69 payer jobs at 39 companies in Wheat Ridge, CO
1mo
Save
Mark Applied
Hide
Payer Analytics Economics Analyst
Englewood, Colorado, United States
$34-$56/hr RemoteFull Time
1+ YOEBachelor's in business/finance/healthcare and 1+ year in healthcare reimbursement or payer analytics; strong financial modeling, quantitative, and managed-care reimbursement knowledge.
PIC, STAR, TSI, PCON, EPIC, Microsoft Excel
1mo
Save
Mark Applied
Hide
Payer Analytics Economics Analyst
Englewood, Colorado, United States
OnsiteFull Time
1+ YOEBachelor's in business/accounting/finance/healthcare or equivalent,1+ year financial healthcare reimbursement analysis,financial modeling,payer contract and managed care economics experience.
PIC, STAR, TSI, PCON, EPIC
1d
Save
Mark Applied
Hide
Sr. Lead, Payer Gateway Management
Charlotte or Denver or New York City
$146k-$219k/yr HybridFull Time
6+ YOEBachelor’s degree and 6+ years in healthcare EDI or payer gateway operations. Requires HIPAA EDI expertise, claims workflow support, queue management, reconciliation, incident analysis, Excel, reporting, ticketing, and dashboarding.
HIPAA, EDI, 837, 270/271, 276/277, 835, X12, 999/277CA, 824/TA1, Excel, SFTP, API
1mo
Save
Mark Applied
Hide
Director of Payer Relations
Los Angeles or New York City or Denver
$110k-$150k/yr HybridFull Time
7+ YOE3+ Mgmt7+ years RCM experience with 3+ years leadership, payer contracting, fee schedule management, provider credentialing, AdvancedMD/EHR proficiency, CPT/HCPCS/ICD-10 knowledge, and strong negotiation and communication skills.
AdvancedMD, EHR, CPT, HCPCS, ICD-10
4d
Save
Mark Applied
Hide
Manager, Payer Contracting - Hybrid - Must Reside in Colorado
Denver, Colorado, United States
$89k-$138k/yr HybridFull Time
5+ YOEBachelor's degree in finance, accounting, business, management, or healthcare administration; 5–7 years of managed care contract management; payer contracting, reimbursement, regulations, negotiation, analytics, and supervisory experience.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Microsoft Outlook, CPT, HCPCS, ICD-10, CMS, Medicare, Medicaid, Public Service Loan Forgiveness (PSLF), National Health Service Corps (NHCS), Colorado Health Service Corps (CHSC)
2mo
Save
Mark Applied
Hide
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
2w
Save
Mark Applied
Hide
Payer Contracting Specialist
Boulder or United States
$102k-$122k/yr HybridFull Time
4+ YOE4+ years in health plan network contracting with strong knowledge of commercial and Medicare payer processes, negotiation, analytics, and cross-functional collaboration.
2w
Save
Mark Applied
Hide
Principal, Management Consulting | Healthcare, Payer
Chicago or Boston or New York or Westminster
$180k-$220k/yr OnsiteFull Time
8+ YOE8+ years management consulting experience with healthcare payer expertise, leading large-scale digital transformations, advising C-suite, managing teams, strong problem-solving and analytical skills, willing to travel.
2w
Save
Mark Applied
Hide
Principal, Management Consulting | Healthcare, Payer
Chicago or Boston or New York or Westminster
$180k-$220k/yr OnsiteFull Time
8+ YOE8+ years strategy/management consulting experience with healthcare payer clients, track record leading large digital/business transformations, strong executive presence, problem-solving, quantitative analysis, and team leadership.
Agile
1mo
Save
Mark Applied
Hide
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
2mo
Save
Mark Applied
Hide
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver) (Denver, CO, US)
Denver, Colorado, United States
$108k-$250k/yr RemoteFull Time
7+ YOE7+ years IT sales experience in managed/professional services within Healthcare Payer; hunter-minded; strong C-suite engagement.
