134 payer jobs at 81 companies in Georgia
2w
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Payer Dispute Analyst (57547)
Atlanta, Georgia, United States
OnsiteFull Time
2+ YOERequires 2+ years in healthcare claims, payer disputes, or revenue cycle; Excel and Microsoft Office proficiency; high school diploma; strong analytical, organizational, communication, and problem-solving skills.
Microsoft Excel, Microsoft Office, CMS portal, Athena
1mo
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Vice President, Trade & Payer
United States or Roswell or Braintree or Holbrook or Dublin
$250k-$300k/yr RemoteFull Time
12+ YOEBachelor's degree,12+ years pharmaceutical payer or trade experience,deep knowledge of US payer landscape (commercial, Medicare Part D, Medicaid),launch experience,pricing and contracting expertise,strong communication and negotiation skills.
1mo
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Director, Payer Modernization & Innovation
Atlanta or Chicago or Nashville
OnsiteFull Time
8+ YOE8+ years consulting or executive payer experience, master's degree, strong payer operations and transformation expertise, consulting skills, project and budget management, and willingness to travel up to 80-100%. Must be authorized to work in the U.S. without sponsorship.
1mo
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VP of Payer Relations
Roseville or Minnesota or Ohio or Washington or Pennsylvania or North Carolina or Georgia or United States
$180k-$210k/yr RemoteFull Time
10+ YOE7+ MgmtBachelor's required; 10+ years payer relations experience and 7+ years senior leadership preferred. Experience negotiating complex multi-state payer agreements, behavioral health reimbursement expertise, strong analytical and communication skills.
1mo
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Payer Operations Lead
Atlanta, Georgia, United States
$60k-$68k/yr RemoteFull Time
2+ YOE2+ years in provider enrollment/credentialing or healthcare administration, experience documenting SOPs, coaching or quality-review, strong follow-up and communication, metrics ownership, high attention to detail.
Availity
2mo
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Epic Payer Platform Lead
Nashville or Dallas or Columbus or Atlanta
$80k-$266k/yr HybridFull Time
8+ YOE5+ MgmtMinimum 8 years Healthcare IT experience (EPP payer platform), 5+ years program/project management, Epic non-clinical certification required, hands-on Epic build experience in at least two EPP areas, familiarity with Epic integration standards, bachelor’s degree or equivalent.
Epic, Epic Tapestry, Resolute PB, Resolute HB, GrandCentral, ADT, FHIR R4, EDI X12, CDA/CCDA, Microsoft Excel
1mo
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Credentialing & Payer Enrollment Specialist - Buckhead
Atlanta, Georgia, United States
OnsiteFull Time
2+ YOEHigh school/GED required; 2 years credentialing experience; CPCS preferred; knowledge of payer enrollment (Medicare/Medicaid/commercial), CAQH/CAQH attestation, strong written/verbal communication and attention to detail.
Qgenda, Smartsheet, CAQH
1mo
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Payer Relations Contracting Specialist
Lawrenceville, Georgia, United States
OnsiteFull Time
5+ YOERelationship and project management required; 5+ years healthcare contracting preferred; financial analysis, contract negotiation, and advanced Excel skills preferred.
Microsoft Excel
3w
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Epic Payer Platform Lead
Atlanta or Columbus or Irving or Nashville or United States or Dallas
$80k-$266k/yr HybridFull Time
8+ YOE5+ MgmtRequires 8+ years in Healthcare IT, 5+ years in program or project management, Epic non-clinical certification, and a bachelor's degree or equivalent experience.
Epic Systems, Excel, FHIR R4, EDI X12, CDA/CCDA
3w
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Payer Operations & Transformation Consultant, Experienced Associate
New York City or Atlanta or Charlotte or Austin or Washington or Kansas City or Dallas or Los Angeles or Baltimore or Denver or Minneapolis or Boston or St. Louis or San Francisco or Philadelphia or Pittsburgh or Houston
$63k-$140k/yr OnsiteFull Time
2+ YOEBachelor's degree, at least 2 years' experience, skills in business data analytics, process improvement, stakeholder engagement and change management; ability to travel up to 60%.
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
3mo
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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.
3mo
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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.
2mo
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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%.
1mo
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Payer Peer to Peer Physician Advisor
United States or Georgia
$150k-$199k/yr RemoteFull Time
3+ YOEActive unrestricted MD or DO license, minimum 3 years clinical experience post-residency, strong multi-specialty clinical knowledge, excellent communication, and basic computer proficiency.
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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Collections Specialist
Peachtree City, Georgia, United States
OnsiteFull Time
Experience collecting accounts receivable from insurance payers, reviewing EOBs/remittances, resolving denials/underpayments, knowledge of payer portals and billing rules, Excel proficiency, and HIPAA compliance.
Microsoft Excel
2mo
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Field Health Economics & Outcomes Research Liaison (fHEOR) – Payers & PBMs (Field Based)
Acton or Texas or New York or California or Georgia or Arizona or Colorado or Nevada or Florida or Massachusetts or New Jersey or Pennsylvania
$166k-$248k/yr FieldFull Time
7+ YOE7+ years in pharma/biotech/med device; PharmD/PhD/MD or equivalent; training in health economics, epidemiology, or biostatistics; experience with HEOR, RWE, economic models, and payer engagement.
1w
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Clinical Care Coordinator
Atlanta, Georgia, United States
OnsiteFull Time
Coordinates patient flow, bed placement, utilization management, admissions, payer requirements, and length-of-stay improvement across healthcare teams.
1mo
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Patient Service Representative I
Rome, Georgia, United States
$20-$30/hr OnsiteFull Time
Registering and checking out patients, verifying/updating demographics and insurance, collecting patient financial responsibility, and knowledge of Medicare/Medicaid and payer policies.
Microsoft Outlook, Microsoft Word, Microsoft Excel, ADT
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