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.
Reid Health: Regional health system providing hospital and outpatient medical services.
1+ YOEHigh school diploma, minimum 1 year front-office experience; prior pre-certification/prior authorization experience preferred; ability to obtain authorizations, schedule procedures, and enter CPT-based requests.
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%.
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
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
Quest Analytics: A health technology providing provider network management and analytics to health plans.
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%.
Maryland Oncology Hematology: Provider of community-based medical oncology and hematology care.
10+ YOE10+ years in direct-to-employer contracting, managed care, value-based care, healthcare administration, payer relations, or oncology multispecialty operations; direct contracting with employers and payers.
MBX BiosciencesNASDAQ: MBX: Develops precision peptide therapies for endocrine and metabolic disorders
15+ YOE15+ years biopharma experience with deep U.S. payer expertise, proven market access and pricing strategy for specialty/rare disease products, senior payer relationships, negotiation skill, and team leadership.
Arizona or Delaware or Florida or Georgia or Idaho or Indiana or Louisiana or Missouri or New Hampshire or North Carolina or South Carolina or Tennessee or Texas or Vermont or Virginia
$65k-$75k/yrRemoteFull Time
Oshi Health: Virtual clinic specializing in gastrointestinal and digestive health care.
3+ YOEBachelor's degree, 3+ years provider payer enrollment and credentialing experience, CAQH and payer portal knowledge, experience with Medicare/Medicaid/commercial plans, strong organization and communication, Google Sheets proficiency.
CAQH, Google Workspace, Google Sheets, Verifiable Enrollment and Licensing Manager
Cambridge or United States or Wisconsin or Michigan or Ohio or West Virginia or Kentucky or Tennessee or Illinois or Indiana or Iowa or Missouri or Kansas or Oklahoma or Arkansas or Louisiana or Mississippi or Alabama or Alaska or Arizona or Hawaii
$223k-$265k/yrFieldFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's degree required (advanced degree preferred), 10+ years in pharma/biotech, 5+ years managing national/regional payer and PBM accounts, experience with launches for rare or specialty therapies, strong payer relationship and strategic skills, ability to travel 25–50% (driving and air).
Indiana University Health: Operates a network of hospitals and healthcare clinics.
Experience with hospital or physician billing, payer requirements, strong interpersonal, analytic, written and verbal communication skills, teamwork, and initiative.
Trilogy Health Services: Senior living and long-term healthcare community provider.
1+ YOEOversee billing and collections for campus payer types; assist Medicaid eligibility; high school/GED preferred; 1+ years relevant experience preferred.
Indiana University Health: Nonprofit healthcare system providing comprehensive medical and hospital services.
1+ YOEAt least 1 year in hospital or physician billing; knowledge of payer billing requirements; strong interpersonal, problem solving, and communication skills; team-oriented with initiative.
0+ YOEHigh school diploma/GED, customer-facing and scheduling experience preferred; greets/registers patients, verifies insurance, collects payments, and communicates with payers and partners.
Riverview Health: Operates hospitals and clinics providing comprehensive community healthcare services.
0.5+ YOESchedule endoscopy procedures, maintain accurate patient charting, submit electronic health record elements to payers, assist clinical staff, and ensure regulatory and financial compliance.
Joy Health Services: Providing professional in-home skilled nursing and rehabilitation services.
Requires HHA or CNA license, experience coordinating home health shifts, verifying timecards, communicating with clients and staff, monitoring payer hours, and occasional field work.
Vertex PharmaceuticalsNASDAQ: VRTX: Develops and sells prescription drugs for serious genetic diseases.
5+ YOE5+ years in reimbursement, market access, or related field; experience with payer policies; bachelor in health care, life sciences, or business; willing to travel 50-70%.
Microsoft Outlook, Word, Excel, PowerPoint, Salesforce CRM