Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level THIS IS WHAT YOU ... You will be understanding the strategic direction set by senior management as it relates to team ...
Job Title: Health Payer Technology Medicare Consultant Job Level: Senior Level THIS IS WHAT YOU ... You will be understanding the strategic direction set by senior management as it relates to team ...
Sr./Executive Director, Program Design & Access Strategy
Oregon, WI · On-site
$235.87 - $326.17/hr
... Leadership, Payer Teams, Trade, Supply Chain, Legal, and Compliance. Key Responsibilities ... Accountable for partnering with marketing to manage patient services marketing materials, forms ...
Sr./Executive Director, Program Design & Access Strategy
Oregon, WI · On-site
$235.87 - $326.17/hr
... Leadership, Payer Teams, Trade, Supply Chain, Legal, and Compliance. Key Responsibilities ... Accountable for partnering with marketing to manage patient services marketing materials, forms ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
CDI Reimbursement Manager
Wauwatosa, WI · On-site
$33.75 - $45.50/hr
Medical
Dental
Vision
Retirement
PTO
Summary The CDI Managing Liaison serves as a strategic partner within the Clinical Documentation ... Strong knowledge of procedure coding, CPT/HCPCS codes, use of modifiers, payer policies, and ...
WI · On-site
$185 - $225/hr
Medical
Dental
Vision
Life
Retirement
PTO
S. payer landscape and understand the changes associated with Health Care Reform as it relates to ... Strategic Market Directors, National Account Directors, Territory Managers, Region Sales Managers ...
WI · On-site
$185 - $225/hr
Medical
Dental
Vision
Life
Retirement
PTO
S. payer landscape and understand the changes associated with Health Care Reform as it relates to ... Strategic Market Directors, National Account Directors, Territory Managers, Region Sales Managers ...
Associate Director, Medical Outcomes Value Liaison- Central
Medical
Dental
Vision
Life
Retirement
PTO
... care payers, pharmacy benefit managers, specialty pharmacy providers, group purchasing ... Delivers on the strategic and tactical direction of Ferring's MOVL Department: * Executes medical ...
Associate Director, Medical Outcomes Value Liaison- Central
Medical
Dental
Vision
Life
Retirement
PTO
... care payers, pharmacy benefit managers, specialty pharmacy providers, group purchasing ... Delivers on the strategic and tactical direction of Ferring's MOVL Department: * Executes medical ...
Growth Marketing Manager - Business & Managed Health
Milwaukee, WI · On-site +1
$51.05 - $76.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Managed Health, Employer Solutions, and other business-driven growth priorities with business-to ... strategies that support employer, payer, broker, consultant, referral, and other business audiences ...
New
Growth Marketing Manager - Business & Managed Health
Milwaukee, WI · On-site +1
$51.05 - $76.60/hr
Medical
Dental
Vision
Life
Retirement
PTO
... Managed Health, Employer Solutions, and other business-driven growth priorities with business-to ... strategies that support employer, payer, broker, consultant, referral, and other business audiences ...
New
Be Seen First
Strategic Account Executive
Madison, WI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
National CooperativeRx seeks a Strategic Account Executive (SAE) to join our cooperative team. The ... Proven ability to manage multiple projects at a time while paying strict attention to detail.
Quick apply
Be Seen First
Strategic Account Executive
Madison, WI · On-site
Medical
Dental
Vision
Life
Retirement
PTO
National CooperativeRx seeks a Strategic Account Executive (SAE) to join our cooperative team. The ... Proven ability to manage multiple projects at a time while paying strict attention to detail.
... managed care organizations, government agencies, and other payers. Essential Functions and Skills ... Provides leadership and support to Director of Patient Services in strategic planning including ...
... managed care organizations, government agencies, and other payers. Essential Functions and Skills ... Provides leadership and support to Director of Patient Services in strategic planning including ...
... managed care organizations, government agencies, and other payers. Essential Functions and Skills ... Provides leadership and support to Director of Patient Services in strategic planning including ...
... managed care organizations, government agencies, and other payers. Essential Functions and Skills ... Provides leadership and support to Director of Patient Services in strategic planning including ...
Lateral Recruiting Manager
Madison, WI · On-site +1
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Madison, WI · On-site +1
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Milwaukee, WI · On-site +1
Medical
Dental
Life
Retirement
PTO
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Milwaukee, WI · On-site +1
Medical
Dental
Life
Retirement
PTO
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Milwaukee, WI · On-site +1
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Milwaukee, WI · On-site +1
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Madison, WI · On-site +1
Medical
Dental
Life
Retirement
PTO
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
Lateral Recruiting Manager
Madison, WI · On-site +1
Medical
Dental
Life
Retirement
PTO
Strategic Leadership & Planning * Responsible for implementation of our lateral paralegal and ... paying invoices for same, and ensuring expenses stay within budget. Data Management and Analytics
THE ROLE We are seeking an accomplished and strategic leader to join the team as a Senior Vice ... Client Management: Cultivate and maintain strong relationships with healthcare clients, serving as ...
Quick apply
THE ROLE We are seeking an accomplished and strategic leader to join the team as a Senior Vice ... Client Management: Cultivate and maintain strong relationships with healthcare clients, serving as ...
Contracts Manager
Mount Pleasant, WI · On-site
$99K - $113K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identify commercial risks and recommend mitigation strategies to protect project objectives ... paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is ...
