73 payer jobs at 49 companies in Weston, FL
3d
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Payer Operations Analyst
Miami, Florida, United States
OnsiteFull Time
3+ YOEBachelor's degree in finance/business or related field,3+ years financial/data analytics experience,experience with contract modeling systems,intermediate-advanced Microsoft Office and BI/Tableau,managed care knowledge.
FinThrive, Epic Contract Modeling, Microsoft Office, Tableau
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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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
3w
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Lead Software Engineer Healthcare Payer SME — CapAdmin Platform
Miami, Florida, United States
HybridFull Time
7+ YOE7+ years payer/TPA domain experience, 8+ years software engineering, proficiency with C#/.NET or Java, relational databases, REST APIs, AWS/Redshift/QuickSight familiarity, strong communication and mentoring skills.
C#, .NET, Java, SQL Server, PostgreSQL, REST, AWS, Redshift, Amazon QuickSight
2w
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Appeal Writer - Hospital Billing, Denials
Delray Beach, Florida, United States
$20-$26/hr RemoteFull Time
Analyze denied claims, draft and submit appeals, research payer and clinical documentation, and communicate with payers and stakeholders. High school diploma and strong analytical and written communication skills required.
Electronic Medical Records (EMR), Epic
1d
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Enterprise Sales Leader (Remote - US, ~50% travel)
United States or Barcelona or New York City or Miami or Washington, D.C.
RemoteFull Time
10+ YOERequires 10+ years of enterprise healthcare sales, complex payer deal experience, quota performance, payer economics fluency, and experience navigating 9–18 month multi-stakeholder sales cycles.
AI, NCQA, CMS, STAR, HEDIS, Medicare Advantage, Managed Medicaid, MLR, PMPM, D-SNPs, MSOs, BCBS
2w
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Contract Implementation Administrator
Coral Springs, Florida, United States
$64k-$96k/yr OnsiteFull Time
2+ YOE2+ years in payer contracting, contract management, or healthcare revenue cycle for DME; associate's or bachelor's preferred; strong US DME payer rules knowledge; stakeholder management; ability to travel ~10%; Brightree experience preferred.
Brightree
2mo
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Quest Health Solutions LLC - RCM Insurance Specialist
Coral Springs or West Plains
OnsiteFull Time
Healthcare revenue cycle, DME, insurance verification, payer configuration, Brightree, and claims processing experience.
Brightree, E-claim, Insurance verification, Payer configuration
1w
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Patient Account Collection Rep-CBO-FT-BHC-Days
Fort Lauderdale, Florida, United States
OnsiteFull Time
Performs patient accounting and collections for payer sources in compliance with regulations; high school diploma/GED required.
3w
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Collections Manager - Onsite
Boca Raton, Florida, United States
OnsiteFull Time
Experience overseeing medical billing and payer collections, reducing AR aging, leading teams, and ensuring HIPAA/CMS compliance.
2mo
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RCM Contracts Manager
Miramar, Florida, United States
OnsiteFull Time
5+ YOEOversee payer contract management for home health and DME; supervise Contracts Specialist; ensure pricing, fee schedules, and system configurations; ensure compliance.
1d
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Credentialing Specialist
West Palm Beach, Florida, United States
OnsiteFull Time
2+ YOEHigh school diploma or equivalent and 2+ years in provider credentialing, payer enrollment, or healthcare administration. Knowledge of CAQH and hospital privileging; CPCS preferred.
CAQH, Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Access
1w
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Credentialing & Contracting Specialist
West Palm Beach, Florida, United States
OnsiteFull Time
3+ YOE3+ years provider credentialing, payer enrollment, and/or managed care contracting experience; knowledge of CAQH, NPPES, PECOS; strong negotiation, analytical, and communication skills.
CAQH, NPPES, PECOS
1w
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Medical Records
Deerfield Beach, Florida, United States
OnsiteFull Time
2+ YOEMaintain and release client health records, process record requests, support payer appeals, ensure HIPAA/AHCA/DCF/CARF compliance, and use EHR systems.
EHR, BestNotes, Microsoft Office
2d
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MDS Coordinator RN/LPN
Lake Worth, Florida, United States
OnsiteFull Time
Requires active unrestricted RN licensure; nursing facility experience, Medicare and Medicaid knowledge, LTC payer systems, OBRA, RAI, and MDS process knowledge preferred.
Medicare, Medicaid, Omnibus Budget Reconciliation Act (OBRA), RAI, MDS
1mo
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Business Office Manager
Lauderdale Lakes, Florida, United States
OnsiteFull Time
5+ YOE5+ MgmtBachelor's in healthcare administration or business, 5+ years supervisory experience in a medical setting, proficiency with accounting systems, knowledge of payer types (PPO, Medicare/Medicaid), and strong professionalism.
3mo
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Billing Specialist
Doral, Florida, United States
OnsiteFull Time
1+ YOEHigh school diploma or GED; minimum 1 year medical billing experience; knowledge of CPT/ICD-10-CM/HCPCS; familiarity with payer guidelines and billing regulations.
CPT, ICD-10-CM, HCPCS, Billing software
1mo
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Revenue Cycle Analyst - Remote (Tri-County Area)
Medley or Florida
RemoteFull Time
2+ YOEBachelor's degree in a relevant field, minimum 2 years relevant experience, strong communication, technical proficiency with office software, and ability to analyze and reconcile billing and payer data.
2w
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Health Services Coordinator - ABA Intake & Authorizations
Miami, Florida, United States
$23-$26/hr HybridFull Time
Experience with healthcare intake, insurance verification and authorizations, strong phone and customer service skills, attention to detail, and ability to manage multiple cases using spreadsheets and payer portals.
1w
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Specialty Account Executive - BioPlus Specialty Pharmacy
Lake Mary or Nashville or Indianapolis or Miami or Mason or Durham or Atlanta
HybridFull Time
3+ YOEAssociate degree and 3 years specialty or retail pharmacy (2 years pay program) experience or equivalent; BA/BS preferred; experience with payer credentialing and client account management.
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