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.
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
Presbyterian Healthcare Services: Operates hospitals and health insurance plans in New Mexi.
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.
Roseville or Minnesota or Ohio or Washington or Pennsylvania or North Carolina or Georgia or United States
$180k-$210k/yrRemoteFull Time
Accanto Health: Provides specialized medical and therapeutic care for eating disorders.
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.
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.
Health Plan Payment Solutions Vice President - Healthcare Payments
Kingman or Apple Valley or Monument or Las Vegas or Bend or Orem or Brush Prairie or California or Colorado or Nevada or Oregon or Utah or Washington or Chicago
$105k-$197k/yrRemoteFull Time
JPMorgan ChaseNYSE: JPM: Global financial services firm providing banking and investment solutions.
5+ YOE5+ years experience in product/sales solutioning for healthcare payers, quota-driven sales experience, deep payer knowledge, enterprise deal management, strong problem-solving and stakeholder skills; travel up to 25%.
United States or Cambridge or Alaska or Hawaii or Washington or Oregon or Idaho or Montana or Wyoming or North Dakota or South Dakota or Minnesota or Nebraska or California or Nevada or Utah or Colorado or Arizona or New Mexico or Texas or Michigan or Tennessee
$223k-$265k/yrFieldFull Time
Amylyx PharmaceuticalsNASDAQ: AMLX: Develops treatments for neurodegenerative diseases and endocrine conditions.
10+ YOEBachelor's degree required; 10+ years in pharma/biotech and 5+ years managing national/regional payer and PBM accounts. Experience with rare disease/specialty launches, payer engagement, strategic planning, and ability to travel 25–50%.
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.
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.
Cascade Community Healthcare: Provides mental health and substance use treatment services.
Medical billing experience and knowledge of coding, claims submission, AR posting, payer eligibility, Microsoft Office and EHR use; must pass WA background check.
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.
Gainwell Technologies: Delivers technology solutions for public health and Medicaid programs.
10+ YOE3+ Mgmt10+ years in reporting, analytics, or data management; 3+ years in leadership; consulting or payer experience; MMIS platform experience; SQL, data visualization, and reporting automation skills.