Community Bridges: Provides integrated behavioral health and addiction treatment services.
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.
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/yrFieldFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
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.
CommonSpirit Health: Operates a national non-profit Catholic health system.
3+ YOEBachelor's or equivalent,3 years contract management experience in healthcare,contract review and negotiation support skills,and strong attention to contractual detail.
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/yrRemoteFull Time
Milliman: Global provider of actuarial and risk management consulting services.
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
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/yrFieldFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
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
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
3+ YOEBachelors or equivalent and three years' contract management experience in healthcare; strong contracting, negotiation support, and attention to contractual detail.
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/yrRemoteFull Time
LivaNovaNASDAQ: LIVN: Manufactures medical devices for cardiac and neurological therapies.
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
Adobe Population Health: Provides integrated health care management and social support services.
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.
Imagine Therapy: Providing mental health therapy for children, adults, and families.
3+ YOE3+ years healthcare administration with medical billing, credentialing, payer knowledge, supervisory experience, strong organizational and communication skills.
Oscar HealthNYSE: OSCR: Provides tech-enabled health insurance plans and telemedicine services.
1+ YOE1+ years experience in payer/provider or healthcare operations with process improvement, data-driven decision making, and presenting recommendations to senior leadership.
BrightSpring Health ServicesNASDAQ: BTSG: Provider of home and community-based health and pharmacy services.
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.
Acadia HealthcareNasdaq: ACHC: Provider of inpatient and outpatient behavioral health services.
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.
Foothills Neurology: Specialized neurology and movement disorder medical practice.
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
3+ YOEActive RN or RRT license preferred, clinical assessment skills, 3+ years relevant experience, strong communication and relationship-building, payer knowledge and patient advocacy.
Benefit and Eligibility Specialist - Multiple Locations (8552)
Phoenix or Phoenix or Phoenix or Phoenix or Phoenix or Tempe or Glendale
OnsiteFull Time
Terros Health: Provides integrated medical care and behavioral health services.
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