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Remote Jobs with Health first Benefits

229 fresh jobs found

Director, Innovation & Segment Marketing
Remote US, United States

Brand Positioning Consumer research Engagement Strategies Strategic Marketing Medicare Advantage Health benefits Internal Communications Consumer Insights Marketing Analytics +60

Exec Senior Full Time

USD 168K+

Compensation Lead; Corporate Alignments
Remote US, United States

HR experience Functional strategies Compensation Analysis Organizational design Matrixed environment Articulate Surveys Oral communication BI +50

Senior Mid Full Time

USD 115K+

Group Medicare Insurance Product Manager
Remote US, United States

Insurance operations Microsoft Office Applications Data Mining CMS Collaborative Audits Regulations Insurance Products Healthcare services +40

USD 71K+

Credentialing Assistant 3
HGB SCA Remote KY, United States

Tricare Intermediate mathematical ICD-10 codes Microsoft Office Applications ICD Provider Relations Mathematical Credentialing ICD-10 +36

USD 43K+

Supplier Diversity Metrics and Reporting Sr. Professional
Remote US, United States

Supplier diversity Tables Metrics and reporting Surveys Growth Strategy Reporting tools Business Analytics Pivot Tables PowerBi +55

Senior Mid Full Time

USD 78K+

Organization Effectiveness Lead
Remote US, United States

Organization effectiveness Prosci Stakeholder Analysis Team performance Workshops Strategic initiatives Team building BI Healthcare services +37

Senior Mid Full Time

USD 104K+

Sr. Stars Improvement Professional
Remote US, United States

Provider performance Stars performance Team Engagement Clinical Management STARS Data Sharing Collaborative relationships HEDIS Provider engagement +63

Senior Mid Full Time

USD 86K+

Corporate Strategy Lead – Strategy Planning
Remote US, United States

Strategy Consulting Corporate strategy Oral communication Healthcare industry Healthcare services Vision Dental Wellness Medicare +25

Senior Mid Full Time

USD 126K+

Director, Clinical IT Technologies
Remote US, United States

Clinical Technology Healthcare Regulations EMR systems Strategic direction Electronic Medical Records Consumer Experiences Healthcare systems EMR Clinical operations +45

Exec Senior Full Time

USD 172K+

External Corporate Communications Lead
Remote US, United States

Healthcare communications Persuasive writing Dynamic Environment Executive communications Corporate Communications Health benefits Media Relations Crisis Management Journalism +45

Senior Full Time

USD 115K+

Pharmacy Claims Representative
Remote US, United States

Drug knowledge Dispensing systems Pbm systems Electronic claims submissions Pharmacy Claims PBM Prescription Pharmacy Technician Claims Adjudication +37

Entry Mid Full Time

USD 40K+

Medicaid Insurance Product Manager
Remote US, United States

Health Plan Operations Benefit design Agile Delivery Microsoft Office Applications Strategic direction RFP Medical Coding Population health Clinical operations +63

USD 86K+

Senior Data Engineer
Remote US, United States

Data movement Cloud-native platforms ADF STARS Data optimization Software Development Best Practices Data Orchestration Visualizations Healthcare quality +86

Senior Full Time

USD 106K+

Senior Compliance Professional - Medicaid
Remote US, United States

Issue remediation Regulatory Interpretation Health Plan Operations Contract Interpretation Regulatory Analysis Healthcare Regulations Document review Risk Audits +39

Senior Mid Full Time

USD 86K+

Counsel - Health Plan Contracting
Remote US, United States

Healthcare law Legal writing Medical Services Legal analysis Contract drafting Legal advice Analyzing Risk Negotiating +33

USD 138K+

Medical Coding Auditor
Remote US, United States

Audit validation Evaluation & management coding Diagnosis coding Medical record documentation Clinical Review Coding Guidelines Medical Coding Validation HIPAA Compliance +33

