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Remote Jobs with Comprehensive total rewards package Benefits

131 fresh jobs found

Project Manager III (Claims Workstream experience)
Dayton WFH, United States

Critical Listening Project Management Software Certification Visio SharePoint Medicare Medicaid Governance Decision making +24

Senior Full Time

USD 92K+

Enrollment Specialist II (Marketplace)
Dayton WFH, United States

Proper grammar usage Phone Etiquette Critical Listening Data interpretation Certification Medicare Medicaid Microsoft Word Decision making +15

USD 40K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Mississippi WFH, United States

Clinical care review Proper grammar usage Medical Necessity Review Registered Nursing Phone Etiquette Provider engagement Discharge planning Accreditation Certification +33

USD 55K+

Defined Contribution Client Success Manager - (Virtual US)
US-IL-Illinois-Virtual, United States

Alight Solutions

Defined contribution Process Innovation Defined contribution plans Human Insights Customer Care Sanctions Cloud Technology Client Communication Flexible Working +14

USD 55K+

Configuration System Analyst II - Benefits Configuration
Mississippi WFH, United States

Configuration Analysis Use-Case Analysis ICD-CM Codes DRG reimbursement Reimbursement methods HCPCS codes HIPAA codes APC reimbursement Database relationships +48

USD 63K+

Operations Specialist II
Dayton WFH, United States

Claims operations Proper grammar usage Hcpcs coding Icd-9 coding Decision support Billing Processes ICD-10 Coding Facets Critical Listening +40

USD 61K+

Summer Internship 2025 - Data Science
Dayton WFH, United States

Predictive analysis Certification Statistical analysis Network Microsoft Office Suite Outlook Data Visualization Data Science Critical thinking +12

Entry Internship Full Time

USD 35K+

Clin Ops Educ & Excell Coord (UM focus) (Trainers)
Mississippi WFH, United States

Clinical documentation systems Proper grammar usage LSW Phone Etiquette Adult Learning Certification Performance Improvement Clinical Experience Clinical operations +35

USD 55K+

Clinical Operations Manager/RN-Hybrid-Jersey City, NJ
US-NJ-New Jersey-Virtual, United States

Alight Solutions

Return to work process Medical disability Guiding Medical Advisory Disability Management Leading Occupational Health Absence Management Utilization Review +21

Senior Mid Full Time

USD 72K+

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

Integrations Application Developer III (API/Azure/Boomi)
Dayton WFH, United States

Azure SQL DB Monolith Services Build processes Axway Source Control Management Azure Logic Apps Azure App Services Dell Boomi Cosmos DB +61

Senior Mid Full Time

USD 81K+

Health Plan Data Analyst II (SQL required)
Mississippi WFH, United States

Provider network Provider data management Provider Recruitment Facets NCQA Microsoft Access Certification Performance Improvement Visio +24

USD 55K+

Enterprise HEDIS Data Analyst III
Mississippi WFH, United States

Relational Database Modeling Critical Listening HEDIS Microsoft Access Analytic SAS Quality improvement Application Development Regulatory requirements +17

Senior Mid Full Time

USD 63K+

Enterprise Clinical Quality Analyst II
Dayton WFH, United States

Ncqa standards NCQA Provider Relations Microsoft Access Credentialing Healthcare Knowledge Performance Improvement CMS Clinical Experience +32

USD 61K+

Healthcare Quality Business Development Specialist
Dayton WFH, United States

Epidemiological Studies RFP writing NCQA Quality improvement Content development Quality Management Managed Care Assessment Outlook +20

Senior Full Time

USD 70K+

Market Quality Improvement Specialist II
Mississippi WFH, United States

PDSA Team Facilitation HEDIS Healthcare Regulations Gap Analysis Accreditation Resolution Six Sigma Quality improvement +28

USD 55K+

Director, Communication Consultant - Virtual
US-TX-Texas-Virtual, United States

Alight Solutions

Multi-media communication Leading Communication Strategy Absence Management Adobe Acrobat Business solutions Microsoft 365 Sanctions Flexible Working +24

Exec Senior Full Time

USD 128K+

Public Relations Coordinator - Virtual
US-IL-Illinois-Virtual, United States

Alight Solutions

Campaign metrics PR software Cision Meltwater External communications HR technology Absence Management Media Relations Sanctions +26

