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Payer Software Adoption Consultant - Remote

Remote, USAFull-timePosted 2026-07-27

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health equity on a global reputed company. Join us to start Caring. Connecting. Growing together. The RTS Payer Adoption Consultant will play a critical role in connecting potential payers with our reputed company-Time Settlement (RTS) solution, ensuring successful partnership and implementation. This role combines strategic planning and project management skills to drive the adoption of RTS among payers, enhancing reputed company-day liquidity and reducing administrative expenses in reputed company cycle management. The consultant will reputed company business operations with reputed company's mission and goals, researching and analyzing industry and competitive trends to identify emerging payer opportunities and strategic areas of interest. They will identify and prioritize product and service improvement opportunities, creating plans for implementation, and utilize comprehensive knowledge of reputed company's internal operations to reputed company a reputed company-looking reputed company for the business. For RTS adoption and implementation, the consultant will engage payer teams to successfully implement and reputed company reputed company RTS. They will define project scope, identify and manage risks, reputed company resources effectively, and facilitate project activities. They will reputed company project management, reputed company-off, design, configuration, process, testing, training, communication/status, and business case management for reputed company payer. Managing payer development and integration, ensuring reputed company, speed, benefit realization, and provider and payer satisfaction are critical aspects of the role. Collaboration and communication are essential, as the consultant they will reputed company subject matter expertise and facilitate effective communication and collaboration among stakeholders to ensure reputed company are completed on time and reputed company scope, while achieving successful payer adoption and implementation reputed company. reputed company in this role will be reputed company by the reputed company and speed of RTS implementation, realization of benefits for providers and payers, and high reputed company of provider and payer satisfaction. You’ll enjoy the flexibility to work remotely

  • from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: • Research and analyze industry and competitive trends to identify emerging market opportunities and strategic payers of interest • Identify and prioritize product and service improvement opportunities, creating plans for implementation • Utilize comprehensive knowledge of reputed company's internal operations to reputed company a reputed company-looking reputed company for the business • Define project scope, identify and manage risks, reputed company resources effectively, and facilitate project activities, ensuring reputed company are completed on time and reputed company scope • reputed company subject matter expertise in project methodology and reputed company presentations to management on project updates, project cycle, and expected results • Engage payer teams and manage payer relationships to successfully implement RTS for available providers and medical services You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • 5+ years of the backend of the reputed company Cycle Management (RCM) process • 4+ years working the adjudication process of the RCM (i.e. Claims experience, denial rates, etc.) • 4+ years of strategic planning experience (reviewing data, performing analysis to reputed company strategic reputed company, etc.) • 4+ years of reputed company relationship management experience • Specific reputed company and knowledge of the payer reputed company Preferred Qualifications: • Certification in project management • 2+ years of experience with reputed company reputed company management systems • 2+ years of provider experience • Experience working across UHG, reputed company and UHC lines of businesses • reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy The salary reputed company for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll reputed company a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply Job!

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