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Remote Jobs with General office environment Benefits

54 fresh jobs found
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Clinical Systems Application Architect III
Dayton WFH, United States

Aerial medecision 275/278 Interoperability techniques Healthedge Clinical IT Care management packages 278 ADT Server technologies +80

Senior Full Time

USD 110K+

Application Developer III
Dayton WFH, United States

N-tier applications Multi-tier architectures UML modeling Onbase UML Software troubleshooting OOP Test Driven Development Waterfall +44

Senior Mid Full Time

USD 81K+

Service Integration Analyst II
Dayton WFH, United States

Accreditation Requirements Business Integration Healthcare payer Lean Six Sigma Accreditation Technical Specifications Six Sigma Certification Business Processes +23

Entry Mid Full Time

USD 55K+

M&A Financial Analyst
Dayton WFH, United States

Valuation techniques Financial due diligence Mergers and acquisitions Healthcare Regulations Alteryx FP&A Certification Negotiating Assessments +22

Entry Mid Full Time

USD 61K+

Scrum Product Owner
Dayton WFH, United States

User story definition Backlog Prioritization Health care operations Critical Listening UAT Sprint planning Business Management User Stories Certification +24

Senior Mid Full Time

USD 92K+

Triage Nurse - RN - Evening Hours - 3pm-1:30am and Every other Weekend
Dayton WFH, United States

Critical reasoning Health information service Decision support software Nursing process Clinical triage URAC Proper grammar usage Decision support Phone Etiquette +27

USD 61K+

Operations Specialist II (TriZetto Facets)
Dayton WFH, United States

Healthcare Claims Processing Onbase Proper grammar usage Claims operations Decision support Critical Listening Billing Processes Facets Hcpcs coding +44

USD 61K+

Sr. Manager Compliance (Must live in Mississippi)
Mississippi WFH, United States

Product oversight Vendor oversight Compliance oversight Audit readiness Regulatory reporting Resolution Data Validation Healthcare Compliance Visio +44

Senior Full Time

USD 83K+

System Analyst III - Digital Solutions
Dayton WFH, United States

Application workflows Digital Product Development Functional analysis Scaled Agile System integrations Data flows Sprint planning Business Objectives System Analysis +31

Senior Full Time

USD 92K+

Enterprise Medical Director
Dayton WFH, United States

Clinical care standards Clinical appeals Medical economics Systematic Thinking Healthcare data analysis URAC Data Sharing Critical Listening Clinical reviews +31

Exec Mid Full Time

USD 191K+

Sourcing Systems Analyst I
Dayton WFH, United States

Vendor lifecycle management Procurement management systems Contract management software Certification ERP systems SharePoint Contract management Vendor Management MS Office +9

Entry Full Time

USD 53K+

Encounters Operations Data Reporting Analyst III
Dayton WFH, United States

T/PL-SQL Database relationships Encounter data Claims operations Critical Listening Facets T-SQL SSIS PowerBi +26

Senior Full Time

USD 70K+

Behavioral Health Medical Director
Dayton WFH, United States

Clinical care standards Safe Prescribing Healthcare data analysis Systematic Thinking URAC Critical Listening Clinical Leadership NCQA Provider Relations +30

Exec Mid Full Time

USD 191K+

Manager, Grievance and Appeals Service Integration
Dayton WFH, United States

Operational Process Improvement Grievance and appeals Microsoft Visio Resolution Accreditation Healthcare administration Visio Certification Active Listening +29

USD 81K+

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

Provider Recruitment Provider data management Cognizant Facets Provider network Facets NCQA Microsoft Access Performance Improvement Certification +28

USD 61K+

Clinical Care Reviewer II - Multistate License - Post Acute Care RN
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Phone Etiquette Medical necessity Discharge planning Accreditation Clinical Experience +34

USD 61K+

Regional Disease Management & Clinical Documentation Program Lead
Dayton WFH, United States

Evidence-based research Ncqa standards Problem identification Disease Management Regulatory reporting NCQA Resolution Enrollment Program development +30

Senior Mid Full Time

USD 81K+

Pharmacist Formulary Strategy & Management
Dayton WFH, United States

Bibliographic software SERFF Formulary management Claims payment Government relations Prior authorization Healthcare administration Utilization management Certification +31

USD 92K+

Medical Records Coordinator II (Must live in Indiana)
Indiana WFH, United States

Medical record audits Report Documentation Data Research Phone Etiquette Critical Listening Risk Adjustment Resolution Certification Network +27

Entry Mid Full Time

USD 35K+

Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Dayton WFH, United States

Change resiliency Clinical care review Registered Nursing Proper grammar usage Phone Etiquette Medical necessity Discharge planning Accreditation Clinical Care +34

USD 61K+

Team Lead, Market Liaison Support Services
Dayton WFH, United States

Microsoft Visio Healthcare operations Certification Visio Claims processing Claims Facilitation Prioritization Managed Care +25

Senior Mid Full Time

USD 70K+

VP, Market Operations(Must Live In Ohio)
Ohio WFH, United States

Organizational support Plan management Operational tactics Product oversight Systematic Thinking Implementation Strategy Program strategy Strategic management Health Plan Operations +38

Exec Senior Full Time

USD 150K+

Manager, Provider Performance Program Management
Ohio WFH, United States

Sdoh URAC Provider network Health Equity Quality Metrics Provider engagement NCQA Accreditation Healthcare Knowledge +37

USD 81K+

Service Integration Analyst II - Grievance and Appeals Experience Required
Dayton WFH, United States

Business Integration Healthcare payer Grievance and appeals Lean Six Sigma Accreditation Resolution Technical Specifications Certification Six Sigma +26

