Payer Jobs

Experienced business analyst with FHIR and EMR interoperability expertise needed to lead API requirements and integrations for a healthcare IT project in Parsippany, NJ.

Lead Redox’s enterprise expansion efforts as Director, Customer Success Enterprise, driving net revenue growth and strategic account penetration across payers, providers, and life sciences.

Provide technical sales support and customer-facing expertise for ClinicalPath, ensuring accurate scoping, secure assessments, and smooth handoffs from sales to implementation at Elsevier.

Lead Headlight's marketing and growth strategy as a senior executive, driving multi-channel acquisition, brand authority, and payer and referral partnerships to scale behavioral healthcare impact.

HHAeXchange is hiring an experienced SVP to lead payer and public sector sales, driving revenue growth, strategic partnerships, and SaaS transformation across Medicaid and managed care markets.

Medical practice in Ahwatukee hiring a part-time Credentialing Specialist to manage provider credentialing, payer enrollment, and re-credentialing to maintain compliance and reimbursement.

Axsome seeks a field-based Specialty Account Manager to drive AUVELITY adoption and territory performance across Long Beach by combining clinical knowledge, payer navigation, and digital engagement.

Analytical payer-focused consultant needed to build and validate reimbursement models and support payment strategy for a regional nonprofit health plan in California.

Amgen is recruiting a Senior Specialty Representative to deliver clinical product knowledge, manage access and reimbursement, and achieve sales goals across the Knoxville-West territory.

Axsome Therapeutics is hiring a Specialty Account Manager to manage AUVELITY performance in the Bozeman territory through strategic field and digital engagement with HCPs and payer stakeholders.

Lead and scale Circle Medical's revenue cycle operations to optimize billing, coding, denials, and cash collections for a high-volume telehealth primary care business.

Clarify seeks a Data Analytics Associate with strong SQL and quantitative skills to analyze healthcare claims and clinical data and deliver impactful insights for provider, payer, and life sciences customers.

Lead territory engagement and access efforts by informing HCPs about Braeburn’s specialty products and managing reimbursement and distribution pathways to ensure patient access.

Experienced reimbursement professional needed to lead field-level access efforts and remove payer and distribution barriers for Ascendis Pharma therapies in the Dallas metro area.

Lead national account strategies for AbbVie's Urology portfolio in the Western region, driving contracting, account relationships, and market-aligned growth initiatives.

PointClickCare is hiring a strategic VP of Solution Design & Strategy to lead clinical and technical teams that accelerate revenue, drive adoption, and shape customer-facing solutions across Acute & Payer and Senior Care markets.

Experienced Utilization Review Specialist needed to manage authorizations, negotiate SCAs, and handle continued stay reviews for a remote behavioral health team serving adolescents.

Medtronic is hiring a remote Reimbursement Coordinator II to manage prior authorizations, verify patient coverage, and support payer interactions to ensure timely access to therapies.

Carelon Medical Benefits Management, an Elevance Health company, is hiring a board-certified MD/DO as an Associate Medical Director to provide timely clinical case reviews and medical necessity determinations in radiology and utilization management.

Seven Starling is seeking a seasoned VP of Product to lead product strategy and scale its specialized women’s mental health platform across the country.

Camber Health seeks an Insurance Operations Lead to architect and scale insurance billing and operational systems that improve financial outcomes and enable high-quality care.

AbbVie seeks a field-based Reimbursement Manager in the Phoenix territory to provide payer, coding and access expertise for Parkinson’s therapies and support HCP offices with patient access and reimbursement needs.

A detail-oriented Front End Specialist needed to manage client billing setups, direct invoicing, and payer configurations to ensure accurate revenue cycle starts and minimize denials.

Southcoast Health seeks a detail-oriented Centralized Scheduler to manage appointment and surgery scheduling, pre-registration, insurance verification, and revenue-related tasks across its regional facilities.

Experienced revenue cycle leader needed to drive RCM optimization, vendor management, Athena-based chargemaster and billing-rule oversight, and automation strategies to improve revenue capture and reduce financial leakage for Privia Health.

