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Remote Jobs with Quality Certification

39 fresh jobs found

Senior COBOL Programmer Analyst
Roseville, CA, US, 95747-6645

Gainwell Technologies

MainView FileAid Xpediter Abend-Aid ChangeMan MVS TSO IBM Mainframe Easytrieve +39

Senior Full Time

USD 100K+

System Integration Lead
Any city, NJ, US, 99999

Gainwell Technologies

Traffic Management Centralized Monitoring Centralized Logging Managed File Transfer Object-oriented analysis Data Streaming SOAP APIs API security Stored Procedures +65

Senior Full Time

USD 72K+

Programmer Analyst (UNIX/C/SQL)
Any city, DE, US, 99999

Gainwell Technologies

TFS Unix/Linux Written and oral communication Edge Test plans Healthcare systems Software development life cycle UNIX Oral communication +25

Entry Mid Full Time

USD 50K+

Clinical Ideation Product Specialist - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Claims data analysis Audit and review criteria Claims recovery Program performance Healthcare payment methodologies Claims auditing Regulatory monitoring Policy Documentation Payment methodologies +46

USD 90K+

Clinical Education Specialist - Remote in US
Any city, FL, US, 99999

Gainwell Technologies

Clinical claims review Webinar delivery InterQual criteria DRG validation Medical record auditing Healthcare Policies Coding certification CCS Healthcare policy +39

Senior Full Time

USD 75K+

DRG Nurse Quality Auditor, Sr. Specialist - Remote in US
Any city, OK, US, 99999

Gainwell Technologies

CC Education content development DRG auditing MCC Coding reviews Payment methodologies DRG validation Training Initiatives APR-DRG +38

Senior Full Time

USD 64K+

Clinical Quality Nurse Reviewer, Sr. Specialist - (RN Remote in US)
Any city, NC, US, 99999

Gainwell Technologies

Clinical quality review InterQual criteria Chart Audits Clinical criteria guidelines Productivity standards Medical Record Review RN license InterQual Clinical Criteria +28

Senior Full Time

USD 64K+

Drug Rebate Data Entry Clerk - Remote US
Any city, FL, US, 99999

Gainwell Technologies

Ssrs reports Remote desktop connection 10-key proficiency Reconcile payments Payment documentation Deposit spreadsheets Drug rebate Posting Process manager +28

Entry Full Time

USD 28K+

Program Manager - Connecticut
Any city, CT, US, 99999

Gainwell Technologies

Formulas Written and verbal communication Pivot Tables Microsoft Access Functions Database design Client Communication Government Medical +21

USD 52K+

Senior Director, Account Management
Any city, TX, US, 99999

Gainwell Technologies

Healthcare Insurance P&L Management Healthcare Technology Contract management Client service Medical Medicare Medicaid Flexibility +17

Senior Full Time

USD 130K+

Prior Authorization Operations Manager
Any city, OH, US, 99999

Gainwell Technologies

NCPDP standards Specialty medications Medication pricing Electronic prior authorizations Pharmacy Claims NCPDP Clinical pharmacy Prior authorizations Clinical Criteria +24

Senior Mid Full Time

USD 113K+

Senior Project Manager
Any city, KS, US, 99999

Gainwell Technologies

Project Management Methodology Management methodology Project Management Software Budget development Edge Creative Problem Solving PMP Healthcare industry SDLC +18

Senior Full Time

USD 69K+

Programmer Analyst (UNIX/LINUX/C/SQL)
Any city, MS, US, 99999

Gainwell Technologies

Applications development QA activities Unix/Linux Edge Test plans Healthcare systems UNIX Web Services Relational databases +19

USD 60K+

Senior Project Manager
Any city, CO, US, 99999

Gainwell Technologies

Project Management Methodology Management methodology Budget development Project Management Software Edge Creative Problem Solving Agile Methodology PMP Medicare +19

Senior Full Time

USD 69K+

Senior Agile Project Manager
Any city, TX, US, 99999

Gainwell Technologies

Project Management Methodology Management methodology Metrics Tracking Edge Kanban PMP SAFe Risk mitigation Medical +17

Senior Full Time

USD 86K+

Associate Manager, Clinical Review Nurse (Remote)
Any city, TX, US, 99999

Gainwell Technologies

Clinical review judgment APR-DRG MS-DRG CCS Quality Metrics DRG CPC Clinical Criteria RN license +36

Senior Mid Full Time

USD 69K+

Proposal Writer
Any city, TX, US, 99999

Gainwell Technologies

RFPIO Responsive Adobe Professional Proposal Management RFP Business solutions Journalism Adobe PMP +33

Entry Mid Full Time

USD 82K+

Proposal Manager
Any city, TX, US, 99999

Gainwell Technologies

Scoring Proposal Management RFP Business solutions Processes Journalism Business Management Adobe PMP +33

USD 82K+

Medical Claims Auditor I (Remote, USA)
Any city, TX, US, 99999

Gainwell Technologies

RCM knowledge Document imaging Manual Dexterity Eligibility Medical claims CCS CPC CMS guidelines Coding Guidelines +38

