179 payer jobs at 95 companies in Pennsylvania
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Director, Payer Solutions
Pittsburgh or Pennsylvania or Los Angeles County
$212k-$291k/yr RemoteFull Time
Leading multi-functional teams, coaching personnel, directing complex projects and driving strategic priorities for laboratory and payer solutions programs.
1mo
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VP of Payer Relations
Roseville or Minnesota or Ohio or Washington or Pennsylvania or North Carolina or Georgia or United States
$180k-$210k/yr RemoteFull Time
10+ YOE7+ MgmtBachelor's required; 10+ years payer relations experience and 7+ years senior leadership preferred. Experience negotiating complex multi-state payer agreements, behavioral health reimbursement expertise, strong analytical and communication skills.
1mo
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Payer Contract Analyst - CarepathRx - Remote
United States or Pennsylvania
$24-$40/hr RemoteFull Time
Knowledge of payer contracting, reimbursement, electronic claims, and revenue cycle; high school diploma or GED; strong communication, problem-solving, attention to detail; MS Office/Excel proficiency.
Microsoft Office, Microsoft Excel, Power BI
1w
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Managed Care Payer Contract Analyst
Washington or Charlottesville or Philadelphia or United States
$90k-$125k/yr HybridFull Time, Part Time
5+ YOEBachelor’s degree and 5+ years in payer-related provider or insurance roles, including 3+ years in reimbursement modeling, financial analysis, and performance computation. Hospital and professional fee schedule modeling required.
Microsoft Excel, Microsoft PowerPoint, Contract Modeling tools
1mo
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Billing/Payer Enrollment Specialist (62781)
Lancaster, Pennsylvania, United States
OnsiteFull Time
3+ YOE3+ years payer enrollment experience; knowledge of enrollment, credentialing, contracting, claims, CPT/CDT and medical terminology; strong communication, organization, and problem-solving skills; Microsoft Office and EMR experience.
Microsoft Office, EMR, Athena Health
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
1mo
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Payer Contracting Operations Coordinator
Allentown, Pennsylvania, United States
OnsiteFull Time
3+ YOEHigh school diploma/GED, 3 years managed care experience, proficient in Microsoft Office, strong time-management and multi-tasking, ability to interact with all staff levels; Associate's degree and healthcare experience preferred.
Microsoft Office
1mo
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Clent Partner - Payer
Edison or Allentown
HybridFull Time
10+ YOE10+ years IT services sales/account management in payer or PBM sector, experience closing large deals, deep payer/PBM domain and interoperability/AI/cloud knowledge, C-level relationship skills.
AI/ML, FHIR, API
1w
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Manager, Payer & Provider Account Analytics
Durham or Philadelphia
HybridFull Time
4+ YOEBachelor's degree in a quantitative field, 4+ years of analytics experience, 2+ years in US pharmaceutical or healthcare analytics, and experience with healthcare data, SQL, Python, R, or similar languages.
SQL, Python, R, Power BI, Tableau, Structured Query Language (SQL)
3w
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Business Development Director, PPG Payer
Rosemont or Durham or Wayne
$111k-$310k/yr RemoteFull Time
10+ YOEBachelor's degree,10+ years selling into healthcare payers,proven success with C-suite engagements,knowledge of data/analytics and payer operations,willingness to travel up to 30% domestically.
Salesforce
4d
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Healthcare Payer Bid Manager (Remote)
Malvern or United States
$110k-$140k/yr RemoteFull Time
8+ YOERequires 8+ years in healthcare payer operations, bid or proposal management, consulting, or healthcare BPaaS; complex RFP leadership, payer-domain expertise, project management, and executive communication skills.
proposal management tools, content repositories, BPaaS
1w
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Senior Product Strategy Manager - Payer (MedInsight)
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/yr RemoteFull Time
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
3w
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Business Development Director, PPG Payer
Rosemont or Wayne or Durham or United States
$111k-$310k/yr RemoteFull Time
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%.
Salesforce
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
2d
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Healthcare Payer AI Decision Science Manager/Senior Manager
Albany or Arlington or Atlanta or Austin or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Denver or Des Moines or Hartford or Houston or Irving or Miami or Milwaukee or Minneapolis or Morristown or Nashville or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$87k-$294k/yr FieldFull Time
5+ YOEBachelor's degree and 5+ years in data science, machine learning, AI, or advanced analytics; programming, leadership, consulting, sales, program management, and communication skills required.
Python, R, SQL, TensorFlow, PyTorch, scikit-learn, OpenAI, Anthropic, AWS, Azure, Google Cloud, Hadoop, Spark, Tableau, Power BI, Electronic Medical Record (EMR)
1w
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Sr Product Owner, State & Payer Solutions (Product Owner III) - REMOTE
Pittsburgh, Pennsylvania, United States
$103k-$129k/yr RemoteFull Time
4+ YOEBachelor's degree or equivalent experience; 4+ years as a Product Owner and Business Analyst or in an equivalent healthcare technology role; Agile, Scrum, requirements, workflow, and business-rule expertise required.
Jira, Confluence, Azure DevOps, Power BI, Tableau, Sisense, SQL, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
2mo
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Head, Market Access – Marketing & Ops
Chadds Ford, Pennsylvania, United States
OnsiteFull Time
10+ YOE5+ Mgmt10+ years in Market Access, Market Access Marketing, or payer marketing; 5+ years of people leadership; strong payer strategy and cross-functional leadership.
Market Access Analytics, Payer value messaging, Pricing & Contracting, CRM
2d
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Senior Director, Market Access
New York City or Collegeville
$215k-$358k/yr OnsiteFull Time
12+ YOEBachelor's degree and 12+ years in market access, payer strategy, or related pharma/biotech commercial roles; payer value proposition and contracting experience required.
GLP-1
1mo
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Senior Collection Associate - Pharmacy
Philadelphia, Pennsylvania, United States
$28-$35/hr OnsiteFull Time
2+ YOEResolve low-complexity patient accounts, research and appeal denials, liaise with payers and families, use payer portals and EHRs, and meet productivity/quality metrics; strong Excel and communication skills.
Microsoft Excel, Microsoft Word, Epic
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.
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