Provider Payment Jobs

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

Oscar Health is hiring a remote Payment Integrity Associate to lead Coordination of Benefits efforts and strengthen claims adjudication through deep claims platform and coding expertise.

Lead a team focused on provider performance and value-based payment strategies to improve quality and total cost of care for Wellmark members.

Presbyterian Healthcare seeks an experienced Provider Network Management Relations Executive in Albuquerque to lead provider engagement, performance reporting, and network relationship strategies supporting clinical quality goals.

TREND Health Partners is looking for a senior Claims Analyst III to remotely identify, analyze, and recover claim overpayments while supporting concept development and client-facing resolution efforts.