Payer Relations Director
Virtual Vocations Inc
Responsible for managing coverage and reimbursement processes within a designated region, the remote full-time Payer Relations Director will establish favorable payer coverage, ensure fair payment practices, and coordinate reimbursement support for key healthcare providers. Key responsibilities Establish and manage relationships with payers and healthcare stakeholders to facilitate reimbursement processes Coordinate consultations with KOL physicians and institutional customers to address reimbursement barriers Collaborate with internal teams to achieve strategic business goals related to payer and provider interactions Required qualifications Proven experience in payer relations, reimbursement processes, or healthcare policy Strong understanding of commercial insurance, Medicaid, and MAC policies Experience working with KOLs and healthcare providers Ability to manage multiple initiatives and cross-functional relationships effectively Detail-oriented with strong organizational skills
- Role: Payer Relations Director (PRD), remote position overseeing coverage, coding, and reimbursement strategies across commercial insurance, Medicaid, and MACs. Objectives include establishing favorable payer coverage, ensuring fair payment, and removing reimbursement...SuggestedRemote work
$15 per hour
...part of an inclusive, adaptable, and forward-thinking organization, apply now.We are currently seeking a Client Executive - Healthcare Payer (Remote) to join our team in remote USA.We are currently seeking aClient Executiveto join our team. This role involves a blend of...SuggestedFull timeTemporary workWork at officeRemote workFlexible hours- Job ID: 20815Location: Edison, United StatesCategory: CROJob Title: Client Partner - Healthcare (Payers & PBMs)Experience Level: 10+ years in IT Services Sales & Account ManagementIndustry Focus: Healthcare - Payers, PBMs, and ProvidersAbout BrillioBrillio is a leading...SuggestedContract workShift work
$109.69k - $253.91k
...an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Client Executive - Healthcare Payer (Remote) to join our team in remote USA. We are currently seeking a Client Executive to join our team. This role involves a blend...SuggestedTemporary workWork at officeRemote workFlexible hours- Scorpion Therapeutics is seeking a National Account Manager to secure product access for payers, PBMs, GPOs, and government entities, with a focus on oncology and orphan indications. This remote US role involves developing payer coverage policies, addressing reimbursement...SuggestedRemote work
$190.5k - $279.4k
...Title:National Account Director, Payer Team Company:Ipsen Biopharmaceuticals Inc. About Ipsen: Ipsen is a mid-sized global biopharmaceutical... ...decision-makers and leadership (e.g. CEO, CFO, Industry Relations, Medical Directors, etc) Monitor and report on contract...Contract workTemporary workFlexible hoursShift workNight shift- ...strategic engagement and business development with key national payers, PBMs, and IDNs to optimize access and reimbursement for Ipsen'... ...Requirements ~ BA/BS in Business, Life Sciences, or related field ~12+ years industry experience with at least 5+ in payer...Contract work
$137k - $205.5k
## Head of Customer Success, Payer & EmployerApply: Remote: Remote, United States: Full time: Posted Today: REQ-954# **Who We Are**Verily... ...achieve their combined goals.* Track and report metrics related to customer experience including implementation progress, overall...Full timeRemote work- ...Bristol Myers Squibb is seeking a National Account Director to lead Emisar/OptumRx/UHC market access initiatives in the U.S. You will manage PBM/GPO/payer relationships, negotiate contracts, and drive formulary access for the portfolio. The role requires deep healthcare...
- ...The National Account Director, Payer Team at Ipsen Biopharmaceuticals Inc. leads strategic engagement with national payer accounts to ensure optimal access and reimbursement for Ipsen’s portfolio. You will collaborate cross-functionally with Value & Access, Sales, Marketing...
- Takeda is seeking a strategic lead for national accounts to drive market access, contracting, and policy across major payer and federal programs. This role is remote from Massachusetts with 20-40% travel, focusing on Kaiser Permanente, Medicaid, and federal healthcare initiatives...Remote work
- Apnimed seeks a Value Outcomes Liaison to lead HEOR/RWE strategy in Medical Affairs, interfacing with payer decision-makers to demonstrate value and support patient access. You will translate data into clear messages, develop a territory plan, and collaborate with Market...
