44 payer jobs at 31 companies in Loveland, CO
5d
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Sr. Lead, Payer Gateway Management
Charlotte or Denver or New York City
$146k-$219k/yr HybridFull Time
6+ YOEBachelor’s degree and 6+ years in healthcare EDI or payer gateway operations. Requires HIPAA EDI expertise, claims workflow support, queue management, reconciliation, incident analysis, Excel, reporting, ticketing, and dashboarding.
HIPAA, EDI, 837, 270/271, 276/277, 835, X12, 999/277CA, 824/TA1, Excel, SFTP, API
1mo
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Director of Payer Relations
Los Angeles or New York City or Denver
$110k-$150k/yr HybridFull Time
7+ YOE3+ Mgmt7+ years RCM experience with 3+ years leadership, payer contracting, fee schedule management, provider credentialing, AdvancedMD/EHR proficiency, CPT/HCPCS/ICD-10 knowledge, and strong negotiation and communication skills.
AdvancedMD, EHR, CPT, HCPCS, ICD-10
1w
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Manager, Payer Contracting - Hybrid - Must Reside in Colorado
Denver, Colorado, United States
$89k-$138k/yr HybridFull Time
5+ YOEBachelor's degree in finance, accounting, business, management, or healthcare administration; 5–7 years of managed care contract management; payer contracting, reimbursement, regulations, negotiation, analytics, and supervisory experience.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Outlook, CPT, HCPCS, ICD-10, CMS, Medicare, Medicaid, Public Service Loan Forgiveness (PSLF), National Health Service Corps (NHCS), Colorado Health Service Corps (CHSC)
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
2w
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Payer Contracting Specialist
Boulder or United States
$102k-$122k/yr HybridFull Time
4+ YOE4+ years in health plan network contracting with strong knowledge of commercial and Medicare payer processes, negotiation, analytics, and cross-functional collaboration.
2w
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Principal, Management Consulting | Healthcare, Payer
Chicago or Boston or New York or Westminster
$180k-$220k/yr OnsiteFull Time
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.
2w
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Principal, Management Consulting | Healthcare, Payer
Chicago or Boston or New York or Westminster
$180k-$220k/yr OnsiteFull Time
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.
Agile
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
2mo
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IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver) (Denver, CO, US)
Denver, Colorado, United States
$108k-$250k/yr RemoteFull Time
7+ YOE7+ years IT sales experience in managed/professional services within Healthcare Payer; hunter-minded; strong C-suite engagement.
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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Credentialing and Denials Specialist
Lakewood, Colorado, United States
OnsiteFull Time
2+ YOERequires 2+ years in credentialing, payer enrollment, medical billing, denial management, or revenue cycle operations; high school diploma/GED; analytical skills; and Microsoft Office, internet research, and payer portal proficiency.
Microsoft Outlook, Microsoft Word, Microsoft Excel, EPIC Resolute Professional Billing, CAQH, payer portals
2mo
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Billing Specialist II
Longmont, Colorado, United States
$25-$30/hr HybridFull Time
2+ YOE2+ years in medical billing with strong denial management and A/R recovery; experience with payer rules, prior authorization, and EHR platforms like Athenahealth/Brightree.
Athenahealth, Brightree, EHR/PMS
1mo
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Board Certified Behavior Analyst (BCBA)
Denver or Aurora or Colorado Springs or Fort Collins or Lakewood or Thornton or Arvada or Westminster or Pueblo or Boulder or Colorado
$80-$100/hr RemotePart Time
Active BCBA in good standing, ability to meet Colorado licensure/payer requirements, strong clinical judgment and communication; home-based ABA experience preferred.
1w
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Associate Director, Regional Accounts – AZ, NV, UT, CO, WY & MT
Phoenix or Las Vegas or Denver or Utah or Wyoming or Montana
$200k-$220k/yr RemoteFull Time
10+ YOEBachelor's degree, 10+ years of pharmaceutical experience, valid driver's license, and regional payer, reimbursement, account management, contracting, analytical, strategic, communication, and leadership expertise.
PHRMA Code Guidelines
1mo
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Start an ABA Practice - Board Certified Behavior Analyst (BCBA)
Arvada, Colorado, United States
$160k-$230k/yr HybridFull Time
3+ YOEExperienced BCBA with clinical experience; ability to own and lead an independent ABA practice, manage staff, and deliver care; familiarity with practice operations and payer networks preferred.
1mo
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Specialty Account Manager, Symbravo (Fort Collins, CO)
Fort Collins, Colorado, United States
$100k-$150k/yr FieldFull Time
5+ YOEBachelor's degree and minimum 5 years field/customer or account management experience in pharma/biotech with CNS/migraine experience preferred; strong presentation, communication, and payer knowledge.
6d
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Field Reimbursement Manager
Denver or Salt Lake City or Las Vegas or Colorado or Nevada or Utah or Idaho or Wyoming
$120k-$130k/yr FieldFull Time
3+ YOEBachelor's degree, 3+ years in reimbursement, market access, HUB services, pharmaceutical sales or healthcare consulting, payer-policy knowledge, clean driving record, and travel readiness.
HUB data, payer research
5d
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Engagement Manager
Denver, Colorado, United States
$6k-$7k/mo RemoteFull Time
3+ YOERequires 3+ years of consultative sales or consulting experience with payers or life insurance groups, a bachelor's degree, CRM experience, healthcare workflow knowledge, and a valid driver's license.
Electronic Health Records (EHR), Customer Relationship Management (CRM)
3w
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Senior Advisor - Affordability Strategy - Hybrid
Chicago or Austin or Philadelphia or Franklin or Bloomfield or Denver
$120k-$199k/yr HybridFull Time
6+ YOEBachelor's degree required,6+ years in healthcare strategy/consulting or payer/provider settings; strong strategic, analytical, communication skills; experience with affordability, provider engagement, and executive presentation.
1mo
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Director, National Access
California or New York or Austin or Denver or Michigan or Washington or Illinois or Georgia or Missouri or North America or Utah or Florida
$180k-$220k/yr RemoteFull Time
10+ YOE10+ years market access experience, bachelor\u0002s degree required, established payer/PBM relationships, HEOR and budget impact modeling experience, oncology launch experience preferred.
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