1d
Save
Mark Applied
Hide
Healthcare Payer AI Decision Science Manager/Senior Manager
Albany or Arlington or Atlanta or Austin or Bentonville or Boston or Carmel or Charlotte or Chicago or Cincinnati or Cleveland or Columbus or Denver or Des Moines or Hartford or Houston or Irving or Miami or Milwaukee or Minneapolis or Morristown or Nashville or Oklahoma City or Overland Park or Philadelphia or Pittsburgh or Raleigh or Sacramento or San Diego or San Francisco or Scottsdale or Seattle or St. Louis or St. Petersburg or Walnut Creek or United States
$87k-$294k/yr FieldFull Time
5+ YOEBachelor's degree and 5+ years in data science, machine learning, AI, or advanced analytics; programming, leadership, consulting, sales, program management, and communication skills required.
Python, R, SQL, TensorFlow, PyTorch, scikit-learn, OpenAI, Anthropic, AWS, Azure, Google Cloud, Hadoop, Spark, Tableau, Power BI, Electronic Medical Record (EMR)
3mo
Save
Mark Applied
Hide
Director, US Field Market Access
Chicago or Las Vegas or San Diego or Atlanta or Salt Lake City or Austin or Houston or Denver or Sacramento or Phoenix or Los Angeles or San Francisco or Minneapolis or Charlotte or Dallas
$165k-$220k/yr RemoteFull Time
10+ YOE10+ years advocating to payers, Medicare/Medicaid; payer engagement; reimbursement and health economics; neuromodulation experience preferred.
1w
Save
Mark Applied
Hide
Credentialing and Denials Specialist
Lakewood, Colorado, United States
OnsiteFull Time
2+ YOERequires 2+ years in credentialing, payer enrollment, medical billing, denial management, or revenue cycle operations; high school diploma/GED; analytical skills; and Microsoft Office, internet research, and payer portal proficiency.
Microsoft Outlook, Microsoft Word, Microsoft Excel, EPIC Resolute Professional Billing, CAQH, payer portals
4w
Save
Mark Applied
Hide
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/yr RemoteFull Time
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%.
CRM
2w
Save
Mark Applied
Hide
Speech Language Pathologist (SLP) - Per Diem
Highlands Ranch, Colorado, United States
$55/hr OnsitePart Time, Temporary
Current state SLP license and CPR required; experience with older adults preferred; adherence to ASHA and payer guidelines.
1w
Save
Mark Applied
Hide
QA Analyst with Facets Claims experience
Englewood or United States
$53k-$93k/yr RemoteFull Time
Hands-on Facets Claims testing, strong SQL and claims data validation, understanding of payer claims adjudication and Medicare workflows, analytic and troubleshooting skills.
Facets, SQL, 837, 835
2mo
Save
Mark Applied
Hide
Billing Specialist II
Longmont, Colorado, United States
$25-$30/hr HybridFull Time
2+ YOE2+ years in medical billing with strong denial management and A/R recovery; experience with payer rules, prior authorization, and EHR platforms like Athenahealth/Brightree.
Athenahealth, Brightree, EHR/PMS
1mo
Save
Mark Applied
Hide
Board Certified Behavior Analyst (BCBA)
Denver or Aurora or Colorado Springs or Fort Collins or Lakewood or Thornton or Arvada or Westminster or Pueblo or Boulder or Colorado
$80-$100/hr RemotePart Time
Active BCBA in good standing, ability to meet Colorado licensure/payer requirements, strong clinical judgment and communication; home-based ABA experience preferred.
5d
Save
Mark Applied
Hide
Associate Director, Regional Accounts – AZ, NV, UT, CO, WY & MT
Phoenix or Las Vegas or Denver or Utah or Wyoming or Montana
$200k-$220k/yr RemoteFull Time
10+ YOEBachelor's degree, 10+ years of pharmaceutical experience, valid driver's license, and regional payer, reimbursement, account management, contracting, analytical, strategic, communication, and leadership expertise.
PHRMA Code Guidelines