USD 52K+

Configuration Analyst III - (SDET/Automation experience)
Dayton WFH, United States

ICD-CM Codes HCPCS codes DRG reimbursement HIPAA codes Reimbursement methods Apc Database relationships APC reimbursement Clinical editing +41

Senior Full Time

USD 81K+

Clinical Product Owner II
Dayton WFH, United States

Health care operations Sprint planning Regulatory reporting Resolution Performance Improvement SAS Business Processes Database Management Prioritization +27

USD 70K+

Quality Project Manager
Dayton WFH, United States

Critical Listening Project Management Software Visio SharePoint Quality Management Managed Care Medicare Medicaid Decision making +23

Senior Mid Full Time

USD 92K+

Clinical Appeals Nurse
Mississippi WFH, United States

MDCH regulations URAC State hearings OAC Proper grammar usage Clinical appeals Phone Etiquette Facets Critical Listening +22

Exec Mid Full Time

USD 55K+

Application Architect II - Healthcare/Provider/Facets
Dayton WFH, United States

Facets Information Management Organizational development Research and development Technical Design Systems Engineering Storage Business Processes Network +21

Senior Mid Full Time

USD 92K+

Actuarial Analyst II (Medicare)
Ohio WFH, United States

Medicare risk adjustment Decision support Pricing models Risk Adjustment Data manipulation Actuarial science Microsoft Suite Relational databases SAS +26

USD 70K+

HR BPO Delivery Analyst - Remote
Newco-US-FL-Florida-Virtual, United States

Alight Solutions

Multi-client environment Tax data integrity W-2 processing IRS compliance Payroll Tax BPO Tax Accounting Leading Human Insights +35

Entry Mid Full Time

USD 44K+

Clinical Business Strategy Lead
Dayton WFH, United States

URAC NCQA Clinical operations Negotiating Business Processes Regulatory requirements Managed Care Business strategy Medicare +19

Senior Mid Full Time

USD 81K+

Consumer Insight Advisor
Mississippi WFH, United States

Consumer Experience Consumer Engagement Qualtrics Quantitative research Qualitative Research Report Writing Microsoft Office Suite Critical thinking PowerPoint +16

USD 63K+

Pharmacy Technician II
Dayton WFH, United States

Medication names Fax communications Proper grammar usage Telephone Communication Phone Etiquette Authorization requests Critical Listening Resolution Authorization +23

Entry Mid Full Time

USD 35K+

Director, Configuration Implementation
Dayton WFH, United States

API-driven automation Payer platform configuration Guidingcare Implementation Strategy Facets System integrations NCQA Healthcare Regulations System Configuration +28

Exec Senior Full Time

USD 110K+

Manager, National Ancillary Strategy and Contracting
Dayton WFH, United States

Provider Relations Resolution Contracting Conflict Resolution Managed Care Contract Negotiation Influencing Business Analysis Performance Management +26

USD 92K+

Director, Market Quality Improvement
Mississippi WFH, United States

NCQA Provider engagement Healthcare Management Financial Forecasting Accreditation Performance Improvement Stakeholder Collaboration Quality improvement Business Processes +29

Exec Senior Full Time

USD 99K+

Manager, Enterprise Network Contracting
Dayton WFH, United States

Provider networks Provider Relations Contracting Network Managed Care Business Analysis Performance Management Critical thinking Access +20

Senior Mid Full Time

USD 92K+

Info Sec GRC Analyst III
Dayton WFH, United States

Server security Vendor risk management Sarbanes-Oxley compliance Data Encryption Internet protocols Computer Networking IT Audit Security Monitoring Access Management +24

Senior Full Time

USD 92K+

VP, Market Chief Medical Officer(Must live in Wisconsin & Open To Relocation)
Wisconsin WFH, United States

Patient-centered medical homes Health outcomes disparity Peer review processes Clinical thought leadership Health system transformation Provider network Quality rating improvement Healthcare affordability Accountable care organizations +40

Exec Senior Full Time

USD 250K+

Workday Manager (Workday certified in HCM, Recruiting or Compensation) Virtual
Newco-US-FL-Florida-Virtual, United States

