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Remote Payer Strategy Jobs in New York (NOW HIRING)

Director of Payer Ops and RCM

New York, NY · On-site +1

$160K - $200K/yr

Own the strategy and oversight of external vendors, ensuring alignment with internal goals and ... to remote candidates for this role as well. Why Join * Direct exposure to company-building at an ...

This is a full-time position that is fully remote. Occasional travel may be required for team or ... strategies. * Partner closely with cross-functional technical and non-technical teams to align ...

Strategy Director

New York, NY · On-site +1

$140K - $165K/yr

Please note that this role demands four days in office and one day remote. What You'll Do * Ensure ... Salary Hiri ng Range: $140,000 -165,000 Our salary ranges are based on paying competitively for our ...

Strategy Director

New York, NY · On-site +1

$140K - $165K/yr

Please note that this role demands four days in office and one day remote. What You'll Do * Ensure ... Salary Hiri ng Range: $140,000 -165,000 Our salary ranges are based on paying competitively for our ...

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Remote Payer Strategy information

What is a remote payer strategy?

A Remote Payer Strategy role involves developing and implementing plans to manage relationships with healthcare payers, such as insurance companies and government programs, from a remote location. Professionals in this position analyze payer trends, negotiate contracts, and ensure that healthcare services are reimbursed efficiently and accurately. They collaborate with internal teams and payers to optimize reimbursement rates and compliance, while working remotely to provide flexibility and broader geographic reach. The position typically requires knowledge of healthcare reimbursement, payer policies, and strong analytical and communication skills.

How does a remote payer strategy professional typically collaborate with cross-functional teams to achieve organizational goals?

As a Remote Payer Strategy professional, you will routinely collaborate with teams such as sales, marketing, medical affairs, and data analytics to develop and execute market access strategies. This collaboration often involves virtual meetings, sharing payer insights, and aligning on tactics to optimize reimbursement and formulary inclusion. Effective communication and adaptability are essential, as you’ll bridge the needs of internal stakeholders with payer expectations, ensuring that the organization’s products gain and maintain favorable access in a dynamic healthcare landscape.

What are the key skills and qualifications needed to thrive as a remote payer strategy professional, and why are they important?

To excel in Remote Payer Strategy, you need a strong understanding of healthcare reimbursement models, payer contract negotiation, and data analysis, typically supported by a degree in healthcare administration, business, or a related field. Familiarity with payer management systems, claims processing software, and sometimes certifications like Certified Professional in Healthcare Quality (CPHQ) are highly valued. Exceptional communication, strategic thinking, and relationship-building skills set professionals apart in this role. These skills ensure the effective development and execution of reimbursement strategies that optimize revenue and maintain positive payer relationships in a remote environment.

What is the difference between Remote Payer Strategy vs Remote Healthcare Analyst?

AspectRemote Payer StrategyRemote Healthcare Analyst
Required CredentialsBachelor's degree in healthcare, business, or related field; experience in payer or insurance industryBachelor's or master's in healthcare, statistics, or related field; analytical skills
Work EnvironmentFocus on payer strategies, insurance plans, and reimbursement modelsData analysis, reporting, and healthcare data interpretation
Employer & Industry UsageInsurance companies, healthcare payers, healthcare consulting firmsHealthcare providers, research organizations, consulting firms

Remote Payer Strategy professionals focus on developing and implementing strategies related to insurance reimbursement and payer relationships, while Remote Healthcare Analysts analyze healthcare data to inform decision-making. Both roles require healthcare knowledge but differ in their core functions and industry focus.

What are the most commonly searched types of Payer Strategy jobs in New York?

The most popular types of Payer Strategy jobs in New York are:

What job categories do people searching Remote Payer Strategy jobs in New York look for?

The top searched job categories for Remote Payer Strategy jobs in New York are:

What cities in New York are hiring for Remote Payer Strategy jobs?

Cities in New York with the most Remote Payer Strategy job openings:

Payer Strategy Specialist - Fully Remote | Upto $200/hr Part-time

New York, NY • Remote

$200/hr

Part-time

Posted 10 days ago


Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Payer & Market Access Expert — Gross-to-Net & Formulary Strategy
Type: Contract
Compensation: $175–$200/hour
Location: Remote
Duration: 1–2 week pilot
Commitment: 10–20 hours

Role Responsibilities

  • Create and critique rubrics that analyze commercial drugs and drug-development programs.
  • Set and pressure-test gross-to-net and formulary-tier assumptions by drug class.
  • Judge whether coverage, rebating, and tiering assumptions reflect how payers actually behave.
  • Apply this across the pilot's set of drugs and drug classes.
  • Work independently and asynchronously to meet deadlines while improving AI model performance.

Qualifications

Must-Have

  • US-based payer / market access professional.
  • Familiarity with biotech/pharma development programs.
  • Hands-on with gross-to-net, rebates, and formulary tiering by drug class.
  • 5+ years in market access, pricing & reimbursement, or managed markets.

Compensation & Legal

  • Hourly contractor

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.