USD 59K+

Associate Actuary
Remote US, United States

Actuarial methods VB Medicare data MS Power BI Business writing Medicare Advantage Analyzing Risk Adjustment Statistical methods +63

USD 106K+

Senior Product Owner
Remote US, United States

Home Care IT systems Project leadership Healthcare services Vision Prioritization Dental Wellness Medicare +21

Senior Full Time

USD 94K+

Manager, Encounter Data Management
Remote US, United States

Hero applications X-12 data Business process development Encounter data Edifecs Tactical Operations Large data sets Microsoft SQL Microsoft Office Applications +59

USD 86K+

Senior Problem, Incident and Event Management Engineer
Remote US, United States

On-call paging solutions Network Support Office Suite Problem Management IT Service Management Health benefits Application Support Strategic direction ITSM +45

Senior Mid Full Time

USD 89K+

Senior Provider Contracting Professional
Remote US, United States

Hospital contracting Managed Care Contracts Provider Contracting Network administration Analyzing Network management Consumer Experiences Risk Negotiating +41

Senior Full Time

USD 78K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Community Groups Outpatient services Grievance and appeals processes Inpatient rehabilitation Commercial health insurance Clinical group practice management Post-acute care Humana policies +83

Exec Senior Full Time

USD 223K+

Compliance Professional
Remote US, United States

Healthcare Compliance Analyzing Risk Validation Information systems BI Healthcare services Vision Dental +36

USD 65K+

Medical Director - Gulf South
Remote US, United States

Post-acute services Grievance and appeals processes Community Groups Outpatient services Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +88

Exec Senior Full Time

USD 223K+

Consumer Directed (CD) Services Project Manager
Work at Home - Virginia, United States

Consumer directed services Health Plan Operations Long Term Care Social Work Six Sigma Policy Development Travel Healthcare services Vision +33

USD 71K+

Behavioral Health Medical Director - Medicaid
Remote US, United States

Computer-Based Review CGX Community Groups Clinical reference materials CMS policies Medical background MCG Medical Director Clinical evaluation +48

Exec Senior Full Time

USD 223K+

Lead Digital Product Manager - CenterWell Experiences
Remote US, United States

AEM Digital Product Management Judgement Product lifecycle management Home Health Digital products Efficiency Technical Strategy Azure DevOps +48

Senior Full Time

USD 126K+

Senior Insurance Product Compliance Professional
Remote US, United States

Medicare Advantage Regulatory Guidance Microsoft Office Applications Consumer Experiences Risk Adobe Negotiating Visio Regulations +38

Senior Full Time

USD 71K+

Consumer Service Operations Representative
Remote US, United States

Intermediate mathematical Technology navigation Call Center Experience Mathematical Listening Healthcare experience Typing Healthcare services Vision +31

USD 40K+

Senior Manager, Medicare Sales - North Houston
Remote TX HOUST AUST, United States

Medicare Sales CMS guidelines Prescription Annuity Rating Driver safety program Multilingual Mobile Consumer Experiences +45

Senior Full Time

USD 84K+

Medical Director - Pacific SW
Remote US, United States

Health claims review Community Groups Outpatient services Grievance and appeals processes Clinical group practice management Commercial health insurance Inpatient rehabilitation Post-acute care Humana policies +84

Exec Senior Full Time

USD 223K+

Manager, Care Management (Maternal-Child Health)
Work at Home - Virginia, United States

Clinical Intervention Maternal-Child Health Face-to-face assessments Interpreting Data Operational Leadership Cultural Competence Judgement Health and wellness Rating +66

USD 25K+

Humana Healthcare Research Spring 2025 Internship
Remote US, United States

Quantitative healthcare research Statistical coding languages Manuscript authorship Causal inference methods Pharmacoepidemiology Time Series Health Services Research Real-world data analysis Time Series Analysis +41

Entry Internship Part Time

USD 37K+

Encounter Data Management Professional
Remote US, United States

Encounter data Medical claims processing Medical claims Microsoft Office Applications CAS Compliance Standards Reconciliation Claims processing Analytical Problem Solving +44