Alight Solutions

Guiding Financials Client deliverables Workday HCM Client Consulting Leading Human Insights Human Capital Management Methodology +32

Senior Mid Full Time

USD 112K+

LTSS and Dual Eligible Program Manager
Dayton WFH, United States

Critical Listening Project Management Software Visio SharePoint Medicare Medicaid Decision making Outlook Stakeholder management +21

USD 110K+

Business Analyst IV
Dayton WFH, United States

Validation Techniques Traceability Modeling techniques Documentation standards Requirements Elicitation Requirements analysis User Stories User Acceptance Testing ITIL +29

Entry Senior Full Time

USD 92K+

Military Affairs Representative III (Tampa Mobile)
Florida WFH, United States

Veterans services Military outreach Nonprofit program management Program development Microsoft Suite Care Coordination Public speaking CRM Tools Advocacy +19

Senior Mid Full Time

USD 61K+

Marketing Manager
Remote

Acquisition marketing Braze Visual Storytelling Lifecycle Marketing Social Media Marketing CRM Tools Campaign Management Personal finance Fintech +4

USD 95K+

PI Medical Coding Reviewer II (CPC or RHIT or RHIA required)
Dayton WFH, United States

Healthcare claim system configuration Diagnosis codes OPPS Reimbursement methodology Apc Anatomy and physiology Facets DRG Physiology +25

USD 53K+

CareSource Military & Veterans Program Director
Ohio WFH, United States

Managed care principles Health care operations Filing Managed Care Vendor Management Budget management Regulatory Compliance Critical thinking Strategic planning +20

Exec Senior Full Time

USD 110K+

Director, Claims Life Cycle Management & Implementation
Dayton WFH, United States

Reimbursement methodology Workflow evaluation Facets Business Processes Claims management Process Optimization Operational Efficiency Facilitation Managed Care +24

Exec Senior Full Time

USD 110K+

Provider Engagement Specialist III
Mississippi WFH, United States

Market performance Provider Recruitment Provider network management Critical Listening NCQA Healthcare Compliance Provider engagement Network management Accreditation +33

Senior Mid Full Time

USD 63K+

Workday Extend Consultant - Virtual
Newco-US-FL-Florida-Virtual, United States

Alight Solutions

Studio Data Conversion Leading Human Insights Human Capital Management Methodology Sanctions Cloud Technology HRIS +19

Senior Mid Full Time

USD 72K+

Bilingual (Burmese) Customer Care Specialist I - (Must Live in Indiana)
Indiana WFH, United States

Professional phone etiquette Phone Etiquette Computer Proficiency Credentialing Claims processing HIPAA Compliance Typing Contracting Multitasking +13

USD 35K+

RX Lock-In Registered Nurse
Mississippi WFH, United States

Pain management Registered Nursing Critical Listening Substance abuse Provider engagement Healthcare Regulations Clinical Experience RN Care management +25

Senior Mid Full Time

USD 55K+

SVP, Health Navigation - Virtual
US-IL-Illinois-Virtual, United States

Alight Solutions

Domain Expertise Financials Healthcare navigation Leading Account Mapping Methodology Absence Management Benefits Administration Talent Development +29

Exec Senior Full Time

USD 216K+

Sr Director, NA Workday Financials Delivery
Newco-US-FL-Florida-Virtual, United States

Alight Solutions

Delivery Models Profitability Maximization Financials Workday Financials Sales Alignment Leading Client Consulting Human Insights Human Capital Management +32

Senior Full Time

USD 128K+

Negotiations and Contracts Executive (Outsourcing, HR/Payroll & Cloud Services) - Work from Home
Newco-US-TX-Texas-Virtual, United States

Alight Solutions

BPaaS Client Account Management BPO Leading Human Insights Human Capital Management Outsourcing Creative Thinking Sanctions +34

Exec Mid Full Time

USD 102K+

Client Service Leader II - Virtual
Newco-US-TX-Texas-Virtual, United States

Alight Solutions

Cross-solution integration HR outsourcing Client deliverables Leading Revenue Retention Human Insights Human Capital Management Outsourcing Sanctions +38

USD 87K+

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