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.
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
Quest Analytics: A health technology providing provider network management and analytics to health plans.
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%.
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%.
Arkansas or California or Kentucky or Massachusetts or Nevada or New Mexico or Oregon or Utah or Tennessee or Texas or Wyoming
RemoteFull Time
Quorum Health: Operates a network of community-focused acute care hospitals.
5+ YOEHigh school diploma or equivalent and 5+ years in hospital revenue cycle, patient financial services, or insurance accounts receivable, with expertise in collections, denials, appeals, and payer regulations.
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/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
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.
Durham or Mississippi or Louisiana or South Carolina or Kentucky or Kansas or Iowa or Indiana or Arkansas or Texas or North Carolina or Georgia or Virginia or Tennessee or Pennsylvania or Michigan or Wyoming or Wisconsin or Idaho or Utah or Florida or South Dakota or Oklahoma or Ohio or Arizona or Missouri or Alabama
HybridFull Time
Blue Cross and Blue Shield of North Carolina: Provides health insurance and medical benefit plans to members.
12+ YOEBachelor's degree and 12+ years of progressive leadership in payment integrity, healthcare economics, claims, health plans, revenue cycle, or related healthcare functions; payer or healthcare enterprise experience required.
Colorado or Utah or California or Oregon or Nevada or Idaho or Washington or Montana or Wyoming or North Dakota or South Dakota
$162k-$203k/yrRemoteFull Time
Crinetics PharmaceuticalsNASDAQ: CRNX: Develops oral therapies for rare endocrine-related diseases.
12+ YOEBachelor’s degree and 12+ years in healthcare or pharmaceutical/biotech industries required; reimbursement expertise, payer knowledge, communication skills, Microsoft Office proficiency, regional residency, and travel capability required.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, iPad, Customer Relationship Management (CRM)
ViiV Healthcare (GSK) Field Reimbursement Director, Central
Dallas or San Antonio or Cheyenne or Oklahoma City or Salt Lake City or Fort Worth or Denver or Houston or Little Rock or Phoenix
$180k-$300k/yrFieldFull Time
GSKLondon Stock Exchange: GSK: Develops and manufactures innovative vaccines and specialty medicines.
5+ YOE5+ MgmtBachelor's degree and 5+ years as a customer-facing first-line leader, 2+ years transformational leadership, experience with payer policy/reimbursement, ability to travel up to 70%, valid driver's license.
New Mexico or Colorado or Wyoming or Nebraska or South Dakota or North Dakota
RemoteFull Time
HarrowNasdaq: HROW: Develops and commercializes pharmaceutical products for managing ophthalmic diseases.
7+ YOERequires 7+ years in healthcare, reimbursement, brand management, or sales; 2+ years in field reimbursement; buy-and-bill experience; claims analysis; payer coverage knowledge; and prior authorization and appeals experience.
Memorial Hospital of Sweetwater County: Regional acute-care hospital providing comprehensive medical and emergency services.
High school diploma required; experience with hospital/clinic billing, revenue cycle, collections, denials, and payer follow-up; proficiency with Microsoft Office and billing systems; strong communication and customer service skills.
Field Reimbursement Manager - Remote (Great Planes/Great Lakes)
Montana or Wyoming or Colorado or North Dakota or South Dakota or Nebraska or Kansas or Minnesota or Iowa or Missouri or Wisconsin or Michigan or Idaho or Utah or Indiana
RemoteFull Time
Valeris: Provides commercialization and patient support services for life sciences companies.
3+ YOE3+ years pharma/healthcare experience with specialty products, payer and billing/coding knowledge, prior authorization and appeals expertise, strong stakeholder communication, and valid driver’s license; associate's degree or equivalent experience.
Weston County Health Services: Provides hospital care, outpatient clinics, and nursing home services.
2+ YOEHigh school diploma, 2 years medical office/registration experience, knowledge of insurance eligibility/authorization for Medicare/Medicaid/commercial payers, EHR and registration system proficiency, strong communication and organizational skills.
electronic health record, patient registration/accounting systems
United States or Alaska or Connecticut or Delaware or Hawaii or Idaho or Kansas or Kentucky or Maine or Massachusetts or Mississippi or Montana or New Hampshire or New Mexico or North Dakota or Rhode Island or South Carolina or South Dakota or Vermont or District of Columbia or West Virginia or Wyoming
$20/hrRemoteFull Time
Navitus Health Solutions: Transparent pharmacy benefit management and specialty pharmacy provider.
Customer service experience preferred (1-2 years). High school diploma/GED strongly preferred. Pharmacy or healthcare experience preferred. Must communicate with patients, prescribers, and payers and collect/triage prescription data.
Campbell County Health: Comprehensive healthcare and hospital system serving northeast Wyoming communities.
3+ YOEAnalyze revenue cycle and reimbursement data, prepare reports, monitor denials and payer performance, support billing/coding accuracy, collaborate with finance and operational teams; EPIC experience and 3+ years healthcare revenue cycle experience preferred.
Cornea Reimbursement Liaison - San Francisco, CA | Boise, ID | Cheyenne, WY | Helena, MT | Salt Lake City, UT
San Francisco or Boise or Cheyenne or Helena or Salt Lake City or Aliso Viejo or San Clemente or Burlington
$143k-$179k/yrFieldFull Time
GlaukosNYSE: GKOS: Develops therapies and devices for treating chronic eye diseases.
8+ YOEBachelor's degree required; 8+ years in specialty pharmaceuticals or surgical devices and ≥3 years direct reimbursement/healthcare policy experience; payer knowledge, coding/prior authorization/appeals expertise, strong communication and project leadership; ~50% travel.