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Remote Jobs with Paid wellness time and reimbursements Benefits

33 fresh jobs found

Senior Analyst, UM Authorization Strategy
Remote

Mitigation Strategies Corporate strategy Technology Platform Dashboard Development Models Market development Management consulting Claims Claims management +31

Senior Mid Full Time

USD 69K+

Claims Processor
Remote

Health Insurance Operations Technology Platform Public Policy Claims processing Quantitative analysis Claims Google Sheets Data Entry Health Insurance +10

Entry Mid Full Time

USD 38K+

Clinical Training Manager
Remote

Microlearning Technology Platform E-Learning Lean Six Sigma Clinical Training Training Programs Clinical operations Instructional Design Learning and development +21

USD 92K+

Manager, UM Authorization Strategy
Remote

Financial strategic analysis Project consulting Mitigation Strategies Automation Development Metrics Evaluation Business Process Consulting Healthcare Consulting Strategic Analysis Technology Platform +38

USD 97K+

Senior Analyst, Payment Integrity Data Mining
Remote

Healthcare Payment Integrity Database Languages Claims auditing Business Insights Technology Platform Lean Six Sigma Models Knowledge Management Data Mining +24

Senior Mid Full Time

USD 65K+

Analyst, Payment Integrity Data Mining
Remote

Database language Payment Integrity Technology Platform Claims processing Data Mining Claims Health Insurance Coding C +7

USD 64K+

Claims Recovery Specialist
Remote

Database language Database Languages Provider communication Health care operations Payment Integrity Technology Platform Claims processing Claims Auditing +15

USD 64K+

Associate General Counsel, Litigation
Remote

Legal advice Technology Platform Talent Management Litigation Business strategy Health Insurance Regulatory Equity Regulatory Compliance +9

Senior Mid Full Time

USD 190K+

Operations, Data Analyst
Remote

Periscope Quality of care Healthcare Analytics Risk Adjustment Contract negotiations Technology Platform Models Google Sheets BI +22

USD 72K+

VP, Claims System Configuration
Remote

Benefit configuration Claims design Claims Adjudication Healthcare operations Technical Implementation Corporate strategy Technology Platform Lean Six Sigma Knowledge Management +37

Exec Senior Full Time

USD 232K+

Senior Actuarial Analyst
Remote

Performance trends Health insurance concepts Actuarial applications Actuarial Analysis Budget planning Regulatory filings Pricing strategies Technology Platform Models +12

Senior Mid Full Time

USD 82K+

Associate Director, Provider Experience Strategy
Remote

Healthcare Strategy Healthcare Consulting Technology Platform Management consulting KPI Tracking KPIs Healthcare industry Health Insurance Equity +25

Senior Mid Full Time

USD 142K+

Associate, Claims Optimization Process Improvement
Remote

Automation governance Mitigation Strategies Technology Platform Lean Six Sigma Strategic initiatives Claims Six Sigma Risk mitigation Lean +27

USD 84K+

Manager, Member & Provider Operational Compliance
Remote

Operational integrity Regulatory Audits Health Insurance Operations Team training Macros Technology Platform Lean Six Sigma Knowledge Management Six Sigma +27

Senior Mid Full Time

USD 92K+

Senior Director, Pharmacy & Behavioral Health Program Operations
Remote

Program Evaluation Technology Platform Cost Management Models Efficiency Transformation Controls Pharmacy Regulatory requirements +24

Senior Full Time

USD 172K+

SIU Investigator (Healthcare)
Remote

Investigative Techniques Provider Contracting Technology Platform Fraud detection Claims processing Process improvements Claims Contracting Data Security +16

USD 62K+

BPO Operations Manager
Remote

BPO Management Production Management Operational improvement Technology Platform Lean Six Sigma Six Sigma Lean Root Cause Analysis Health Insurance +18

USD 76K+

Compensation Program Manager
Remote

Pay equity studies Headcount planning Compensation planning Plan Design Technology Platform Models Advanced Excel Pay equity SOX compliance +19

USD 102K+

Associate, Provider Success
Remote

Workflow Design Technology Platform Lean Six Sigma Knowledge Management Six Sigma Content development Lean Health Insurance Communications +19

USD 84K+

Analytics Engineer I
Remote

LookML Analytics engineering Data Pipeline Technology Platform Healthcare Data Data Transformation Claims Transformation Dbt +21

Entry Full Time

USD 103K+

Director, Network Contracting & Services
Remote

Provider management Healthcare Strategy Contracting Strategies Network performance Quality care Provider Contracting Network development Cost Containment Healthcare Delivery +25

Exec Senior Full Time

USD 142K+

Senior Director, Network Contracting & Services
Remote

Network Contracting Contracting Strategies Healthcare Strategy Quality care Network performance Provider Contracting Network development Provider Relations Cost Containment +28

Senior Full Time

USD 192K+

Manager, Risk Adjustment
Remote

Risk Adjustment Coding Continuity of care Clinical documentation improvement Risk Adjustment ICD-10-CM Data Validation Technology Platform Electronic Health Records Medical Records +22

USD 88K+

Operations Analyst, Plan Loading
Remote

Medical Coding Concepts Health Plan Benefit Concepts Google Slides Google Docs Medical Coding Technology Platform HCPCS ICD-10 CPT +21

Entry Mid Full Time

USD 54K+

Senior Specialist, Risk Adjustment Coder
Remote

Electronic medical record systems Risk Adjustment Coding Medical Record Review Risk Adjustment ICD-10-CM Technology Platform Data Validation ICD-10 Efficiency +12

Senior Mid Full Time

USD 65K+

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+

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, 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+

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+

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+

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