Jobs in the United States

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Lead Project Manager – Grid Automation
Jobgether
Remote, United States
- $100,000 to $166,700 USD / year
Contribute to the development of the Operations team and participate in continuous improvement initiatives.
Added just now
Field Service Technican
Jobgether
Remote, United States
…customers, partners, and internal engineering, production, and operations teams to resolve technical challenges and improve system reliability. The role involves performing on-site…
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Feasibility Study Manager
Jobgether
Remote, United States
The Feasibility Study Manager will play a key role in supporting clinical research studies by coordinating and managing site feasibility activities throughout the study lifecycle. This…
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Accounting Manager - Onboarding
Jobgether
Remote, United States
Professional development: Opportunity to lead and develop an accounting team while improving client onboarding operations.
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Account Manager Die Casting
Jobgether
Remote, United States
The Account Manager Die Casting will be responsible for developing and growing strategic customer relationships while driving revenue, profitability, and market share within an assigned…
Added 1 min ago
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Manager, Clinical Pharmacy Operations
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
Position Purpose: The Manager of Clinical Pharmacy Operations is responsible for developing, implementing and administering clinical pharmacy tools and programs to support corporate and…
Added 6 mins ago
Assistant Store Leader
The Kroger Co.
Fishers, IN
Manage total store operations in store manager’s absence
Added 6 mins ago
HOME HARDLINES/LEAD CLERK
The Kroger Co.
Longview, WA
…standards. Support the day-to-day functions of the department operations. Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service. Demonstrate the…
Added 26 mins ago
Construction Manager, GES NA, Design and Construction
Amazon.com Services LLC
Arlington, VA · New York, NY
As a Construction Manager within Global Engineering Services (GES) North America (NA) Design & Construction (D&C), you are Amazon's owner's representative throughout the full construction…
Added 27 mins ago
EPC Automation Lead
Bechtel
AZ
Participates in the rollout of new technologies, services, and security remediations by working with the GBU Innovation Manager, AI Program Manager, and Bechtel Equipment Operations.
Added 29 mins ago
Site Manager
Express Wash Operations LLC
United States
The Site Manager role at Whistle Express is where ownership becomes real. You are the leader of the site - the person responsible for the people, the guest experience, the equipment, the…
Added 33 mins ago
Senior Manager, Data Analytics and Insights
National Financial Services LLC
Westlake, TX
…education equivalent) and five (5) years of experience as a Senior Manager, Data Analytics and Insights (or closely related occupation) performing data analysis, databases structuring, and…
Added 33 mins ago
Director, IT Audit Program Manager
Fidelity Technology Group, LLC
Westlake, TX
…hypotheses around risk and controls, provides input to the development of the integrated audit plan, and collaborates with application teams. Leverages audit automation tools in the…
Added 33 mins ago
PRO EXPERIENCE MANAGER
The Home Depot
Saint Louis, MO
30% - People - Talent Acquisition: Assist with recruitment and interviews to provide input to the Store Manager/ASM. Training Compliance: Ensure Pro Team Knowledge Depot (KD) training is…
Added 34 mins ago
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Optical Associate, Certified (ABO) – Sam’s Club - PT
Sam's East, Inc.
Katy, TX
- $23 to $31 USD / hour
…eye anatomy and diagnostic testing. Participates in internal development opportunities to enhance technical and service capabilities. Satisfies apprenticeship and state board requirements…
Added 38 mins ago
Assistant Store Manager
The TJX Companies Inc
Woodinville, WA
…embraces diversity, fosters collaboration, and prioritizes your development. Whether you’re working in our four global Home Offices, Distribution Centers or Retail Stores - TJ Maxx,…
Added 43 mins ago
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Services Supply Chain Portfolio Manager
HP
Spring, TX
- $116,150 to $182,400 USD / year
In this position, you will be part of the SSC Delivery & Business Operations – Pursuit & Portfolio Management organization, whose mission is to enable profitable Services growth by…
Added 43 mins ago
Technical Relationship Manager (USA)
ControlUp
Remote, United States
ControlUp is a leader in Digital Employee Experience (DEX), evolving IT operations with agentic AI to deliver Autonomous Endpoint Management (AEM) and a digital workspace that runs itself.
Added 51 mins ago
Senior Commercial Leasing Specialist
First Citizens Bank
Raleigh, NC
Relationship Development – Acts as the primary relationship manager for existing Rail customers within the territory to originate incremental rail operating leasing volume, maximize revenue…
Added 51 mins ago
Senior Commercial Leasing Specialist
First Citizens Bank
Lincoln, NE
Relationship Development – Acts as the primary relationship manager for existing Rail customers within the territory to originate incremental rail operating leasing volume, maximize revenue…
Added 53 mins ago
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Registered Nurse RN Clinical Manager
UnitedHealth Group
Sherman, TX
- $73,188 to $109,782 USD / year
As the Clinical Manager, you will provide leadership, supervision, and coordination of therapy services to ensure high-quality, compliant, and cost-effective patient care, while maintaining…
Added 1 hour ago
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Brands Account Manager
Veralto
Remote, United States
- $65,000 to $70,000 USD / year
Training, development, and tuition reimbursement programs.
Added 1 hour ago
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Medical Assistant-Part Time-Stoneham
Beth Israel Lahey Health
Stoneham, MA
- Part-time
…supports smooth and efficient administrative and clinical practice operations. The Medical Assistant has the ability to work with people from different backgrounds and respects the beliefs…
Added 1 hour ago
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(USA) Store Manager - Division 1/Neighborhood Market
Wal-Mart Stores Texas, LL
Pantego, TX
- $95,000 to $145,000 USD / year
Directs the management team in facility operations and communicates with both management and hourly associates about facility operationsmerchandising and company direction
Added 1 hour ago
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Director, Americas Sales
Veralto
Remote, United States
- $170,000 to $185,000 USD / year
Territory & Account Strategy: Ensure every Territory Manager maintains a clear territory growth plan and prioritizes strategic customers, new business development, and high-value…

