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Remote Jobs with Quality Certification

50 fresh jobs found

Professional Quality Provider Enrollment
Any city, NV, US, 99999

Gainwell Technologies

Provider Enrollment Written and verbal communication Credentialing Medical MS Office Verbal communication Quality Assurance Policy Flexibility +17

USD 43K+

Advisor Information Design Engineer
Roseville, CA, US, 95747-6645

Gainwell Technologies

Abend-Aid ChangeMan Xpediter MainView FileAid MVS TSO Easytrieve IBM Mainframe +40

Senior Mid Full Time

USD 100K+

Experienced Project Manager
Any city, WI, US, 99999

Gainwell Technologies

Project Management Methodology Management methodology Project Scheduling Catalyst Budget development Project Management Software MS Project Edge Staffing +24

Senior Full Time

USD 86K+

Customer Experience Director - Claims and Financial
Any city, TX, US, 99999

Gainwell Technologies

Continuous Feedback Loops Business Performance Optimization Healthcare Claims Operational Management Issue Resolution Functions Processes Posting Claims +34

Exec Senior Full Time

USD 127K+

Expert Business Analyst - Requirement Validation
Any city, CO, US, 99999

Gainwell Technologies

MITA Solution delivery Mita Frameworks Requirements validation Risk Identification Accuracy Processes Posting Stakeholder Collaboration +28

Senior Full Time

USD 86K+

Business Analyst - Requirement Validation
Any city, AL, US, 99999

Gainwell Technologies

MITA Mita Frameworks Requirements validation ALM Tools ALM Accuracy Processes Posting Azure DevOps +30

Entry Mid Full Time

USD 51K+

Expert Business Analyst - Requirement Validation
Any city, AL, US, 99999

Gainwell Technologies

MITA Solution delivery Mita Frameworks Requirements validation Risk Identification Accuracy Processes Posting Stakeholder Collaboration +28

Senior Full Time

USD 81K+

Provider Operations Delivery Manager - Arkansas
Any city, AR, US, 99999

Gainwell Technologies

Healthcare/Medicaid Modules Cxone Provider Enrollment Avaya Verint SLAs Written and oral communication Healthcare Knowledge Processes +38

Senior Mid Full Time

USD 106K+

Principal Business Analyst - Requirement Validation
Any city, AL, US, 99999

Gainwell Technologies

MITA Solution delivery Contractual analysis Requirements traceability Mita Frameworks Requirements validation ALM Tools Requirements Elicitation Application Lifecycle Management +49

Senior Full Time

USD 101K+

Pharmacy Rebate Analyst - Remote US
Any city, WI, US, 99999

Gainwell Technologies

340B Pharmacy claims processing Medicaid drug rebates Drug rebate Pharmacy Claims Healthcare Solutions Accuracy Efficiency Claims processing +29

Entry Mid Full Time

USD 43K+

Disability Case Examiner - Remote WI
Any city, WI, US, 99999

Gainwell Technologies

Disability Claim Adjudication BCPP Mainframe Clinical Policy Document Preparation Written and verbal communication Processes Medical terminology Claims Clinical expertise +19

USD 54K+

Event Marketing Manager
Any city, TX, US, 99999

Gainwell Technologies

Event management software Event Marketing Video Production Posting Event Planning Cross-functional Teams Financial Management Tools Content Creation +20

USD 82K+

Experienced Project Manager
Any city, VA, US, 99999

Gainwell Technologies

Schedule Development Deliverable Management Time Tracking Project Management Methodology Management methodology Catalyst Budget development Project Management Software Edge +26

Senior Full Time

USD 86K+

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

Gainwell Technologies

Appeals process MCG criteria Medical record coding Clinical criteria guidelines InterQual criteria Coding certification CCS CPC InterQual +28

USD 64K+

Sr Engineering Manager
Any city, TX, US, 99999

Gainwell Technologies

Scaled agile methodologies Team performance Scaled Agile Edge Posting Processes Resource Management Resource Allocation Agile Methodology +36

Senior Full Time

USD 116K+

Senior Regional Director, SGS Program Management
Any city, NY, US, 99999

Gainwell Technologies

P&L Management Posting Service Delivery Healthcare Technology Client service Medicaid Medicare Medical Client relationship management +19

