82 payer jobs at 34 companies in Maryland
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Director, Payer Growth & Strategic Partnership
Baltimore, Maryland, United States
RemoteFull Time
8+ YOEBachelor's degree; 8+ years healthcare leadership; 5+ years payer/provider partnerships or managed care; experience with Medicaid, Medicare Advantage and D-SNP; ability to travel ~30% and work remotely with HIPAA compliance.
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 Services Assistant (Hunt Valley, MD)
Hunt Valley, Maryland, United States
$19-$26/hr OnsiteFull Time
High school diploma, proficiency with EHR and Microsoft Excel, experience with records management and office procedures, strong verbal/written communication and organizational skills.
TRENDConnect, Electronic Health Record (EHR), Microsoft Excel
1mo
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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%.
1w
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Senior Test Lead – Healthcare Payer Claims & GenAI
Rockville or United States
$71k-$113k/yr RemoteFull Time
10+ YOE10+ years healthcare payer testing experience; leading end-to-end claims migration, parallel testing, reconciliation; strong test governance, stakeholder management, and analytical skills.
Playwright, GenAI, JIRA, GitHub, CI/CD
1w
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Field Reimbursement Manager
Pennsylvania or Ohio or New Jersey or Virginia or Maryland
RemoteFull Time
Provide virtual education to HCPs on payer access, prior authorizations, appeals, and patient support programs; ensure HIPAA-compliant operations and adherence to SOPs; strong communication and payer knowledge required.
1mo
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Billing & Collections Supervisor
Towson, Maryland, United States
$58k-$90k/yr OnsiteFull Time
1+ MgmtSupervisory experience in billing/accounts receivable, knowledge of medical billing and payer requirements, analytical skills, and experience in behavioral health billing preferred.
1mo
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Patient Account Representative (Towson, Full Time)
Towson, Maryland, United States
$19-$26/hr OnsiteFull Time
0.5+ YOEHigh school diploma and 6–12 months billing or health insurance experience; knowledge of billing, collections, third‑party payers and Medicaid preferred.
Paperless Claim System (PCS)
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Accounts Receivable Rep- 3rd Party Non-Gov't payers
Sparks or Carrollton or Horsham Township or Columbus or Clearwater
$18-$21/hr RemoteFull Time
1+ YOE1+ year medical billing experience; prepare/submit claims, verify insurance eligibility, process refunds/adjustments, respond to payer inquiries. Requires Microsoft Office, 35 WPM typing, ability to work independently, hard‑wired high-speed internet for remote work, located within 50 miles of listed sites.
Microsoft Office
4d
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Patient Access Registrar I, PT Day Shift, Patient Access
Silver Spring, Maryland, United States
$19-$25/hr OnsitePart Time
Adventist HealthCare: Provides integrated hospital, rehabilitation, and home health services.
High school diploma or equivalent, 1+ year healthcare and patient registration or eligibility experience, payer knowledge, PC skills, and ability to multitask under pressure.
Electronic Health Record (EHR)
2mo
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Laboratory Practice Representative III - Pathology- Floater
Baltimore, Maryland, United States
$40k-$59k/yr OnsiteFull Time
10+ YOEPhlebotomy experience with certification; patient registration and front-desk duties; 10+ years phlebotomy; strong customer service; data entry; knowledge of payer requirements.
3d
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Lead Director, Commercial Member Experience
Hartford or Idaho or Arkansas or Texas or Georgia or Montana or Iowa or Wisconsin or Oregon or Washington or New York or Spain or District of Columbia or Connecticut or Nebraska or Rhode Island or Tennessee or Kentucky or Ohio or West Virginia or Maryland or Massachusetts or South Carolina or Missouri or Utah or Arizona or South Dakota or Pennsylvania or New Hampshire or Vermont or Minnesota or New Mexico or Michigan or California or Maine or North Dakota or Kansas or New Jersey or Indiana or Nevada or Louisiana or Mississippi or Oklahoma or Alabama or Virginia or Illinois or North Carolina or Colorado or Florida or Wyoming or Delaware
$100k-$232k/yr HybridFull Time
10+ YOERequires 10+ years in customer, member, digital, product experience, or communications strategy; healthcare or payer experience; strategic portfolio leadership; executive communication; and cross-functional influence.
3w
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Registered Nurse Utilization Review
Baltimore, Maryland, United States
$81k-$116k/yr HybridFull Time
Maryland RN credential required; diploma from accredited nursing school or equivalent licensure; experience in utilization/case management preferred; knowledge of clinical documentation and payer regulations.
1mo
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REFUND SPECIALIST
Baltimore, Maryland, United States
$22-$27/hr OnsiteFull Time
3+ YOE3 years hospital collections experience, strong payer knowledge, analytical skills, accurate data entry, ability to work unsupervised, proficiency with PC, Microsoft Excel, Outlook and Word.
Expanse, Microsoft Excel, Microsoft Outlook, Microsoft Word
6d
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Director, Project Management
Pikesville or United States
$100k-$120k/yr RemoteFull Time
15+ YOERequires 15+ years of progressive leadership in healthcare payer operations, regulatory consulting, professional or managed services, or health technology, with operations, delivery, transformation, financial, and P&L accountability.
AI, CRM
3d
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Senior Program Manager
Maryland, United States
HybridFull Time
10+ YOEBachelor's degree, 10+ years of IT project or program management, 5+ years leading healthcare payer transformation programs, enterprise technology delivery, Agile methodologies, budgets, governance, and stakeholder management.
JIRA, Confluence, ServiceNow, Azure DevOps, Microsoft Project
4d
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Field Reimbursement Liaison - MidAtlantic
New Jersey or Maryland or Virginia or Pennsylvania or Delaware or West Virginia or District of Columbia or United States
$162k-$203k/yr FieldFull Time
12+ YOEBachelor's degree and 12+ years in healthcare or pharmaceutical/biotech industries required. Requires reimbursement expertise, payer knowledge, communication skills, Microsoft Office proficiency, territory residency, and independent work.
iPad, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Customer Relationship Management (CRM) systems, CPT, ICD-10, HCPCS
1mo
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Provider Performance Specialist
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Maryland or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
3+ YOEBachelor's in related field or equivalent experience and 3 years healthcare payer/provider/managed care experience; knowledge of HEDIS/Stars, Medicaid/Medicare Advantage, quality improvement, and provider workflows.
Microsoft Excel
1d
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Market Access Leader- Mid-Atlantic
New York or Randolph or Pennsylvania or Delaware or Maryland
$139k-$232k/yr FieldFull Time
5+ YOEBachelor's degree in business, marketing, economics, or related field; 5+ years of coverage, coding, payment, and policy experience; payer-market knowledge; strategic, communication, and negotiation skills; 60%+ travel.
1w
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Regional Revenue Cycle Management Supervisor (Remote)
Nashville or Boulder or Phoenix or Austin or Springfield or Harrisburg or Tallahassee or Raleigh or Columbus or Boise or Charleston or Annapolis or Madison
RemoteFull Time
3+ YOE1+ Mgmt3+ years revenue cycle experience, 1+ year supervisory experience; knowledge of billing, charge entry, A/R, denials, payer rules; strong analytical and communication skills; HIPAA compliance.
Microsoft Office
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