126 payer jobs at 54 companies in Virginia
6d
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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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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
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%.
1mo
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AR Specialist I
Norfolk, Virginia, United States
OnsiteFull Time
1+ YOE1 year billing/payer system experience, high school diploma, strong attention to detail, knowledge of healthcare billing and payer processes, excellent communication skills.
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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Director, US Market Access Strategy
United States or Tysons
$226k-$376k/yr RemoteFull Time
10+ YOEBachelor's required; advanced degree preferred. 10+ years in market access, payer strategy, pricing/reimbursement or related commercial functions. Strong US payer knowledge, strategic thinking, cross-functional influence, and analytical skills.
2mo
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Billing & Insurance Analyst I (3000) - Central Billing Office
Newport News, Virginia, United States
OnsiteFull Time
1+ YOEPayer responses, posting payments, patient inquiries, and AR research in NextGen; HS diploma and 6-12 months related experience.
NextGen, Microsoft Excel, Office equipment
2mo
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Sr. Roster Administrator
Arlington or Austin or Atlanta or United States
RemoteFull Time
3+ YOEBachelor’s degree or equivalent; 3+ years payer/provider operations; data accuracy; Excel/Sheets; Salesforce CRM; cross-functional collaboration.
Google Sheets, Microsoft Excel, Salesforce
2w
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Pediatric Gastroenterology Advanced Practice Provider (NP/PA)
Fairfax, Virginia, United States
$132k-$163k/yr OnsiteFull Time
Licensed NP or PA with BLS, ability to complete payer and medical staff credentialing, and capability to support pediatric gastroenterology clinical services and procedures.
3d
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Physician, Endocrinologist - New York (NY)
New York City or Virginia or Massachusetts
$210k-$230k/yr RemoteFull Time
MD or DO with board certification and ABOM or endocrinology certification; eligible for multi-state practice, telemedicine experience, payer credentialing, and obesity management expertise.
telemedicine, mobile app
1w
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Occupational Health Biller
Virginia Beach, Virginia, United States
$15-$27/hr OnsiteFull Time
1+ YOEHigh school diploma or equivalent and at least one year of previous medical experience. Requires claims processing, payment research, payer communication, and customer service skills.
1mo
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Chief Clinical Officer
Portsmouth, Virginia, United States
$140k-$160k/yr OnsiteFull Time
8+ YOEDoctoral or Master’s in a clinical discipline, active unrestricted clinical license, 8+ years progressive clinical leadership, experience leading multidisciplinary teams, regulatory and payer knowledge.
EHR, telehealth, data analytics
2mo
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Patient Account Representative
Arizona or Arkansas or Florida or Idaho or Illinois or Iowa or Kentucky or Michigan or Minnesota or Missouri or Montana or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Pennsylvania or South Dakota or Tennessee or Texas or Virginia
$18-$20/hr RemoteFull Time
High school/GED required; experience with medical claims, insurance systems, EOBs, and denials preferred; strong attention to detail for payer follow-up and A/R resolution.
2d
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Specialist, Health Policy and Payment
Alexandria, Virginia, United States
$75k-$80k/yr OnsiteFull Time
5+ YOE5+ years in health care policy and advocacy; knowledge of reimbursement, payer policies, Medicare, coding and billing; project management, analytical, communication, and MS Office skills.
Microsoft Office, Microsoft Excel
2w
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Insurance Follow Up Specialist
Richmond, Virginia, United States
$18-$27/hr OnsiteFull Time
1+ YOEMinimum 1 year office experience preferred; knowledge of managed care payers, medical terminology, Microsoft Office/Windows, strong communication, analytical and organizational skills.
Microsoft Office, Windows
2w
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Medical Front Office - Patient Service Specialist
Ashburn, Virginia, United States
$18-$22/hr OnsiteFull Time
1+ YOEHigh school diploma/GED, 1 year front desk and medical office experience; schedule appointments, verify insurance, collect copays, and communicate with payers and partners.
1w
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Director Sales and Marketing (Business Development)
Woodstock, Virginia, United States
$65k-$80k/yr OnsiteFull Time
3+ YOEBachelor's degree and 3+ years in business development, healthcare sales, or marketing required; healthcare sales, payer knowledge, relationship building, strategic planning, and leadership skills required.
Microsoft Office, Learning Management System (LMS)
1w
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Clinical Insurance Reviewer - Remote
Englewood or Norfolk
$23-$26/hr RemoteFull Time
3+ YOEHigh school diploma or equivalent; 3+ years medical insurance verification and authorization experience; associates degree or LPN preferred; competency in payer requirements and insurance authorization processes.
1w
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System Analyst / Business Analyst (RBAC & Healthcare Domain)
Richmond, Virginia, United States
$73k-$110k/yr OnsiteFull Time
9+ YOEBachelor's degree and 9+ years as a Business or System Analyst. Requires RBAC, access control, healthcare payer, requirements, Agile/Scrum, stakeholder, UAT, and enterprise application experience.
RBAC, Functional Testing, User Acceptance Testing, Identity and Access Management (IAM), Azure AD, Okta, SailPoint, UML, Agile, Scrum, Microsoft Excel
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.
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