MCG Health: Provides evidence-based clinical guidelines and software for healthcare.
8+ YOEEight+ years in health payer systems and healthcare integrations; proven ability to lead complex implementations and advise on payer operations and interoperability.
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/yrFieldFull Time
PwC: Providing audit, tax, and management consulting services to businesses.
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.
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/yrRemoteFull Time
Milliman: Global provider of actuarial and risk management consulting services.
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
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
Vice President Payor Contracting - Remote in Washington or Oregon
Kirkland or Washington or Oregon or Nevada
$159k-$273k/yrRemoteFull Time
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
10+ YOE10+ years managed care contracting experience, strong financial and strategic leadership, ability to analyze complex payer contracts, and capacity to build high-impact payer relationships.
Proliance Surgeons: Physician-owned surgical practice providing multi-specialty medical and therapy services.
Experience with insurance verification, prior authorizations, billing/AR practices, Medicare and commercial payers; high school diploma/GED and customer service experience required.
CommonSpirit Health: Operates a national non-profit Catholic health system.
Graduation from an accredited medical assisting program, Washington Medical Assistant-Certified credential, payer requirements knowledge, organizational and communication skills, and PC proficiency.
Lead Patient Accounts Representative - Other Fiscal Services
Seattle, Washington, United States
$26-$40/hrHybridFull Time
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
5+ YOEFive years of related experience preferred; expertise in billing policies, audits, payer reimbursement, staff training, workload distribution, work review, and complaint resolution.
CommonSpirit Health: Large non-profit healthcare system providing hospital and medical services.
Medical Assisting program graduate with Washington CM certification, high school diploma or GED, payer requirements knowledge, PC skills, and strong organizational and communication abilities.
Providence: Non-profit health system providing comprehensive medical and social services.
2+ YOERequires 2 years of related work experience in a healthcare environment, with knowledge of medical billing, insurance regulations, payer requirements, claim processing, refunds, and credit balances.
WhidbeyHealth: Provides hospital and outpatient medical services in Washington state.
1+ YOEHigh school diploma or equivalent, 1+ year medical front office experience, billing and collections experience preferred; CRCS preferred or CHAA acceptable; familiarity with payer authorization and billing practices.
GlaukosNYSE: GKOS: Develops therapies and devices for treating chronic eye diseases.
8+ YOEBachelor's degree,8+ years in specialty pharmaceuticals or devices,3+ years direct reimbursement/healthcare policy,payer and coding expertise,strong communication and project skills,ability to travel (~50%).
California or Nevada or San Diego or Portland or Seattle or San Francisco or Los Angeles or Washington or Oregon or Berkeley Heights
FieldFull Time
IpsenEuronext Paris: IPN: Develops medicines for oncology, neuroscience and rare diseases.
10+ YOE4+ Mgmt10+ years biopharma sales experience, 4+ years oncology sales leadership, BA/BS required, experience with injectable medications and payer/account management, strong communication and analytical skills.
ACTO, Veeva, iEngage, Zoom, Microsoft Teams, WebEx
Kalesta Healthcare Group: Operates skilled nursing and assisted living healthcare facilities.
Approved occupational therapy curriculum, active unencumbered occupational therapist license, CPR certification, English communication skills, and knowledge of Medicare, payer sources, and resident rights; long-term care preferred.
US HealthVest: Develops and operates specialized psychiatric hospitals in the United States.
1+ YOE1+ year healthcare collections or related experience; knowledge of insurance billing, denial management, appeals, and payer contracts; proficiency with Microsoft Office (Excel, Word, Outlook); strong communication, detail orientation, and time management.
Microsoft Excel, Microsoft Word, Microsoft Outlook
Access and Reimbursement Manager- NPS Renal- Seattle, WA
Seattle or United States
$139k-$257k/yrFieldFull Time
NovartisSIX Swiss Exchange, NYSE: NOVN, NVS: A multinational pharmaceutical developing and commercializing medicines and therapies.
3+ YOE3+ years' experience in reimbursement/managed care or pharmaceutical industry; experience with specialty pharmacy, coding/billing, account management; valid driver's license; ability to travel extensively and work with patient case management and payer policies.
Tactile MedicalNasdaq: TCMD: Developing at-home medical devices for chronic disease therapy.
1+ YOEBachelor's degree or equivalent, 1–3+ years relevant sales or clinical experience (minimum 1 year), knowledge of third-party payer policies, HIPAA compliance, travel within territory, ability to lift 20 lbs.