- ...the end-to-end process of insurance authorizations across various service lines. This role is crucial in maintaining compliance with payer requirements and ensuring uninterrupted services for clients. Candidates should have a Bachelor’s degree in healthcare...
- ...services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families. The Payer Relations Manager will lead the strategy, design, and execution of insurance benefits and payer-related functions across clinic and pharmacy...Work at officeRemote work2 days per week
- Northeast Valley Health Corporation is seeking a Consumer Relations Coordinator I to assist patients with eligibility and connect them to third-party payer programs and health benefit services. You will liaison between the Business Office and the Managed Care Department...Work at officeFlexible hours
- ...with physicians and nurses to ensure timely decisions and efficient resource use. This role emphasizes communication with third-party payers and adherence to evidence-based criteria, removing barriers to progression of the care plan and ensuring appropriate levels of care...
- ...Genetix Biotherapeutics is seeking a National Account Executive to lead payer engagement and access initiatives for its gene therapy portfolio. The role focuses on optimizing reimbursement pathways, collaborating with QTCs, and driving strategic payer partnerships across...
$84.8k - $106k
...Account Manager, Payer & PBM Life Sciences & Healthcare Are you a strategic thinker with a passion for building strong customer relationships and driving growth? We're looking for an experienced Account Manager, Payer & PBM Life Sciences & Healthcare to lead customer...Full timeWork experience placementFlexible hours2 days per week3 days per week- Clarivate Analytics US LLC in the United States is seeking an Account Manager, Payer & PBM in Life Sciences & Healthcare to lead customer engagement, develop account strategies, and deliver tailored solutions that meet client needs, balancing growth with satisfaction. This...Full time
$250k - $285k
...seeking a highly motivated individual to join our US Payer Field team (Market Access) as an Account Director, covering the Southeast US. Key states include FL,... ...will be a subject matter expert on all access related items including payer policy, pricing communication...Full timeFor contractorsLocal areaRemote work$160k - $175k
...difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients... ...SummaryZOLL Medical Corporation is seeking a Professional Relations Director to lead and manage relationships within the cardiac health...Minimum wageOngoing contractFull timeLocal areaRemote workWorldwide- Cognizant is seeking a Healthcare Payer Client Relationship Manager to own and grow strategic payer accounts in Dallas. You will serve as the primary executive interface, driving satisfaction, revenue growth, pipeline development, and long-term profitability across global...
$120k - $150k
...Overview & Highlights Job Title: Senior Director of Client Relations Location: Fully Remote Employment Type: Full-Time Hours & Schedule... ...identify opportunities for growth, and lead sophisticated payer and healthcare contracting initiatives. This position...Full timeContract workRemote workFlexible hours$112.7k - $193.2k
...drive alignment between care providers and payers, and ultimately consumers. Our deep... ...position is responsible for influencing change related to the key functions of Revenue Cycle... ...challenges.Primary Responsibilities:The Director, RCM Client Delivery is a key operations...Minimum wageFull timeWork experience placementLocal areaRemote work$78k - $90k
...product implementation and rollout, ensuring a smooth client and payer experience. Collaborate with internal teams to identify process... ...Bachelor’s Degree in Business, Communications, Marketing, or a related field. Strong commercial drive and ability to identify, diagnose...Full timeContract workLocal area- ...contracts with managed care companies, government agencies and other payers that ensure optimal reimbursement Participate with the... ...independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and...Hourly payFlexible hours
- ...enterprise accounts. Experience supporting value-based care initiatives, population health programs, care coordination strategies, and payer-provider collaboration models is strongly preferred. Knowledge of post-acute care workflows, Skilled Nursing Facilities (SNFs), and...Full time
- Precision AQ is a leading payer marketing agency in the United States, seeking an Assistant Account Executive to join the team remotely. You will help coordinate brand and project teams, develop payer-focused marketing programs, and assist in creating strategies that payers...Remote job
- Goodwin Recruiting seeks a Strategic Account Manager to lead and grow relationships with enterprise healthcare payer clients. The role acts as a trusted advisor to senior stakeholders, driving long-term partnership value through retention, revenue expansion, and strategic...
- Precision AQ, the leading payer marketing agency, is seeking an Assistant Account Executive to support our team remotely in the United... ...strategies that payers will remember. The role requires a marketing-related degree and relevant internship or one year of experience in...Remote jobInternship
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