USD 61K+

Configuration Systems Analyst III (Pricing Configuration)
Missouri WFH, United States

Reimbursement methods APC reimbursement ICD-CM Codes Clinical editing Database relationships Health Plan Experience Apc DRG Facets +40

Senior Mid Full Time

USD 81K+

Network Adequacy Reporting Analyst II
Dayton WFH, United States

Quest Analytics Network Adequacy Standards T/PL-SQL Cognizant Facets Provider data management Provider network Facets NCQA Healthcare Regulations +31

Entry Mid Full Time

USD 61K+

Health Plan Data Analyst II (Facets Required)
Dayton WFH, United States

Provider Recruitment Cognizant Facets Provider network Provider data management Facets NCQA Microsoft Access Performance Improvement Certification +28

USD 61K+

Compliance Analyst II
Dayton WFH, United States

Corrective action management Compliance Analysis Proper grammar usage Government programs Gap Analysis Healthcare operations Training and education Audit Management Healthcare Compliance +46

Entry Mid Full Time

USD 70K+

Healthcare Quality Business Development Specialist
Dayton WFH, United States

Epidemiological Studies RFP writing NCQA Certification Quality improvement Proposal Development Content development Quality Management Managed Care +22

USD 70K+

Architect II - Digital Solutions
Dayton WFH, United States

Modern backend languages CI/CD platforms PWA development Modern frontend frameworks Event streaming technologies Observability practices Cloud-based application design Mobile-First Design Non-relational databases +41

Senior Mid Full Time

USD 92K+

AVP, Market Chief Financial Officer(Must Live in Ohio)
Ohio WFH, United States

Strategic support Accounting Concepts Budget Forecasting Problem identification Financial Oversight Critical Listening Staff management Reimbursement methodologies Risk Adjustment +29

Exec Senior Full Time

USD 150K+

Associate Vice President, Compliance Implementation(Managed Care Experience Required)
Dayton WFH, United States

Policy drafting Compliance oversight Strategic management Government programs Critical Listening Healthcare operations Regulatory Guidance Healthcare Compliance Clinical Experience +31

Senior Mid Full Time

USD 132K+

Clinical Systems Application Architect III
Dayton WFH, United States

Aerial 275 Jiva Zeomega Medecision Medhok Care management packages Healthedge Sdoh +75

Senior Full Time

USD 110K+

Compliance Analyst III
Dayton WFH, United States

Corrective action management Proper grammar usage Government programs Healthcare operations Gap Analysis Training and education Healthcare Compliance Analytic Certification +45

Senior Mid Full Time

USD 81K+

Lead Design Engineer
Dayton WFH, United States

Design language systems Design engineering User-centered design Design Thinking User Experience Design Certification Healthcare Technology Managed Care User Experience +14

Senior Full Time

USD 110K+

Accountant IV - CSMV - Federal Contract Accounting Experience Required
Dayton WFH, United States

Federal contract accounting Compliance oversight Cost allocation Cost Accounting Standards Deltek Costpoint Account Reconciliations CAS DFARS FAR +27

Senior Full Time

USD 81K+

Claims Mgmnt Analyst III (HealthPlan EDI experience required)
Dayton WFH, United States

Payment methodologies Health care operations Claims payment Sprint planning Regulatory reporting EDI User Stories Certification Claims management +34

Senior Mid Full Time

USD 70K+

Finance Program Coordinator
Dayton WFH, United States

Program Coordination Certification Visio SharePoint Budget management Outlook Relationship building PowerPoint Continuous Improvement +16

Entry Mid Full Time

USD 53K+

Summer Internship 2025 - Sourcing Systems Analyst
Dayton WFH, United States

Certification Vendor Management Microsoft Office Suite Outlook Teamwork Critical thinking PowerPoint Word Testing +8

Entry Internship Full Time

USD 35K+

Encounters Sys Analyst II-Vendor
Mississippi WFH, United States

Data Usability Payment methodologies Claims operations Vendor oversight Billing Processes User Story Development Hcpcs coding Claims payment Facets +52

Entry Mid Full Time

USD 55K+

Customer Care Specialist I
Ohio WFH, United States

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

USD 35K+

Clinical Care Reviewer II BH - MUST HAVE a BH UM Background
Mississippi WFH, United States

Registered Nursing Medical Necessity Review Proper grammar usage Phone Etiquette Provider engagement Clinical Care Discharge planning Customer Care Accreditation +33

USD 55K+

Encounters Systems Analyst III (Prefer 837 file experience)
Ohio WFH, United States

Data Usability Payment methodologies Database Querying Claims operations Billing Processes Hcpcs coding Claims payment Reimbursement methodologies Sprint planning +45

Senior Mid Full Time

USD 81K+

Dir, State Government Relations
Dayton WFH, United States

Legislative Processes Lobbying Government relations Analytic Public Policy Certification Policy Development Technical Writing Managed Care +17

Senior Full Time

USD 110K+

Product Manager II - IVR/Omnichannel Experience
Dayton WFH, United States

Digital Product Development Workflow planning IVR UAT testing Omnichannel Database Development Journey Mapping Sprint planning AI Technology +33

USD 81K+

Medical/Clinical Reimbursement Policy Writer
Dayton WFH, United States

Bibliographic software Healthcare reimbursement practices Clinical editing Claims payment Healthcare policy Government relations Medical Writing NCQA Medical Coding +27

USD 70K+

Director, EDI & Encounters Business Implementation
Dayton WFH, United States

Healthcare Claims Processing Creative Solutioning Reimbursement methodology Training and Support Facets EDI Resolution Cross-functional Team Leadership Technical Strategy +30

Exec Senior Full Time

USD 132K+

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+

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+

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+

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