KPMG: Global professional services network providing audit, tax, and advisory.
8+ YOE8+ years consulting or executive payer experience, Masters degree, strong payer/PBM knowledge, project and budget management, client relationship and business development skills, travel up to 80-100%, authorized to work in the U.S. without sponsorship.
Carle Health: Integrated healthcare system providing hospital and clinical services.
10+ YOE10 years healthcare finance/accounting experience; Bachelor's degree or equivalent experience; strong analytical, problem-solving and leadership skills; ability to manage teams and payer contract/enrollment processes.
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/yrRemoteFull Time
Boulder Care: Provides virtual addiction treatment and medication-assisted recovery services.
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.
Austin or Albuquerque or Texas or California or Illinois or North Dakota or New York or Ohio or Washington or Wyoming or United States
HybridFull Time
Presbyterian Healthcare Services: Operates hospitals and health insurance plans in New Mexi.
15+ YOEMaster's required; 15+ years progressive experience in payer strategy/managed care or healthcare finance; demonstrated senior leadership, negotiation, reimbursement expertise, and financial modeling ability.
West Monroe: Business and technology consultancy specializing in digital transformation.
8+ YOE8+ years consulting experience with healthcare payers, experience leading large transformations, client relationship and business development skills, strong people leadership and executive communication.
Minneapolis or Chicago or Cleveland or Columbus or Des Moines or United States
$140k-$145k/yrRemoteFull Time
HeartFlowNASDAQ: HTFL: Provides AI-driven non-invasive cardiac diagnostic software and analysis.
5+ YOE5+ years managed care/reimbursement experience; BS required (MBA preferred); experience negotiating payer coverage and contracts, knowledge of coding/payment/reimbursement, strong communication and regulatory compliance skills.
AbbVieNYSE: ABBV: Develops and sells innovative pharmaceutical and biopharmaceutical medicines.
10+ YOE5+ Mgmt10+ years in analytics/financial modeling with 5+ years market access payer analytics and people leadership; strong payer channel knowledge, advanced modeling (Bayesian), claims data experience, BI visualization skills, and quantitative degree required.
Neolytix: Provides non-clinical business and technology services for healthcare practices.
3+ YOE3+ years US healthcare analytics experience with payer contracting, SQL and Python (pandas), Azure SQL, Power BI, strong reimbursement knowledge (CPT/HCPCS, fee schedules), and client-facing communication.
SQL, Python, pandas, Azure SQL, Power BI, DAX, Microsoft Excel, Azure Data Factory, Azure Blob Storage, Transparency in Coverage (TiC), LLMs
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/yrOnsiteFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
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.
Manager Dental Benefits and Third-Party Payer Issues
Chicago, Illinois, United States
$81k-$101k/yrHybridFull Time
American Dental Association: National professional association representing dentists and promoting oral health.
5+ YOE3+ MgmtBachelor's degree or equivalent experience; 5 years dental industry experience (or 9 without degree); 3 years program management; knowledge of dental benefit design, claim adjudication, provider contracting; experience engaging payers; M365 proficiency; occasional travel and after-hours/weekend work.
Tiger Analytics: Provides AI and advanced analytics consulting for global enterprises.
4+ YOE4+ years SQL experience, proficiency in Python, mandatory healthcare payer domain expertise, strong communication and client collaboration skills, and a bachelor’s degree in a technology-related field.
Chicago or Indianapolis or Louisville or New Brunswick or St. Louis
$214k-$351k/yrOnsiteFull Time
Slalom: Provides business and technology consulting and software engineering services.
10+ YOE10+ years leading payer transformation or consulting; bachelor’s required, MBA/MHA preferred; executive presence; experience with AI, data science, and cloud/data platforms; ability to grow consulting business.
Illinois or Indiana or Ohio or Michigan or Kentucky or Berkeley Heights
$188k-$230k/yrFieldFull Time
IpsenEuronext Paris: IPN: Develops medicines for oncology, neuroscience and rare diseases.
10+ YOEMinimum 10 years industry experience with ≥5 years payer account management, BA/BS required, strong US payer knowledge, contract negotiation, data-driven strategy, and ability to travel up to 60%.
IQVIANYSE: IQV: Provides clinical research and data analytics for pharmaceutical companies.
10+ YOEBachelor's degree,10+ years in complex sales selling into healthcare payers,success meeting quotas,experience with pricing/contracting and health plan stakeholders;willingness to travel up to 30%.
Publicis GroupeEuronext Paris: PUB: Global advertising and digital transformation agency holding.
8+ YOE8+ years management consulting experience with healthcare payer expertise, leading large-scale digital transformations, advising C-suite, managing teams, strong problem-solving and analytical skills, willing to travel.
Publicis GroupeEuronext Paris: PUB: Global communications, advertising, and digital transformation holding.
8+ YOE8+ years strategy/management consulting experience with healthcare payer clients, track record leading large digital/business transformations, strong executive presence, problem-solving, quantitative analysis, and team leadership.