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Remote Jobs with Smart healthcare decisions Benefits

226 fresh jobs found

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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 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+

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+

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+

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+

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+

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+

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+

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 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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

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+

Principal Systems Engineer
Remote US, United States

Digital employee experience OS management ITSM support services Unified communication End User Computing Device Management Collaboration Solutions Functional strategies Policy Management +77

Senior Full Time

USD 142K+

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