefits, EDI (837/835/834), HIPAA, SQL, Agile, and JIRA/Rally/ALM experience.
EDI, HL7, FHIR, JIRA, Rally, ALM, SQL
2mo
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Healthcare Payer Relations Credentialing and Contract Support Specialist
Miramar, Florida, United States
HybridFull Time
Coordinate credentialing and contracting tasks; maintain credentialing data; liaise with internal/external stakeholders; ensure deadlines; on-site in Miramar, FL; Mon-Fri 8am-5pm; hybrid work.
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 Sales Executive - National Payer Services
Alabama or Arizona or Arkansas or Colorado or Connecticut or Delaware or Florida or Georgia or Idaho or Illinois or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Minnesota or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or North Dakota or Ohio or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Vermont or Virginia or West Virginia or Wisconsin or Wyoming
RemoteFull Time
7+ YOE7+ years strategic SaaS selling experience, 4+ years selling to national commercial health plans, direct payer sales experience, strong account development and presentation skills, proven quota attainment, strategic thinking, willing to travel up to 30%.
2w
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Lead Software Engineer Healthcare Payer SME — CapAdmin Platform
Miami, Florida, United States
HybridFull Time
7+ YOE7+ years payer/TPA domain experience, 8+ years software engineering, proficiency with C#/.NET or Java, relational databases, REST APIs, AWS/Redshift/QuickSight familiarity, strong communication and mentoring skills.
C#, .NET, Java, SQL Server, PostgreSQL, REST, AWS, Redshift, Amazon QuickSight
2w
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(US) Sr. Provider Customer Success Manager - Payer, Provider & Convener
United States or Florida or Toronto
$118k-$132k/yr RemoteFull Time
2-5 years healthcare experience preferred; exposure to provider organizations; strong written/verbal communication, project management, analytical skills; experience with CRM, SaaS or EHR advantageous; willing to travel (~30%).
CRM, EHR, SaaS
1mo
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Revenue Analyst 2, Zero Balance
United States or Florida
RemoteFull Time
Analyze and investigate hospital claims and payer underpayments, communicate with payers, draft complex appeals, interpret payer contracts, use advanced Excel and OneNote, mentor and train junior analysts.
Microsoft OneNote, Microsoft Word, Microsoft Excel
3d
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Credentialing Specialist
Coral Gables, Florida, United States
$22-$25/hr OnsiteFull Time
5+ YOE5+ years physician credentialing and provider enrollment experience; familiarity with Medicare/Medicaid/commercial payers, hospital privileging, payer enrollment, and revenue cycle impacts.
CredentialStream, Waystar, CAQH ProView, PECOS, NPPES, Medicare portals, Florida Medicaid portal, Commercial payer portals, Microsoft Excel, eClinicalWorks, Availity, Change Healthcare
3mo
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Compliance Auditor
Fort Myers, Florida, United States
OnsiteFull Time
3+ YOERN or LPN required; CPC or CCS preferred; 3-5 years Medicare/Medicaid/payer experience; knowledge of Florida statutes and payer guidelines preferred.
3w
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Credentialing Specialist
Clearwater, Florida, United States
OnsiteFull Time
Experience with provider credentialing and payer enrollment, CAQH and NPPES/NPI familiarity, commercial payer portals, strong organization, communication, and proficiency with Excel and Google Sheets.
CAQH, NPPES, NPI, Microsoft Excel, Google Sheets
1w
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Appeal Writer - Hospital Billing, Denials
Delray Beach, Florida, United States
$20-$26/hr RemoteFull Time
Analyze denied claims, draft and submit appeals, research payer and clinical documentation, and communicate with payers and stakeholders. High school diploma and strong analytical and written communication skills required.
Electronic Medical Records (EMR), Epic
2w
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Licensing and Credentialing Specialist
Arizona or Delaware or Florida or Georgia or Idaho or Indiana or Louisiana or Missouri or New Hampshire or North Carolina or South Carolina or Tennessee or Texas or Vermont or Virginia
$65k-$75k/yr RemoteFull Time
3+ YOEBachelor's degree, 3+ years provider payer enrollment and credentialing experience, CAQH and payer portal knowledge, experience with Medicare/Medicaid/commercial plans, strong organization and communication, Google Sheets proficiency.
CAQH, Google Workspace, Google Sheets, Verifiable Enrollment and Licensing Manager
3d
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Client Support Representative
Pinellas Park, Florida, United States
$39k-$52k/yr OnsiteFull Time
Provide exemplary client service, accurate case data entry, schedule payer/peer-to-peer calls, manage denials/appeals data, and communicate with clients and payers; high school diploma/GED required.
Microsoft Outlook, O365, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Salesforce
1mo
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Medical A/R Specialist
Stuart, Florida, United States
OnsiteFull Time
Experience resolving medical A/R, managing denials and appeals with Medicare and commercial payers, using payer portals, EMR and practice management systems (NextGen preferred), strong Microsoft Office skills, and analytical communication abilities.
EMR, Practice Management system, NextGen, Microsoft Office
1w
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Enterprise Sales Executive
Florida, United States
RemoteFull Time
10+ YOE10+ years selling enterprise SaaS to payers/PBMs, proven $5M+ annual sales, strong payer/PBM relationships, executive communication, negotiation, and willingness to travel up to 75% and live near a major airport.
1mo
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Payor Enrollment Specialist
Tallahassee, Florida, United States
OnsiteFull Time
1+ YOEHigh school diploma, 1+ year payer enrollment or credentialing experience, facility enrollments with government payers (Medicare/Medicaid), strong tracking/reporting and data management, web-based systems and computer skills, excellent communication.
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