FreshRemote.Work

Sign in

Remote Jobs with Paid wellness time and reimbursements Benefits

41 fresh jobs found

Clinical Supervisor
Remote

UM guidelines Milliman care guidelines Navigation Clinical Leadership Technology Platform LCSW Social Work Operations Management Health Insurance +26

USD 88K+

Operations Associate, Claims Design
Remote

Claims design Claims Adjudication Technical Implementation Technology Platform Knowledge Management Models Lean Six Sigma Process design KPI development +33

USD 88K+

Clinical Operations Lead - LPN/LVN
Remote

Patient assessments Nursing leadership Interdisciplinary communication Operational efficiencies Healthcare delivery system Remote team management Clinical protocols Evidence-based practice Healthcare Delivery +19

Senior Mid Full Time

USD 56K+

Team Lead, Knowledge Management Operations
Remote

Operational KPIs Insurance experience Technology Platform Knowledge Management Administrative Tasks Lean Six Sigma Operational Improvements Six Sigma KPIs +23

Senior Mid Full Time

USD 54K+

Senior Learning Specialist
Remote

Insurance experience Training Design Adult Learning Theory ELearning Technology Platform Instructional Design PMP Six Sigma Content development +13

Senior Mid Full Time

USD 65K+

Director, Member & Provider Programs
Remote

Healthcare Strategy Program Design Technology Platform Financial Performance Management consulting Cross-functional Leadership Team Development Google Sheets Health Insurance +20

Exec Senior Full Time

USD 156K+

Data Scientist II
Remote

Models Technology Platform Statistical modeling Advanced Analytics Data Pipelines Data processing Health Insurance Data Modeling Technical Expertise +15

USD 131K+

Senior Manager, Strategic Initiatives
Remote

Mitigation Strategies Technology Platform Management consulting Strategic initiatives Project Planning Six Sigma Lean Health Insurance Root Cause Analysis +18

Senior Full Time

USD 118K+

Senior Manager, Data Science
Remote

Data Pipeline Development Quality care Technology Platform Models Statistical modeling Efficiency Operations Management Clinical operations Advanced Analytics +23

Senior Full Time

USD 174K+

Workforce Management Production Project Lead
Remote

Matrixed organization Contact center systems IEX Healthcare quality Workflow Design Workforce management Technology Platform Lean Six Sigma Project Coordination +22

Senior Mid Full Time

USD 65K+

Operations Associate, Claim Design & Configuration
Remote

Claims design Healthcare Claims Workflow Design Models Technology Platform Lean Six Sigma KPI development Claims processing Technical Design +27

USD 88K+

Physician Reviewer, Utilization Management
Remote

Medical necessity criteria Workflow Tools Evidence-Based Guidelines Clinical Review Clinical Acumen Technology Platform Utilization Review Clinical Practice Utilization management +11

Senior Full Time

USD 211K+

Coding Audit Senior Analyst, SIU
Remote

Provider Contracting Insurance Billing Medical Coding Technology Platform HCPCS Medical Records ICD-10 Fraud detection CPT +24

Senior Mid Full Time

USD 56K+

Manager, Member & Provider Compliance
Remote

Operational integrity Regulatory Audits Team Mentoring Macros Technology Platform Lean Six Sigma Knowledge Management Six Sigma Policy Development +25

Senior Mid Full Time

USD 92K+

Vice President, Network Operations
Remote

Provider Audits Data quality control Network performance Governance Processes System Optimization Network Operations Technology Platform Reporting tools Capacity planning +36

Exec Senior Full Time

USD 255K+

Senior Regulatory Analyst
Remote

Hios SERFF Technology Platform Health Insurance Regulatory Regulatory Compliance Monitoring C SQL +6

Senior Mid Full Time

USD 66K+

Associate, Pharmacy Policy Development
Remote

Pharmacy Policy Quality care Clinical Policy Clinical evidence Prior authorizations MCG Medical Writing Medical Coding Technology Platform +17

USD 113K+

NP/PA - Virtual Health Assessment (Bilingual)
Remote

ENP AANP ANCC HEDIS quality measures PA NCCPA FNP Clinical documentation improvement Healthcare delivery system +18

USD 104K+

NP/PA - Virtual Health Assessment (Bilingual)
Texas, United States

ENP AANP ANCC HEDIS quality measures PA NCCPA FNP Clinical documentation improvement Healthcare delivery system +18

USD 104K+

NP/PA - Oscar Primary Care (Bilingual)
Remote

FNP PA NCCPA ANCC ENP AANP Continuity of care Remote diagnostics Home monitoring tools +20

USD 130K+

Senior Manager, Insurance Product Development
Remote

Plan Design Models Business Insights Technology Platform Actuarial science Portfolio Management Healthcare industry Health Insurance Competitive analysis +27