Contracts Manager
Mount Pleasant, WI · On-site
$99K - $113K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identify commercial risks and recommend mitigation strategies to protect project objectives ... paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is ...
Contracts Manager
Mount Pleasant, WI · On-site
$99K - $113K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identify commercial risks and recommend mitigation strategies to protect project objectives ... paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is ...
Contracts Manager
Mount Pleasant, WI · On-site
$99K - $113K/yr
Medical
Dental
Vision
Life
Retirement
PTO
Identify commercial risks and recommend mitigation strategies to protect project objectives ... paying all of its employees in a fair, equitable, and transparent manner. The listed pay range is ...
... managed care organizations, government agencies, and other payers. DUTIES & RESPONSIBILITIES ... Provides strategic planning including identifying opportunities for additional or improved services ...
... managed care organizations, government agencies, and other payers. DUTIES & RESPONSIBILITIES ... Provides strategic planning including identifying opportunities for additional or improved services ...
... managed care organizations, government agencies, and other payers. DUTIES & RESPONSIBILITIES ... Provides strategic planning including identifying opportunities for additional or improved services ...
... managed care organizations, government agencies, and other payers. DUTIES & RESPONSIBILITIES ... Provides strategic planning including identifying opportunities for additional or improved services ...
Payer Strategy Manager information
What is a payer strategy manager?
A Payer Strategy Manager is a professional in the healthcare industry responsible for developing and implementing strategies related to health insurance payers, such as insurance companies, government programs, and managed care organizations. Their role involves analyzing market trends, negotiating contracts, and ensuring that products and services align with payer requirements to optimize reimbursement. They often collaborate with sales, marketing, and product teams to support business growth and maintain strong payer relationships. Payer Strategy Managers play a key role in shaping how healthcare organizations interact with payers to maximize access and profitability.
What are the key skills and qualifications needed to thrive as a payer strategy manager?
To thrive as a Payer Strategy Manager, you need expertise in healthcare policy, data analysis, contract negotiation, and a background in business, healthcare administration, or a related field. Familiarity with claims management systems, financial modeling tools, and payer-provider platforms is typically required, along with relevant certifications such as Certified Professional in Healthcare Management (CPHM). Strong analytical thinking, relationship-building, and strategic communication skills help set top performers apart in this role. These capabilities are crucial for developing effective payer strategies, optimizing reimbursement, and maintaining productive partnerships with insurance payers.
What are the primary challenges a payer strategy manager faces when aligning internal teams with payer requirements?
A Payer Strategy Manager often navigates the complex task of bridging internal cross-functional teams, such as sales, medical, and market access, with the evolving requirements of payers. This requires not only an in-depth understanding of payer policies and reimbursement landscapes but also strong communication skills to translate these requirements into actionable strategies. One common challenge is ensuring that all stakeholders remain informed and agile as payer expectations shift, which means the role demands adaptability and proactive coordination. Success often relies on building collaborative relationships and maintaining open channels of communication across departments.
What is the difference between Payer Strategy Manager vs Payer Account Manager?
| Aspect | Payer Strategy Manager | Payer Account Manager |
|---|---|---|
| Credentials | Bachelor's degree, healthcare or business background, sometimes an MBA | Bachelor's degree, healthcare or business background, often with sales or account management experience |
| Work Environment | Strategic planning, market analysis, cross-functional collaboration | Client relationship management, sales, contract negotiations |
| Employer & Industry Usage | Health insurance companies, pharmaceutical firms, healthcare consulting | Health insurance companies, managed care organizations, pharmaceutical companies |
The Payer Strategy Manager focuses on developing and implementing payer strategies through market analysis and cross-functional collaboration. In contrast, the Payer Account Manager primarily manages client relationships, negotiates contracts, and maintains payer accounts. While both roles work within the healthcare payer industry, the Strategy Manager emphasizes planning and market positioning, whereas the Account Manager concentrates on client retention and sales.
What are the most commonly searched types of Payer Strategy jobs in Wisconsin?
The most popular types of Payer Strategy jobs in Wisconsin are:
What are popular job titles related to Payer Strategy Manager jobs in Wisconsin?
For Payer Strategy Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Payer Strategy Manager jobs in Wisconsin look for?
The top searched job categories for Payer Strategy Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Payer Strategy Manager jobs?
Cities in Wisconsin with the most Payer Strategy Manager job openings:
Full-time
Re-posted 13 hours ago
Job description
Company Description
About Client:
They help in transforming the leading organizations and communities around the world. Organizations infrastructure and culture is amazing. Best place!!
Job Description
Job Title: Health Payer Technology Medicare Consultant
Job Level: Senior Level
Job Description:
THIS IS WHAT YOU WILL DO...
You will be adapting existing methods and procedure to create possible alternative solutions to moderate complex problems.
You will design and implement solutions that are Medicare complaint.
You will be understanding the strategic direction set by senior management as it relates to team goals.
WE ARE LOOKING FOR SOMEONE.!!
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Who is experienced in systems and processes required to support health plan!
Who is currently in Medicare/ Medicaid!
Who holds 2+ years Program management, full lifecycle project, SDLC, Agile, Waterfall, SCRUM experience!
Who holds 2 years experience with Medicare systems and technologies with formal consulting!
Qualifications
Who holds 4 years of experience as a consultant!
Who holds consulting experience in US Healthcare Payer market!
Who holds 2+ years' experience in US Payer operations & US Payer system implementations!
Additional Information
All your information will be kept confidential according to EEO guidelines.