55 payer jobs at 28 companies in Galveston, TX
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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%.
2mo
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Epic Payer Platform Business Consultant, Manager
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/yr FieldFull Time
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.
Epic, Epic Tapestry
1w
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Senior Product Strategy Manager - Payer (MedInsight)
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/yr RemoteFull Time
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
1mo
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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
1d
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Healthcare Payer AI Decision Science Manager/Senior Manager
Albany or Arlington or Atlanta or Austin or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Denver or Des Moines or Hartford or Houston or Irving or Miami or Milwaukee or Minneapolis or Morristown or Nashville or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$87k-$294k/yr FieldFull Time
5+ YOEBachelor's degree and 5+ years in data science, machine learning, AI, or advanced analytics; programming, leadership, consulting, sales, program management, and communication skills required.
Python, R, SQL, TensorFlow, PyTorch, scikit-learn, OpenAI, Anthropic, AWS, Azure, Google Cloud, Hadoop, Spark, Tableau, Power BI, Electronic Medical Record (EMR)
2mo
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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.
3mo
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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.
2w
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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.
3d
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Corporate Contract Administrator
Houston, Texas, United States
OnsiteFull Time
2+ YOEBachelor’s degree preferred; 2+ years in healthcare contracting, payer relations, or revenue cycle operations. Requires negotiation, communication, organizational skills, Microsoft Office, payer portals, and EMR proficiency.
Microsoft Office, Electronic Medical Records (EMR)
1mo
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Patient Account Specialist - RCO HB Follow Up
Galveston, Texas, United States
OnsiteFull Time
1+ YOE1 year patient accounts (or 2 years financial) required; 1–3+ years healthcare billing/revenue cycle preferred; knowledge of Medicare/Medicaid/commercial payers, CPT/ICD-9/HCPCS coding, payer portals, and claim follow-up; experience with Epic Resolute.
Epic Resolute
2mo
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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
2mo
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Director, Network Strategy & Analytics (Medicare Advantage / Value-Based Care) - Kelsey - Seybold Clinics, Pearland TX.
Pearland, Texas, United States
$113k-$193k/yr OnsiteFull Time
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
5d
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Utilization Management Assistant
Houston, Texas, United States
$23-$32/hr OnsiteFull Time
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.
data entry
2w
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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.
4d
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Clinical Liaison FT Days
Houston, Texas, United States
FieldFull Time
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.
1mo
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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
3w
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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)
2mo
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Medical Credentialing Specialist
Houston, Texas, United States
OnsiteFull Time
0.5+ YOECompleting initial and recredentialing provider enrollment for payers (including Medicare/Medicaid via PECOS), verifying provider credentials, maintaining enrollment databases and medical records, and meeting accuracy and turnaround targets.
PECOS
1w
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Patient Account Specialist - RCO PB Follow Up (Hybrid Remote)
Galveston, Texas, United States
HybridFull Time
1+ YOEMinimum 1 year patient accounts experience (or 2 years financial); knowledge of payer billing, denials, appeals, claims processing, and Epic; Biller experience with Commercial/Medicare/Medicaid preferred.
Epic, Epic Resolute
1mo
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ViiV Healthcare (GSK) Field Reimbursement Director, Central
Dallas or San Antonio or Cheyenne or Oklahoma City or Salt Lake City or Fort Worth or Denver or Houston or Little Rock or Phoenix
$180k-$300k/yr FieldFull Time
5+ YOE5+ MgmtBachelor's degree and 5+ years as a customer-facing first-line leader, 2+ years transformational leadership, experience with payer policy/reimbursement, ability to travel up to 70%, valid driver's license.
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