Senior Full Time

USD 129K+

Senior Data Scientist
Remote

Models Statistical modeling Technology Platform Advanced Analytics Data processing Data Pipelines Health Insurance Data Modeling Equity +13

Senior Full Time

USD 158K+

Senior Manager, Member Services
Remote

Mitigation Strategies Periscope KPI Models Business Insights Lean Six Sigma Technology Platform Team Development Six Sigma +25

Senior Full Time

USD 92K+

Senior Claims Quality Control Analyst
Remote

Database languages Total quality management Healthcare Claims Models Business Insights Healthcare operations Lean Six Sigma Workflow Management Technology Platform +32

Senior Full Time

USD 65K+

Senior Manager, Data Analytics
Remote

Network performance KPI KPI Frameworks Quality care Contracting Strategies Models Data Storytelling Healthcare Analytics Technology Platform +34

Senior Full Time

USD 129K+

Technical Implementation Associate
Remote

Client Data Management Models Data Pipeline Technical Implementation Campaign Development Technology Platform Solution Design Scalability Health Insurance +15

USD 98K+

Director, BPO Strategy & Governance
Remote

BPO Strategy Operational improvement Technology Platform Cross-functional Leadership Transformation Six Sigma Lean Root Cause Analysis Health Insurance +20

Exec Senior Full Time

USD 156K+

Manager, Pharmacy Policy
Remote

Pharmacy Policy Quality care Clinical Policy Clinical evidence MCG Medical Writing Technology Platform Prior authorization Quality improvement +23

USD 131K+

1099 Virtual Urgent Care - Physician
Remote

Medical supervision Quality care Healthcare delivery system Internal Medicine Healthcare Delivery Emergency Medicine Family Medicine Urgent care Telemedicine +7

USD 298K+

Senior Director, Insurance Financial Management
Remote

Financial strategy Strategic Analysis Management Reporting Technology Platform Financial Performance Efficiency Contracting Financial Management Managed Care +23

Senior Full Time

USD 172K+

Licensed Mental Health Provider - Oscar Primary Care
Remote

Patient assessments Electronic communication Healthcare delivery system Problem solving treatment Behavioral activation Spanish Language Psychotropic medication management Healthcare Delivery LPC +14

USD 64K+

Senior Director, Pharmacy & Behavioral Health Program Operations
Remote

Technology Platform Cost Management Controls Transformation Efficiency Pharmacy Regulatory requirements Health Insurance Regulatory +22

Senior Full Time

USD 172K+

Senior Sales Executive
Remote

Broker management Technology Platform Healthcare industry Health Insurance Spanish Market Research Bilingual Relationship building C +9

Senior Full Time

USD 88K+

Senior Software Engineer I
Remote

CS concepts Modular code Fault-tolerant systems Scalable software Technology Platform Technical Design Health Insurance Application Development Equity +10

Senior Full Time

USD 158K+

Senior Director, Strategic Finance & Corporate Development
Remote

Qualitative evaluation Quantitative evaluation Financial targets Corporate Development Capital modeling Strategic Insights Insight Generation Corporate strategy Mergers and acquisitions +24

Senior Full Time

USD 172K+

Senior Counsel
Remote

Complex litigation management Health insurance regulatory requirements Payer-provider disputes Litigation strategy Analytical abilities Contract drafting EDiscovery Technology Platform Legal research +14

Senior Full Time

USD 172K+

IT Internal Audit Associate Director
Remote

Technology risk management System Development Life Cycle IT Audit Electronic Health Records Technology Platform Internal Audit Cyber Security Health Insurance Data privacy +13

Entry Senior Full Time

USD 142K+

Appeals Review Nurse
Remote

NCCN Medical decision support tools Level of care reviews Medical necessity reviews Milliman care guidelines Evidence-Based Guidelines InterQual MCG Clinical Guidelines +16

Entry Mid Full Time

USD 70K+

Director, Market Management
Remote

Market economics Healthcare Contracting Workflow improvement Financial Performance Technology Platform Contracting Healthcare industry Health Insurance Equity +12

Exec Senior Full Time

USD 156K+

Regulatory Manager
Remote

Legal studies Legislative tracking Westlaw Healthcare Regulations Policy analysis Technology Platform Public Policy Google Workspace Managed Care +13

USD 97K+

Team Lead, Claims Production
Remote

Quality of care Google office suite Operational Improvements Technology Platform Claims processing Health Insurance Performance Metrics Scheduling Metrics +13

Senior Mid Full Time

USD 51K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Africa Remote Jobs in Middle East Full Time Remote Jobs Part Time Remote Jobs Contract Remote Jobs Internship Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs

Remote Jobs with GBP > 80K in Salary Remote Jobs with CAD > 80K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with CAD > 120K in Salary