3mo
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Payer Enrollment Specialist
Carrollton, Texas, United States
OnsiteFull Time
2+ YOEMinimum 2–5 years payer enrollment experience; strong collaboration, communication, and attention to detail; proficient with credentialing software and payer portals; Microsoft Office.
Credentialing software, Payer portals, Microsoft Office Suite
1mo
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Payer Contract Specialist
Dallas, Texas, United States
$19-$25/hr OnsiteFull Time
Experience with payer enrollments, payer portals, EDI transactions, and claim processes; detail-oriented, strong communication, ability to analyze data and manage multiple projects in a fast-paced environment.
nThrive, SFTP, EHR, RIS, EDI, 837, 835, 270/271, ERA, EFT
1mo
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VP-Payer Strategy
Austin or Albuquerque or California or Illinois or North Dakota or New York or Ohio or Washington or Wyoming or United States
HybridFull Time
15+ YOEMaster's degree required; 15+ years progressive payer strategy/managed care/healthcare finance experience; senior leadership experience; deep reimbursement expertise; strong negotiation, financial modeling, and stakeholder engagement skills.
2w
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Director, Payer Strategy & Contracting
Austin, Texas, United States
OnsiteFull Time
7+ YOE7+ years payer contracting experience in healthcare; experience with Medicaid, Medicare, MCOs, commercial payers; Bachelor's in business/healthcare/finance; experience with value-based arrangements; strong analytic and negotiation skills.
1mo
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Director, Payer Partnerships
United States or Arizona or California or Colorado or Florida or Georgia or Idaho or Illinois or Kentucky or Massachusetts or Michigan or North Carolina or New Jersey or New York or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Utah or Washington or West Virginia or Portland
$160k-$180k/yr RemoteFull Time
5+ YOE5+ years in healthcare sales or payer contracting, proven experience negotiating value-based care contracts, deep knowledge of payment models, strong negotiation/analytical skills, executive presence, and excellent communication.
CRM
1w
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Director, Payer Sales
Dallas, Texas, United States
$101k-$126k/yr HybridFull Time
5+ YOE7+ years sales experience (or 10+ with HS),5+ years selling to healthcare payers,proven enterprise sales and executive relationship skills,consultative selling,CRM experience (Salesforce),ability to manage complex procurements.
Salesforce, CRM
2w
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Medicaid Payer Enrollment Specialist
Carrollton, Texas, United States
OnsiteFull Time
2+ YOE2+ years payer enrollment experience, proficiency with payer portals and credentialing software, strong communication, attention to detail, and ability to manage multiple priorities.
credentialing software, payer portals, Microsoft Office Suite
2w
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Director, Payer Strategy & Contracting
Austin, Texas, United States
OnsiteFull Time
7+ YOEBachelor's degree,7+ years payer contracting experience with Medicaid/Medicare/MCOs,experience with value-based arrangements,financial modeling and contract negotiation skills.
1mo
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VP-Payer Strategy
Austin or Albuquerque or Texas or California or Illinois or North Dakota or New York or Ohio or Washington or Wyoming or United States
HybridFull Time
15+ YOEMaster's required; 15+ years progressive experience in payer strategy/managed care or healthcare finance; demonstrated senior leadership, negotiation, reimbursement expertise, and financial modeling ability.
3w
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Senior Director, Payer Accounts
United States or Houston
$260k-$300k/yr FieldFull Time
12+ YOE5+ MgmtBachelor's degree with 12+ years pharma/biotech market access experience,5+ years national payer account management,cell/gene therapy experience,HEOR knowledge,strong negotiation and project leadership;able to travel up to 50%.
2w
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Director, Payer Strategy & Contracting
Austin, Texas, United States
OnsiteFull Time
7+ YOE7+ years payer contracting experience, Bachelor's in business/healthcare/finance, experience with Medicaid/Medicare/MCOs, value-based arrangements, strong analytical and negotiation skills.
1mo
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Epic Payer Platform Lead
Nashville or Dallas or Columbus or Atlanta
$80k-$266k/yr HybridFull Time
8+ YOE5+ MgmtMinimum 8 years Healthcare IT experience (EPP payer platform), 5+ years program/project management, Epic non-clinical certification required, hands-on Epic build experience in at least two EPP areas, familiarity with Epic integration standards, bachelor’s degree or equivalent.
Epic, Epic Tapestry, Resolute PB, Resolute HB, GrandCentral, ADT, FHIR R4, EDI X12, CDA/CCDA, Microsoft Excel
2mo
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Vice President, Payer Contracting (Commercial)
Arlington or Durham or Austin or Novi or Remote
RemoteFull Time
15+ YOE7+ Mgmt15+ years in health plans or payer contracting with value-based care; 7+ years leading teams; strong relationship-building; deep knowledge of commercially insured populations; track record in business development.
Contract management software
2w
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Payer Relations Onboarding & Transitions Specialist
Irving, Texas, United States
$25-$26/hr OnsiteFull Time
Supports surgeon onboarding and practice transitions, handles licensure, hospital privileges, malpractice and payer enrollment, communicates with stakeholders, documents activity in credentialing systems and Zendesk.
Zendesk
1mo
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Payer Quality Consultant, Director
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/yr OnsiteFull Time
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.
3w
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Director of Credentialing and Payer Enrollment (4087)
Waco, Texas, United States
OnsiteFull Time
2+ YOEOversee credentialing, privileging, and payer enrollment for clinical sites and staff; supervise C&P and enrollment teams; use VerityStream and EHR systems; ensure compliance with HRSA, CMS, Medicaid and commercial payer rules.
VerityStream, Epic, Microsoft Office
3w
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Payer Compliance Specialist I - Remote
Dallas, Texas, United States
$16-$26/hr RemoteFull Time
2+ YOEHigh school diploma, minimum 2 years revenue cycle experience, functional knowledge of Microsoft Excel and Word, analytical and communication skills, familiarity with managed care and billing, coding knowledge preferred (CPT, ICD-9, ASA).
Microsoft Excel, Microsoft Word
2mo
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Principal, Payer & Risk Bearer Strategy and Stakeholder Intelligence
Irving, Texas, United States
$190k-$316k/yr RemoteFull Time
8+ YOE8+ years in corporate strategy, business development, or payer/PBM/plan sponsor services; proven ability to lead cross-functional strategic initiatives; strong analytical, communication, and partnerships experience; familiar with data visualization and SQL.
Tableau, Power BI, SQL
2w
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Payer Relations Onboarding & Transitions Specialist
Irving, Texas, United States
$25-$26/hr OnsiteFull Time
Manage surgeon onboarding and payer transitions, handle licensure/hospital/malpractice applications, communicate with stakeholders, document in credentialing software and Zendesk; fluent English and strong communication and multitasking skills.
Zendesk
2mo
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Kearney Healthcare & Life Sciences Practice Principal (Payer)
Chicago or San Francisco or Dallas or Washington D.C. or New York or Boston or Atlanta
$245k-$270k/yr HybridFull Time
10+ YOESenior-level leader with healthcare/LS payer experience, able to lead engagements and drive growth.
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