Entry Mid Full Time

USD 50K+

OCM Project Manager
Sacramento, CA, US, 95814-5511

Gainwell Technologies

Project Management Methodology Population health management Vendor oversight Management methodology Catalyst Budget development Project Management Software Edge Project Planning +22

USD 92K+

Engagement Lead
Any city, TX, US, 99999

Gainwell Technologies

Operational model design Global delivery Delivery assurance Financial Compliance Performance Evaluation Edge Processes Service Delivery Supervisory +26

Senior Full Time

USD 127K+

Claims Systems Delivery Manager
Any city, WI, US, 99999

Gainwell Technologies

Claims systems Financial Budgeting Written and oral communication Service Delivery Claims Healthcare Technology Oral communication Medicare Medicaid +16

Senior Mid Full Time

USD 93K+

DevOpsEngineer
Any city, DE, US, 99999

Gainwell Technologies

Poetry Memray Radon Bandit Pylint Pytest Team Player Processes Edge +32

Entry Senior Full Time

USD 69K+

AWS Cloud Architect
Any city, DE, US, 99999

Gainwell Technologies

Object Oriented Security design Infrastructure Architecture ECS Application Architecture Technical Requirements Edge Efficiency Software design +32

Senior Full Time

USD 95K+

Technical Program Manager
Any city, TX, US, 99999

Gainwell Technologies

Scaled Agile KPI Reporting Processes Edge Cross-functional Team Leadership Resource Management Tools Agile Methodology Stakeholder communication +24

Senior Full Time

USD 86K+

Service Representative - Remote WI
Any city, WI, US, 99999

Gainwell Technologies

Healthcare Insurance Software utilization Healthcare Knowledge Tools Medicaid Government Medical Flexibility Relationship building +17

USD 54K+

Security Advisory Project Manager
Any city, IL, US, 99999

Gainwell Technologies

NIST standards Firewall concepts Network concepts Saviynt Project Management Methodology Catalyst Management methodology Posting System Security +34

Senior Full Time

USD 86K+

Experienced Project Manager
Any city, DE, US, 99999

Gainwell Technologies

Catalyst Project tracking Management methodology Budget development Project Management Software Edge PMP Project Planning Risk mitigation +17

Senior Full Time

USD 86K+

Coding and Bill Audit Product Specialist - Remote in US
Any city, TX, US, 99999

Gainwell Technologies

Audit criteria Posting Claims recovery Program performance Healthcare payment methodologies Payment methodologies Policy Documentation APC Regulatory monitoring +47

USD 69K+

Coding Auditor (Remote in US)
Any city, AL, US, 99999

Gainwell Technologies

AP-DRG Internet browsers Medical record coding CCS MS-DRG APC APR-DRG Medical record auditing Coding certification +46

USD 90K+

Certified Coding Auditor (Remote in US)
Any city, AR, US, 99999

Gainwell Technologies

CC MCC Coding reviews APC AP-DRG Asc Medical record coding Medical record auditing Internet browsers +53

USD 90K+

Eligibility Operations Advisor I - Remote USA
Atlanta, GA, US, 30339

Gainwell Technologies

Health insurance policy analysis Documentation verification Manual Dexterity Eligibility Policy analysis PC Health Insurance HIPAA Compliance Conflict Resolution +32

Entry Mid Full Time

USD 35K+

Advisor Business Analyst - Claims Lead
Any city, TX, US, 99999

Gainwell Technologies

Requirements translation Relational Database Software Relational database Business Process Re-engineering Technical Requirements Processes Edge Claims Business Processes +22

Senior Full Time

USD 86K+

Documentation Specialist - Remote WV
Charleston, WV, US, 25302-3932

Gainwell Technologies

Documentum Documentation standards Business Solutions Software Written and verbal communication Accuracy Documentation Management Business solutions Detail oriented Accessibility +34

Entry Mid Full Time

USD 32K+

Clinical DRG Auditor (Remote Nurse)
Any city, NC, US, 99999

Gainwell Technologies

Clinical review judgment HMS proprietary systems DRG validation AP-DRG Internet browsers MS-DRG CCS Productivity standards Coding certification +49

Senior Mid Full Time

USD 84K+

Engineering Manager
Any city, TX, US, 99999

Gainwell Technologies

Cross-Functional Team Management Scaled Agile Processes Edge Cross-functional Teams Agile Methodology Stakeholder communication Root Cause Analysis SDLC +29

Senior Mid Full Time

USD 93K+

Manager of Product Software Engineering
Any city, TX, US, 99999

Gainwell Technologies

Scaled Agile Processes Edge Cross-functional Teams Agile Methodology Stakeholder communication Root Cause Analysis SDLC Risk mitigation +30

Senior Mid Full Time

USD 93K+

Nurse Reviewer, Appeals and Hearings (Remote)
Any city, KY, US, 99999

Gainwell Technologies

Appeals process Clinical criteria guidelines MCG criteria InterQual criteria Medical record coding Cross-training CCS Coding certification InterQual +26

USD 64K+

Engineering Manager (Product Development)
Any city, TX, US, 99999

Gainwell Technologies

Cross-Functional Team Management Scaled Agile Processes Performance Tracking Edge Cross-functional Teams Agile Methodology SAFe Stakeholder communication +33

Senior Mid Full Time

USD 93K+

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