Payer Jobs

Join Prompt as a Benefits Verification and Authorization Specialist to manage eligibility checks, secure prior authorizations, and help prevent claim denials for a fast-growing rehab therapy software company.

Lead revenue expansion across Abacus's strategic payer accounts by driving consultative, high-value SaaS solutions that deliver measurable outcomes.

Senior market access executive to define payer strategy and lead content innovation across Klick/Peregrine, partnering with clients and internal teams to translate access challenges into measurable commercial value.

AssistRx seeks a Patient Access Specialist to perform benefit investigations, manage prior authorizations and appeals, and coordinate with providers and payers to secure patient access to specialty medications.

Senior regional leader to develop and execute oncology sales strategy and lead a field team across the Western territory for AbbVie.

Richmond University Medical Center is hiring a Billing Coordinator to oversee rehabilitation billing, resolve denials, and optimize revenue capture for the Rehab department.

Lead a small engineering team to design, deploy, and maintain X12-based interoperability services powering provider–payer connections within Innovaccer's healthcare platform.

Lead contracting strategy and negotiations for Regeneron's Oncology and Branded Portfolio, driving pricing decisions, payer engagement, and value‑based agreements to maximize access and net revenue.

Lead strategic planning and consulting for Pfizer's Global Commercial Platforms to drive commercial performance across marketing, medical affairs, and access.

Lead and scale the prior authorization function for a remote mental-health company, ensuring efficient payer workflows and strong cross-functional alignment.

Select Specialty Hospitals seeks a clinically skilled Clinical Account Manager to coordinate post-ICU transitions, remove payer and operational barriers, and strengthen hospital relationships across the NYC/NJ territory.

Guardant Health seeks a detail-oriented Reimbursement Specialist I to manage prior authorizations, payer communications, and claims follow-up in support of laboratory billing and patient access.

AssistRx is hiring an Insurance Verification Specialist to verify patient benefits, manage prior authorizations, and resolve payer reimbursement challenges to help patients access therapy.

Select Specialty Hospitals is hiring a Clinical Account Manager in New York City to coordinate post-ICU patient admissions, partner with hospital teams, and drive patient advocacy and care transitions.

Guardant Health seeks a detail-oriented Reimbursement Specialist to manage claim follow-up, write successful appeals, and drive payments while supporting patients and internal teams.

Work as a clinically focused RN on Humata Health’s payer operations team to digitize policies and validate AI-driven prior authorization workflows.

Experienced healthcare payer business analyst needed to lead requirements, vendor integration and product delivery for TPA/self-funded client implementations in a remote 12+ month engagement.

Advocate Health is hiring a Refund Processing Representative I to resolve credit balances and process refunds within its revenue cycle operations using multiple patient accounting systems.

UChicago Medicine Ingalls is hiring a full-time onsite Utilization Management Case Manager (RN) to lead utilization reviews, coordinate care across teams and payers, and support clinical and operational outcomes at its Harvey campus.

Lead and scale Flagler Health's sales organization as a player-coach, owning revenue targets and building repeatable enterprise sales motion in the healthtech market.

Serve as a Denial Management PBS Specialist at Legacy Health to resolve complex payer denials, maximize reimbursement, and support continuous improvement across the revenue cycle.

Experienced leader needed to develop and execute comprehensive access and reimbursement strategies for AbbVie's patient services and hub programs, driving stakeholder alignment and measurable impact.

Lead IntegriChain’s market access advisory engagements—shaping pricing, contracting, reimbursement, and channel strategies while developing the practice and mentoring consulting teams.

Abacus Insights is hiring an Operational Efficiency Manager to lead cross-functional, technology-enabled initiatives—with a strong emphasis on GenAI and automation—to boost operational performance and margin.

Senior leader sought to define and execute global oncology market access, pricing and HEOR strategy across launched and pipeline assets for Bristol Myers Squibb from the Princeton hub.

Fractal Analytics seeks a strategic Payer Account Manager to own payer relationships, ensure contract performance, and drive revenue growth across insurers, TPAs, and government payers.

Genentech is hiring a Senior Contract Manager in South San Francisco to lead managed care contracting, pricing, and distribution strategy across portfolios and accounts.

Experienced healthcare EDI professional needed to manage eligibility and coverage verification, maintain X12/HL7 transactions, and collaborate with revenue cycle and IT teams in a remote role for Experian Health.

Experienced RN with utilization management and prior authorization expertise needed to validate and improve AI-driven prior authorization workflows at Innovaccer.

Experienced Databricks-focused Data Engineer to lead cloud ETL, metadata, and data quality efforts within a healthcare payer environment.

Experienced clinical leader needed to direct case management and care coordination at an inpatient rehabilitation hospital partnered with Ochsner and Select Medical.

Provide inpatient rehabilitation case management (RN or LMSW) on a per-diem basis, coordinating care, discharge planning, and utilization management for complex rehab patients at Ochsner Rehabilitation Hospital.

Humata Health is hiring a Product Manager to lead payer connectivity initiatives, building integrations that simplify prior authorization workflows between providers and payers.

Lead Aledade's Health Plan Performance efforts to convert contract and performance data into strategic initiatives that deliver quality improvements and shared savings across payer contracts.

Lead the case management team at Select Specialty Hospital in Madison, directing utilization review, discharge planning, payer coordination, and staff development for medically complex patients.

Lead the product strategy and execution for payer programs in Innovaccer's pharmacy product pillar to drive revenue, adoption, and partner engagement across EQUIPP Web and Copilot.

Senior healthcare leader needed to modernize and centralize revenue cycle operations across a multi-facility NY-focused health system, ensuring compliance and financial sustainability for rural communities.

Experienced healthcare reimbursement specialist needed to define and maintain hospital payer contracts in Experian Health's Contract Manager to ensure accurate claim valuations and patient estimates.

Pfizer is hiring a Field Reimbursement Manager to support HCPs in the Indianapolis territory with reimbursement, coverage navigation, and patient access solutions through in-person and virtual engagement.

Lead enterprise provider partnerships with national health systems to expand Tendo's MDsave Marketplace, driving new-logo acquisition and measurable revenue growth.

Dyne Therapeutics is seeking a strategic commercial leader to build and lead US Market Access and Patient Services for upcoming neuromuscular therapy launches.

Innovaccer is looking for an Associate Director of Growth Strategy to lead market assessments, strategic narratives, and cross-functional go-to-market efforts that accelerate growth with healthcare customers.

Guidehouse is hiring a Healthcare Strategy & Innovation Consultant to deliver data-driven strategy, financial modeling, and transformation support for payer and provider clients.

Lead payer-focused product strategy and execution at HHAeXchange, building interoperable, revenue-driving solutions for home and community-based care.

PointClickCare is hiring a Sr. Provider Customer Success Manager to partner with acute and payer clients across California to drive adoption, deliver ROI, and scale best practices.

Regard seeks a Solutions Consultant to validate and quantify product impact for health systems, craft data-backed proposals, and act as the technical liaison across Sales, Product, and Engineering.

TREND Health Partners is hiring a remote Provider Services Analyst I to analyze denials, draft effective appeals, and drive recoveries using payer portals and EMR systems.

Senior market access leader needed to drive Medicaid payer strategies, coverage, and contracting across Western U.S. fee-for-service Medicaid programs for a fast-growing biopharma.

Experian is hiring a Client Onboarding Consultant to drive end-to-end client setups and successful implementations across products and payers in a remote, Central Time role.

Humata Health is hiring an RN with utilization management experience to help digitize payer policies, validate AI-driven prior authorization workflows, and coordinate cross-functional projects.