Lead Galileo's claims analytics as a principal-level expert, building scalable DBT/SQL pipelines and executive-ready insights that inform C-suite decisions on cost, utilization, and network strategy.

CookUnity is hiring a Senior Account Manager to lead onboarding and strategic account management for healthcare payers and partners, driving success for medically tailored meal programs.

Serve as the clinical and operational bridge between acute hospitals and our LTACH by assessing medically complex patients, removing barriers to admission, and coordinating care with clinicians, families, and payers.

Sword Health is hiring a seasoned former benefits leader to drive benefits strategy, sales enablement, and market thought leadership to accelerate enterprise adoption of its digital MSK and holistic employee health solutions.

AbbVie is seeking a Director to lead long‑range go‑to‑market strategy and cross‑functional initiatives to position the company for emerging payer, pricing, and access challenges.

Heartbeat Health seeks a seasoned VP of Implementation & Customer Success to lead scalable onboarding and adoption of its virtual cardiology services while ensuring clinical quality, regulatory compliance, and strong client relationships.

Wellmark is hiring an EDI Analyst to design, test, and support ANSI X12 healthcare transactions and partner integrations to ensure accurate, compliant electronic data interchange.

Clarify is hiring a Customer Success Associate to manage provider and payer relationships, drive adoption of analytics solutions, and ensure customers realize measurable value from the platform.

Select Specialty Hospital is hiring a Clinical Liaison (RN/RRT) in San Diego to conduct clinical assessments, remove barriers to LTACH admission, and build strong referral relationships.

University of Rochester Patient Financial Services is hiring a Claims Resolution Representative IV to resolve complex insurance claims, maximize revenue collection, and train staff.

Centene is hiring an IT Project Manager II to lead multiple small-to-medium technology projects remotely, driving scope, schedule, budget, risk management, and stakeholder alignment for healthcare initiatives.

Amgen is hiring a Specialty or Senior Specialty Representative in Macon, GA to drive clinical engagement, access, and sales across a multi-city territory for its specialty therapeutic portfolio.

Big Leap Health is hiring a Senior Specialty Benefits Navigator to lead escalated prior authorizations and payer/PBM advocacy to secure patient access to Spravato, TMS, and other specialty behavioral health treatments.

Experienced denial specialist needed to manage claim appeals, payer relations, and denial trend analysis for UChicago Medicine Ingalls Memorial's Revenue Cycle team in a primarily remote, hybrid role.

Rezilient Health seeks an experienced Account Executive to sell CloudClinics to health plans, brokers, and benefits consultants and drive strategic partnerships that scale virtual care adoption.

A remote Appeals Management Coordinator is needed to manage denial research and appeal submissions for multiple client facilities, ensuring accurate documentation and timely payer follow-up.

Lead utilization review and discharge planning as an RN Case Manager at a premier academic medical center in Syracuse, ensuring EPIC-compliant documentation and efficient post-acute transitions.

Lead multi-site outpatient spine and pain clinics in Phoenix as the Director of Operations, partnering with ownership to scale operations, optimize financials, and develop high-performing teams.

The Clinical Liaison (RN/RRT) will coordinate post-ICU admissions and care plans, advocate for patients with hospital teams and families, and remove payer and operational barriers to LTACH placement.

Experienced market-access professional needed to provide regional payer coverage, coding and reimbursement support for Cepheid diagnostics while partnering with sales and value teams across the western U.S.

Senior field-based HEOR leader sought to shape and execute payer-facing health economics, real-world evidence, and value-based strategies across Ascendis Pharma's US portfolio.

Lead national growth and revenue generation as the VP of National Business Development for a firm specializing in MSP compliance and client-focused solutions.

Cepheid is hiring a Senior Field Reimbursement Manager to deliver regional payer coverage, coding and reimbursement support for molecular diagnostics to providers, labs and commercial customers in the US East.

MindMed is hiring a strategic Vice President of Market Access to lead payer strategy, pricing, distribution, and patient access initiatives for MM120 and future mental health therapeutics.

Hippocratic AI seeks a Customer Success Executive with payer expertise to lead implementations and ensure measurable outcomes for health plan clients using its healthcare AI solutions.