Brault

Manager, Payer Contracting

San Dimas, CA, United States

$75,000 to $90,000 USD / year

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Job details

Pay: $75,000 to $90,000 USD / year
Experience: 3–5 years of experience in revenue cycle management, managed care, or a related healthcare financial role, with 2 + years’ experience healthcare payer contracting.
Posting language: English
Posted: Nov 3, 2026

Original job description

Description Position Summary The Payer Contract Specialist is responsible for supporting the negotiation, implementation, and management of payer contracts to ensure optimal reimbursement and compliance. This role analyzes contract terms, evaluates reimbursement methodologies, monitors payer performance, and collaborates with internal stakeholders to ensure accurate interpretation and execution of payer agreements.

Essential Duties and Responsibilities

Contract Development & Negotiation – These responsibilities performed in conjunction with Chief Compliance Officer/General Counsel

Establish or renew contracts under new Tax IDs as needed.
Create and maintain contract summary forms for all clients
Monitor contract termination dates and coordinate timely renewals, renegotiations, or terminations in alignment with client directives.
Process contract terminations.
Ensure all payer contracts and related documents, including but not limited to new agreements, notices, amendments and terminations, are maintained following company file storage protocols
Gather and analyze data to support negotiation strategy, rate improvements, alternate payment models and other opportunities for revenue cycle improvements.
Assist with the preparation and review of payer contracts, amendments, and fee schedules.

Payer Contract Module Ownership Serve as the Owner/Subject Matter Expert for the payer contract module in Athena.

Maintain comprehensive knowledge of the Payer Contract Module (client- and payer-specific), including:
Initial fee schedule uploads and ongoing maintenance (commercial and governmental).
Creation and configuration of rule-based logic.
Daily monitor variance reporting to identify needs for additional or updated rules, flag emerging payer trends, and escalate inappropriate payer behavior to leadership (such as underpayments)

Payer Policy Monitoring & Analysis

In conjunction with Chief Compliance Officer/General Counsel, monitor, interpret, and communicate payer policy updates, coverage determinations, and regulatory changes to cross-functional teams, ensuring alignment with internal processes.
Prior to contract expiration, review payer behavior, utilizing analytical tools (e.g., Impact Analysis Report) to recommend revised rates and support negotiation efforts to maximize revenue reimbursement for clients.
Prepare reports and dashboards that summarize contract metrics and financial outcomes as needed

Internal & External Collaboration

Participate in monthly or quarterly client meetings as a subject matter expert, offering insights into contract performance, opportunities for improvement, and recommended changes.
Notify client managers of contracts approaching renegotiation or termination windows.
Build and maintain positive relationships with payer Provider Representatives.
Attend key industry conferences and networking events.
Participate in team meetings to address issues related to payment terms, underpayments, and emerging contract-related trends.
Partner with revenue cycle teams to resolve contract-related payment issues and if necessary, to assist with appeals or reconsiderations for underpaid or denied claims
Provide guidance on contract interpretation to internal departments, including coding, billing, and patient access.
Work closely with legal, compliance, operations, and clinical departments during contract execution and renewals.
Communicate contract updates and reimbursement changes to key stakeholders.
Support implementation of new payer programs, reimbursement models, or operational changes.

Requirements

Knowledge, Skills, & Abilities

Intermediate skills in Microsoft Outlook, Excel, PowerPoint and Word.
Proficient with Adobe
Effective written and verbal communication skills.
Experience with Laserfiche (document storage) preferred but not required.
Knowledge of healthcare payer contracting, including commercial and government payers (Medicare, Medicaid, managed care)
Knowledge of payer contract terms, fee schedules, amendments, notices, and termination provisions.
Knowledge of payer policies, coverage determinations, and regulatory requirements affecting reimbursement.
Knowledge of data analysis and financial reporting related to contract performance and payer behavior.
Experience with revenue cycle operations, including billing, coding, payment posting, underpayment analysis, clearinghouse, and appeals.
Working knowledge of practice management or EHR systems, preferably Athena IDX, payer contract modules.
Familiarity or experience with Payer Price or similar payer rate transparency tool.
Proven track record of successful payer contracting negotiations.
Ability to analyze, evaluate, and apply knowledge of market and healthcare trends to effectively convey the value of a contract.

Education & Experience Requirements

Bachelor's degree in a related field such as healthcare administration or business preferred.
3–5 years of experience in revenue cycle management, managed care, or a related healthcare financial role, with 2 + years’ experience healthcare payer contracting.

Travel

As this is a role that covers the entire corporation, travel may include trips within the US and overnight travel should be expected. Travel expectations would be 10-15% of the time client visits, conferences, and other industry-related events.

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