Top 50 Director payer Jobs in Columbus

Payer Quality Consultant, Director
PRICE WATERHOUSE COOPERS —Columbus, OH
- $155,000 - $410,000 a year
- Computer Science
- Finance
- Mentoring
- Paid holidays
- Health insurance
13d
Strategic Account Operations Manager – Medical Prior Authorization
McKesson —Columbus, OH
- $100,500 - $167,500 a year
- 7 years
- Bachelor's degree
- Mentoring
Registered Nurse $10,000 Sign-on Bonus
Optum —Columbus, OH
- $75,450 - $113,174 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
Compliance Director - Behavioral health
Amavi LLC —Columbus, OH
- $35 - $45 an hour
- Contract
- Hybrid work
- Background check
- Nursing
- Writing skills
Quick Apply
Director, Trade Relations
KabaFusion —Columbus, OH
- $150,000 - $180,000 a year
- Full-time
- Microsoft Outlook
- 5 years
- Finance
- Paid holidays
- Disability insurance
Quick Apply
Executive Director, Healthcare Market (HED) - Ohio Ecosystem
Genentech —Columbus, OH
- $247,700 - $459,900 a year
- Online Application
- Management
- Supervising experience
- Bachelor's degree
7d
Director of Central Intake
Otterbein SeniorLife —Columbus, OH
- Nursing
- Office
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Strategic Commercial Director - Pharma/Life Sciences
PRICE WATERHOUSE COOPERS —Columbus, OH
- $122,500 - $504,500 a year
- Research
- 8 years
- Analysis skills
- Paid holidays
- Health insurance
Clinic Liaison
Numotion —Columbus, OH
- Pass drug screening
- Mid-level
- Organizational skills
- Disability insurance
- Dental insurance
Business Engagement Manager (BEM) - Ohio Ecosystem
Genentech —Columbus, OH
- $158,600 - $294,600 a year
- Online Application
- Finance
- 8 years
- Analysis skills
9d
Director of Client Safety
Bierman Autism Centers —Dublin, OH
- Full-time
- 5 years
- System design
- Analysis skills
- Disability insurance
- Health insurance
Quick Apply
Admissions and Marketing Director
Sovran Health & Rehab Center —Columbus, OH
- $65,000 - $78,000 a year
- Full-time
- Skilled nursing facility
- Customer service
- 3 years
- Health savings account
- Health insurance
Quick Apply
6d
Regional Business Office Manager
Wallick Properties Midwest LLC —New Albany, OH
- Full-time
- 5 years
- Office
- Bachelor's degree
Quick Apply
Billing Specialist I
Ohio Gastro —Columbus, OH
- Microsoft Excel
- HIPAA
- English
Quick Apply
5d
Regional Sales Director, Ohio Valley
Invivyd —Columbus, OH
- $184,000 - $245,000 a year
- Full-time
- Remote
- 5 years
- Bachelor of Science
- Master's degree
Director of Business Development
Curana Health —Columbus, OH
- Full-time
- 5 years
- Master's degree
- Bachelor's degree
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- HIPAA
- Paid time off
- 401(k) matching
Quick Apply
2h
Market Development Manager
CONCERTO RENAL SERVICES LLC —Columbus, OH
- $80,000 - $100,000 a year
- Mid-level
- Microsoft Office
- 3 years
- Paid holidays
- Disability insurance
Quick Apply
Reimbursement Variance Analyst
Orthopedic One —Westerville, OH
- Full-time
- Mid-level
- High school diploma or GED
- Commercial
Assistant Clinical Director
BASECAMP RECOVERY LLC —Columbus, OH
- $78,000 a year
- Full-time
- Management
- Doctoral degree
- Master's degree
Quick Apply
6d

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Payer Quality Consultant, Director

PRICE WATERHOUSE COOPERS -
Columbus, OH

Apply Now

Job Details

$155,000 - $410,000 a year
13 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Stakeholder relationship building

Full Job Description

The Opportunity

As a Payer Quality Consultant, Director, you will lead strategic initiatives within our Operations Consulting practice, focusing on transforming payer operations in the health services sector. As a Director, you will set the strategic direction and lead business development efforts, making impactful decisions and overseeing multiple projects while maintaining executive-level client relations. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of our reputation, understanding that quality, integrity, inclusion, and a commercial mindset are foundational to our success.

In this role, you will collaborate with clients to modernize their payer operations, leveraging your skills to deliver innovative solutions that enhance operational efficiency and effectiveness. You will cultivate potential in others and actively team across our network, understanding tradeoffs and leveraging our collective strength. This position offers the opportunity to work within our Business & Supply Chain Operations network, providing a dynamic environment where you can make a significant impact on the health industries sector.

Responsibilities

Leading strategic initiatives in payer modernization to drive operational excellence within health services
Overseeing multiple projects and maintaining executive-level client relations to enhance business growth
Utilizing analytical thinking and business data analytics to optimize operations processes and performance metrics
Implementing change management strategies to support business transformation and improve service delivery models
Developing and executing operations strategies that align with client needs and industry trends
Promoting innovation and creativity in operations management to foster continuous improvement and systemic thinking
Building and nurturing relationships with stakeholders to facilitate effective communication and engagement
Conducting market research and operating effectiveness reviews to identify opportunities for process optimization and improvement
Coaching and mentoring teams to cultivate potential and drive strategic questioning and planning operations

What You Must Have

At least a Bachelor's degree
At least 9 years of experience

What Sets You Apart

Preference for at least one of the following fields of study: Accounting, Actuarial Science, Analytics/Data Science, Business Administration/Management, Computer Science/Information Systems, Economics, Engineering, Finance, Government/Public Policy, Health Administration/Public Health, Mathematics/Statistics, Operations/Supply Chain, Organizational Management/Behavior, Risk Management/Insurance
Demonstrating strategic leadership in operations consulting within health industries
Driving business transformation through innovative payer modernization strategies
Excelling in business data analytics to enhance operational effectiveness
Leading change management initiatives to optimize service delivery models
Cultivating executive-level client relations and stakeholder engagement
Promoting operational excellence through process improvement and optimization

The salary range for this position is: $155,000 - $410,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance

As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.

PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.

Learn more about how we work: https://pwc.to/how-we-work

For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.

Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines

Apply Now

Refine Your Search

director payer jobs in columbus

Payer Quality Consultant, Director

Strategic Account Operations Manager – Medical Prior Authorization

Registered Nurse $10,000 Sign-on Bonus

Compliance Director - Behavioral health

Director, Trade Relations

Executive Director, Healthcare Market (HED) - Ohio Ecosystem

Director of Central Intake

Strategic Commercial Director - Pharma/Life Sciences

Clinic Liaison

Business Engagement Manager (BEM) - Ohio Ecosystem

Director of Client Safety

Admissions and Marketing Director

Regional Business Office Manager

Billing Specialist I

Regional Sales Director, Ohio Valley

Director of Business Development

Utilization Management Specialist

Market Development Manager

Reimbursement Variance Analyst

Assistant Clinical Director

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