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Remote Jobs with General office environment Benefits

33 fresh jobs found

Digital Product Manager I
Dayton WFH, United States

Digital calendar management Digital product roadmap Digital asset budgeting Digital content approval Digital quality assurance Digital project execution Retrospectives Back-end infrastructure Digital customer engagement +100

USD 70K+

Scrum Product Owner
Dayton WFH, United States

Certification in Scrum (PSPO Sprint Demos PSM) Creative Solution Development Sprint Retrospectives Analysis and Collaboration Dependency Management Backlog Prioritization Health care operations +36

USD 92K+

Customer Care Specialist I (Must live in Ohio)
Ohio WFH, United States

Professional Phone Etiquette Typing 35 WPM Phone Etiquette Windows Environment Customer Care Grammar Computer Proficiency Eligibility Credentialing +20

USD 35K+

Clinical Care Reviewer - Board Certified Behavioral Analyst
Dayton WFH, United States

ASAM Change resiliency Evidence-based care systems Medical advisement Durable Medical Equipment LSW Medical Necessity Review Proper grammar usage Phone Etiquette +44

USD 61K+

Manager - M&A Data Acquisition and Integration
Dayton WFH, United States

Healthcare payer TOGAF Population health System Configuration Technical Specifications Project Planning Business Requirements Eligibility Utilization management +42

USD 92K+

SAP Functional Analyst – Systems Analyst III
Dayton WFH, United States

Functional design Requirements Elicitation SAP S/4HANA Facets Process modeling Technical Specifications User Acceptance Testing Continuous delivery Software development lifecycle +37

Senior Mid Full Time

USD 92K+

Senior Manager, Payment Integrity Data Analytics
Dayton WFH, United States

Decision support Payment methodologies Operational reporting ICD10 Apc Strategic management Critical Listening Business solutions Healthcare policy +59

Senior Full Time

USD 92K+

Associate Vice President, Quality Operations(Preferred Managed Care Experience)
Dayton WFH, United States

Systematic Thinking Strategic management Healthcare quality Critical Listening Problem identification NCQA HEDIS Accreditation Resolution +25

Senior Mid Full Time

USD 150K+

AVP, Accounting(Preferred Managed Care Experience)
Dayton WFH, United States

Internal Control Framework FAS Accounting Concepts CMS Certification Team building Interpersonal Communication ERP systems Internal Controls +23

Exec Senior Full Time

USD 150K+

Part Time-Associate Medical Director(Required Weekends)
Dayton WFH, United States

Prior authorization reviews Clinical appeals support Clinical case review Medical consultation Performance evaluations Systematic Thinking Clinical appeals URAC Data Sharing +31

Senior Mid Part Time

USD 191K+

Manager, EPMO Business Analysis
Texas WFH, United States

Healthcare payer Business Architecture Budget Forecasting Requirements Management Mergers and acquisitions Resolution Continuous delivery Certification Six Sigma +36

Senior Mid Full Time

USD 92K+

EDI/Edifecs Application Developer III
Dayton WFH, United States

Healthcare EDI UML modeling Onbase Edifecs UML Software troubleshooting Facets EDI OOP +44

Senior Mid Full Time

USD 81K+

Sr Manager, Provider Data Operations Implementation (Implementation experience a must)
Dayton WFH, United States

Provider data management Contract administration Provider Relations Healthcare Regulations Prior authorization Healthcare administration Project Planning Credentialing Enrollment +50

Senior Full Time

USD 92K+

Remote Medical Director, Grievances & Appeals
Dayton WFH, United States

Clinical case review Medical consultation Performance evaluations Clinical appeals Systematic Thinking URAC Cultural Sensitivity Data Sharing Critical Listening +31

Exec Senior Full Time

USD 191K+

Compensation Analyst II
Dayton WFH, United States

Job title assignment Salary research Certification Prioritization Analysis Microsoft Office Attention to detail Research Customer service +9

Entry Mid Full Time

USD 61K+

Service Integration Analyst I
Dayton WFH, United States

Claims knowledge Proper grammar usage URAC NCQA Customer Care Accreditation Certification Visio Instructional Design +25

USD 46K+

Grievance & Appeals Specialist II (Indiana or Ohio WFH))
Indiana WFH, United States

Clinical appeals Phone Etiquette Facets UAT UAT testing Resolution Healthcare Knowledge Certification Claims +25

USD 40K+

Manager of Marketing Engagement and Automation
Dayton WFH, United States

Preference management Campaign integration User Experience Research Microsoft dynamics 365 Provider engagement Technology Trends Campaign Execution Creative Problem Solving Certification +36

Senior Mid Full Time

USD 81K+

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+

Summer Internship 2025 - Data Science
Dayton WFH, United States

Predictive analysis Certification Network Statistical analysis Microsoft Office Suite Outlook Data Visualization Data Science Access +13

Entry Internship Full Time

USD 35K+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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