USD 65K+

Senior Financial Analytics Developer
Remote US, United States

OKR Infusion Durable Medical Equipment Financial analytics Modeling techniques Data Automation Home Care Financial metrics KPI +74

Senior Full Time

USD 89K+

Telephonic Nurse Case Manager
HGB SCA Remote PA, United States

Holistic approach Tricare MCG Evidence-based medicine Clinical Nursing Medical Services Accreditation Motivational interviewing Utilization Review +45

USD 71K+

Insurance Strategy Consultant
Remote NY NYC METRO, United States

Healthcare Strategy Research and Analysis Medicare Advantage Strategic Analysis Matrixed environment Articulate Health benefits Growth Strategy Management consulting +48

USD 103K+

Bilingual Consumer Service Operations Representative
Remote US, United States

Technology navigation Intermediate mathematical Bilingual English/Spanish Call Center Experience Mathematical Listening Healthcare experience Typing Healthcare services +35

Entry Mid Full Time

USD 40K+

Insurance Segment Strategy Lead
Remote NY NYC METRO, United States

Healthcare Strategy Strategy Consulting Metrics and reporting Research and Analysis Medicare Advantage Strategic Analysis Matrixed environment Articulate Health benefits +51

Senior Full Time

USD 138K+

Medical Director- South Central
Remote US, United States

Community Groups Outpatient services Grievance and appeals processes Post-acute services Clinical group practice management Inpatient rehabilitation Post-acute care Commercial health insurance Humana policies +86

Exec Senior Full Time

USD 223K+

Lead Technology Leadership Professional
Remote US, United States

Digital Experience Management DAM Budget oversight Digital Asset Management AEM Vendor Coordination Digital Experience Health benefits Resource Planning +62

Senior Full Time

USD 117K+

Rx Clinical Programs Pharmacy Technician Representative 2
Remote US, United States

Financial assistance resources Medication assistance Bilingual English and Spanish Computations Prescription Clinical programs Medication Adherence Development programs Home health services +31

Entry Mid Full Time

USD 40K+

Associate Director, UM Nursing
Remote US, United States

Interpreting Criteria Clinical Nursing Medical Services Prior authorization Registered Nurse Clinical knowledge Utilization management Authorization RN +45

USD 115K+

Associate Well-Being Experience Lead
Remote US, United States

Innovative mindset Behavioral economics Clinical programs Health promotion Psychology Appeals Health outcomes Population health Efficiency +42

USD 94K+

Care Management Support Professional
HGB TSC Pensacol, United States

Non-clinical Assessment Social determinants Clinical programs Chronic Condition Management Health education Driver safety program Social services Community Health Acute care +53

USD 25K+

Care Management Support Professional
TRIL JACKSONVILLE, United States

Non-clinical Assessment Social determinants Clinical programs Chronic Condition Management Health education Driver safety program Social services Community Health Acute care +54

USD 25K+

Clinical Programs Pharmacy Technician Representative 2
Remote US, United States

Call center processes Medication therapy Insurance processing Bilingual English and Spanish Prescription Clinical programs Medication Adherence Development programs Home health services +37

USD 40K+

Actuary - Lead
Remote US, United States

Functional strategies Infrastructure Design VBA Efficiency Contracting Healthcare services Vision Data integrity Root Cause Analysis +35

Senior Full Time

USD 129K+

Manager, Care Management (Physical Health)
Work at Home - Virginia, United States

Holistic approach Transitions of Care Tactical Operations Interpreting Data Operational Leadership Health and wellness Rating Microsoft Office Applications Supervisory experience +54

USD 25K+

Associate Actuary - Vendor Value Based Program Pricing
Remote US, United States

Actuarial Analysis VBA Financial Forecasting Actuarial Consumer Experiences Stakeholder Collaboration Market trends Healthcare services Vision +32

USD 106K+

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