1mo
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Senior Analyst, Payer Performance - Remote
Eden Prairie or Minneapolis or Washington or United States
$73k-$130k/yr RemoteFull Time
3+ YOE3+ years in healthcare operations/strategy/consulting; financial modeling and strong Excel skills; problem solving, stakeholder engagement, and ability to analyze payer/provider and value-based care dynamics.
Microsoft Excel, Microsoft PowerPoint
3mo
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National Lead Strategic Payer Accounts (Commercial)
Frederick or Princeton
$250k-$300k/yr HybridFull Time
10+ YOE10–15 years biopharma payer experience; leadership; US payer expertise; launch-ready; strong collaboration.
Negotiation, Contracting, Payer analytics
2mo
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Vice President, Payer Contracting (Commercial)
Arlington or Durham or Austin or Novi or Remote
RemoteFull Time
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.
Contract management software
2w
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Director, Payer Growth & Strategic Partnership
Baltimore, Maryland, United States
RemoteFull Time
8+ YOEBachelor's degree; 8+ years healthcare leadership; 5+ years payer/provider partnerships or managed care; experience with Medicaid, Medicare Advantage and D-SNP; ability to travel ~30% and work remotely with HIPAA compliance.
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.
3d
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Payer Services Assistant (Hunt Valley, MD)
Hunt Valley, Maryland, United States
$19-$26/hr OnsiteFull Time
High school diploma, proficiency with EHR and Microsoft Excel, experience with records management and office procedures, strong verbal/written communication and organizational skills.
TRENDConnect, Electronic Health Record (EHR), Microsoft Excel
1mo
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Director: Payer Strategy & Program Design
Washington, District of Columbia, United States
RemoteFull Time
7+ YOE7+ years of relevant experience including in-house Medicare Advantage health plan experience; deep MA knowledge (STARS, risk adjustment, performance management); client-facing consulting, project leadership, mentoring, and strong communication skills.
2mo
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Kearney Healthcare & Life Sciences Practice Principal (Payer)
Chicago or San Francisco or Dallas or Washington D.C. or New York or Boston or Atlanta
$245k-$270k/yr HybridFull Time
10+ YOESenior-level leader with healthcare/LS payer experience, able to lead engagements and drive growth.
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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Kearney Healthcare & Life Sciences Practice Principal (Payer)
Chicago or San Francisco or Dallas or Washington or New York or Boston or Atlanta
$245k-$270k/yr HybridFull Time
10+ YOELead client engagements; develop insights; growth; payer/health insurance experience; product/pricing strategy in Healthcare.
3d
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Project Manager, Payer Implementation
United States or Minneapolis or Washington or New York City
$100k-$125k/yr HybridFull Time
5+ YOEBachelor’s degree, PMP in progress or obtained, 5+ years project management experience (software implementation), healthcare knowledge, MS Project and MS Office proficiency, PM methodology experience, ability to travel up to 10%.
Microsoft Project, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, PMBOK
1mo
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Associate, Payer Advocacy & Value Solutions
Washington, District of Columbia, United States
$115k-$135k/yr HybridFull Time
5+ YOEBachelor's or equivalent; 5+ years progressive project management experience in physician reimbursement or provider relations; substantial knowledge of managed care and payment reform; strong communication, organization, and time-management; travel 5-10%.
3w
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Manager, Implementations
Washington, District of Columbia, United States
$100k-$115k/yr RemoteFull Time
5+ YOE5+ years implementing COB or payer/healthcare administrative solutions, experience managing teams, BA/BS required, strong COB and payer workflow knowledge, CRM and Microsoft Office proficiency.
CRM, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
1mo
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Licensed Nurse Practitioner (1099) – License & DEA Sponsorship for State Expansion
Washington, District of Columbia, United States
OnsiteContract
Active Washington DC nurse practitioner license and DEA registration; eligibility for Medicaid/Medicare/commercial payer enrollment; ability to provide credentialing documentation; no sanctions/exclusions; payer credentialing experience preferred.
1mo
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Coding Integrity & National Strategy Sr. Principal
Chicago or Washington
$192k-$264k/yr HybridFull Time
10+ YOE10+ years enterprise SaaS sales or business development with 5+ years selling into payer organizations; Bachelor’s required (MBA/MPH preferred); GTM, enterprise sales, payer operations, and compliance experience.
CMS, NCQA, HEDIS, HIPAA, PHI, PII, SOC2, HiTrust
2mo
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Director, Healthcare - Payment Integrity
Chicago or Dallas or Minneapolis or New York or Washington, D.C.
$200k-$250k/yr HybridFull Time
10+ YOE10+ years in healthcare payer consulting with leadership of complex engagements in Payment Integrity.
1mo
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Director, US Market Access Strategy
United States or Tysons
$226k-$376k/yr RemoteFull Time
10+ YOEBachelor's required; advanced degree preferred. 10+ years in market access, payer strategy, pricing/reimbursement or related commercial functions. Strong US payer knowledge, strategic thinking, cross-functional influence, and analytical skills.
1d
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Field Reimbursement Manager, CAR-T - Mid Atlantic Region
Delaware or Kentucky or Maryland or Michigan or Ohio or Pennsylvania or Tennessee or Virginia or Washington or West Virginia
$102k-$177k/yr FieldFull Time
5+ YOEBachelor's degree,5 years relevant experience (3 in specialty),expertise in payer policy and reimbursement,valid US driver\u0019s license,reside near assigned region/major airport,strong payer,prior-authorization and appeals experience.
salesforce.com, native iOS app, Microsoft Word, Microsoft Excel
3mo
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OB/GYN Physician
Washington, Dist. of Columbia, United States
$261k-$347k/yr OnsiteFull Time
2+ YOEBoard-certified OB/GYN with DC license, 2+ years clinical experience, EMR proficiency, ability to credential with payers.
Electronic Medical Records (EMR)
2mo
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Field Reimbursement Manager (FRM), Endocrinology - Northern CA
Washington or California
$154k-$200k/yr RemoteFull Time
5+ YOEBachelor’s degree; 5+ years in pharmaceutical reimbursement/market access; experience with SPs/HUBs/payers; travel; valid driver’s license.
MS Office, CRM, Data analysis tools
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