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Remote Payer Strategy Jobs in Texas (NOW HIRING)

AMN Healthcare

Director, Payer Sales

Dallas, TX · Remote

Dallas, TX (Hybrid) Open to remote Job Responsibilities New Business Development & Revenue Growth * Develop and execute a strategic go-to-market plan focused on healthcare payers, managed care ...

Milliman

Strategic Data Partnership Manager

Houston, TX · Remote

... payer strategy, life sciences research, and provider performance solutions. We sit in the middle of ... This position is fully remote, while occasional travel may be required. Primary Responsibilities:

Milliman

Strategic Data Partnership Manager

Dallas, TX · Remote

... payer strategy, life sciences research, and provider performance solutions. We sit in the middle of ... This position is fully remote, while occasional travel may be required. Primary Responsibilities:

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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.

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.

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 most commonly searched types of Payer Strategy jobs in Texas? The most popular types of Payer Strategy jobs in Texas are:
What are popular job titles related to Remote Payer Strategy jobs in Texas? For Remote Payer Strategy jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Remote Payer Strategy jobs in Texas look for? The top searched job categories for Remote Payer Strategy jobs in Texas are:
What cities in Texas are hiring for Remote Payer Strategy jobs? Cities in Texas with the most Remote Payer Strategy job openings:
Remote Payer Strategy jobs near you
Infographic showing various Remote Payer Strategy job openings in Texas as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution.

VP-Payer Strategy

Presbyterian Healthcare Services

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Presbyterian Healthcare Services rating

7.0

Company rating: 7.0 out of 10

Based on 162 frontline employees who took The Breakroom Quiz

412th of 887 rated healthcare providers

Job description

Location Address:
Remote OfficeAustin, TX 78701
Summary:
Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payer Strategy for the Presbyterian Delivery System (PDS). This is a high-impact role at the intersection of finance, strategy, and payer relations-responsible for shaping how the organization delivers sustainable growth in an increasingly complex reimbursement landscape.
This leader will define and execute a system-wide payor contracting and revenue optimization strategy across a diverse and integrated delivery network.
The Vice President will lead negotiations, advance value-based care models, and drive net revenue performance across hospitals, medical group, ambulatory services, and specialty service lines.
This is an ideal role for a seasoned healthcare executive who combines deep reimbursement expertise, strong financial acumen, and executive presence-with the ability to influence both internal stakeholders and external payer partners in a rapidly evolving healthcare environment.
Work Arrangement
• Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
• Hybrid: For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.
Job Description:
Strategic Payor Leadership
  • Define and execute a system-wide payer contracting strategy aligned with growth, market positioning, and financial performance goals
  • Develop and implement a comprehensive managed care strategic and tactical plan with clear performance targets
  • Identify and advance innovative reimbursement models, including value-based and risk-based arrangements

Contracting & Negotiation Excellence
  • Lead and oversee negotiations of commercial and governmental managed care agreements to secure optimal reimbursement
  • Serve as authorized signatory for managed care contracts
  • Continuously evaluate contract performance and lead renegotiation or restructuring efforts as needed

Revenue Optimization & Financial Performance
  • Drive initiatives to enhance net revenue yield through contract optimization, recovery efforts, and performance monitoring
  • Analyze reimbursement trends and implement targeted interventions to address risk areas and improve outcomes
  • Contribute to financial forecasting, budgeting, and capital planning processes

Operational Oversight & Governance
  • Establish and oversee performance monitoring frameworks and reporting to track managed care outcomes
  • Ensure robust internal controls, compliance with regulatory requirements, and alignment with enterprise financial systems
  • Lead system configuration and optimization of contract management tools and reporting capabilities

Organizational Leadership & Collaboration
  • Lead, mentor, and develop a high-performing managed care and contracting team
  • Foster cross-functional collaboration across Finance, Revenue Cycle, Operations, Strategy, and Physician Integration
  • Serve as a trusted advisor to executive leadership, providing insights and recommendations on payor strategy and risk

Relationship Management & Market Influence
  • Build and sustain strong relationships with managed care organizations and key external stakeholders
  • Represent PHS in payer negotiations, regulatory discussions, and industry forums
  • Collaborate across the enterprise to strengthen market position and grow accretive service lines

Success Measures
Within the first 12-24 months, the Vice President will:
  • Strengthen Contract Performance: Improve reimbursement yield and contract effectiveness across the system
  • Advance Value-Based Strategy: Expand and optimize value-based agreements with measurable financial and quality outcomes
  • Enhance Revenue Integrity: Identify and execute net revenue improvement and recovery initiatives
  • Elevate Payer Relationships: Build strategic, durable relationships with key payor partners
  • Drive Organizational Alignment: Establish clear accountability, metrics, and governance for managed care performance

Additional Job Description:
Education
  • Required: Master's degree in Business, Healthcare Administration, Finance, or related field

Knowledge & Work Experience
  • Experience: Minimum of 15 years of progressive experience in payer strategy, managed care contracting, or healthcare finance
  • Leadership: Demonstrated success in senior leadership roles within integrated health systems or complex healthcare organizations
  • Reimbursement Expertise: Deep knowledge of reimbursement methodologies, including fee-for-service, value-based care, risk-sharing, and capitation models
  • Industry Acumen: Strong understanding of healthcare policy, regulatory environments, and evolving payment models

Core Competencies
  • Strategic Negotiator: Proven ability to lead high-stakes payer negotiations and secure favorable outcomes
  • Financial Acumen: Advanced analytical and financial modeling capabilities with strong business judgment
  • Enterprise Leader: Experience operating within complex, matrixed healthcare systems
  • Influential Communicator: Ability to translate complex financial concepts into actionable insights for executive and clinical leaders
  • Relationship Builder: Skilled at developing trust-based relationships with internal stakeholders and external partners
  • Change Agent: Demonstrated success leading transformation and driving results in dynamic, evolving environments
  • High Emotional Intelligence: Navigates conflict, complexity, and ambiguity with diplomacy and professionalism

Benefits
Benefits are effective day-one (for .45 FTE and above) and include:
  • Competitive salaries
  • Full medical, dental and vision insurance
  • Flexible spending accounts (FSAs)
  • Free wellness programs
  • Paid time off (PTO)
  • Retirement plans, including matching employer contributions
  • Continuing education and career development opportunities
  • Life insurance and short/long term disability programs

About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

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