Senior Full Time

USD 130K+

Documentation Specialist - Remote WV
Any city, WV, US, 99999

Gainwell Technologies

Documentum Documentation standards Process Flows Written and verbal communication Documentation Management Business solutions Accuracy Content management systems Detail oriented +35

Entry Mid Full Time

USD 32K+

Black Belt Project Manager (Remote Anywhere US)
Any city, TX, US, 99999

Gainwell Technologies

Control methodologies Visual management Value Stream Mapping Hypothesis Testing Statistical Process Control Project Management Software Lean Six Sigma Process Mapping Posting +32

USD 86K+

Business Analyst - Healthcare
Any city, RI, US, 99999

Gainwell Technologies

Programming concepts Computer Programming Concepts Computer Programming Process re-engineering Re-engineering Written and oral communication Business Process Re-engineering Batch processing Business solutions +37

Entry Mid Full Time

USD 55K+

Senior Business Analyst - Requirements Validation Facilitator
Any city, TN, US, 99999

Gainwell Technologies

Mita Frameworks Requirements validation ALM Tools ALM Risk Identification Accuracy Posting Healthcare Knowledge Project leadership +35

Senior Mid Full Time

USD 69K+

Account Delivery Leader
Any city, MA, US, 99999

Gainwell Technologies

SLAs Service Improvement Batch processing Cost Optimization Service Level Agreements Posting Processes Functions Quality improvement +34

Senior Full Time

USD 108K+

Expert Business Analytics
Sacramento, CA, US, 95814-5511

Gainwell Technologies

Population health management Relational database Technical Requirements Population health Posting Processes Project leadership Requirements Gathering Service Delivery +35

Senior Full Time

USD 92K+

Expert Business Analyst
Sacramento, CA, US, 95814-5511

Gainwell Technologies

Population health management Relational database Technical Requirements Processes Population health Posting Project leadership Requirements Gathering Service Delivery +35

Senior Full Time

USD 92K+

Engineering Manager
Any city, TX, US, 99999

Gainwell Technologies

Team performance Project Scheduling Scaled Agile Edge Posting Processes Resource Management Cross-functional Teams Agile Methodology +33

Senior Mid Full Time

USD 93K+

Health Care Publications Specialist
Tucker, GA, US, 30084-7060

Gainwell Technologies

Electronic Publishing Software Public Relations Quality Standards Tools Microsoft PowerPoint Medicaid Medical Microsoft Word Microsoft Excel +16

USD 51K+

Technical Program Manager
Any city, TX, US, 99999

Gainwell Technologies

Scaled Agile KPI Reporting Edge Posting Processes Staffing Cross-functional Team Leadership Resource Management Agile Methodology +26

Senior Full Time

USD 82K+

Publications Coordinator
Tucker, GA, US, 30084-7060

Gainwell Technologies

Electronic Publishing Software Proofreading Public Relations Quality Standards Tools Microsoft PowerPoint Editing Medicaid Medical +20

USD 51K+

Director, SGS Program Management
Any city, TX, US, 99999

Gainwell Technologies

Public Health Knowledge Medicaid Knowledge Project status reporting Recovery audit Third Party Liability Procurement Processes Supervisory experience Microsoft Applications RFP +34

Exec Mid Full Time

USD 82K+

Utilization Management Medical Director - Remote in US
Any city, KY, US, 99999

Gainwell Technologies

Interqual Guidelines Payment Integrity InterQual Utilization Review Claims Report Writing Managed Care Quality Control Billing +15

Exec Senior Full Time

USD 100K+

Healthcare Data Product Owner
Any city, TX, US, 99999

Gainwell Technologies

Technical Consulting Posting Edge Healthcare Data Client Communication Healthcare industry Data Integration Medical Feedback +21

Senior Full Time

USD 74K+

Senior Business Analyst - Requirements Validation Facilitator
Any city, MO, US, 99999

Gainwell Technologies

Mita Frameworks Requirements validation ALM Tools ALM Risk Identification Posting Accuracy Project leadership Stakeholder Collaboration +33

Senior Mid Full Time

USD 64K+

Lead Professional Auditor - Remote US
Any city, WI, US, 99999

Gainwell Technologies

Information technology audits MMIS Operational audits Compliance Audits Relational database Accuracy Processes Efficiency Operating Systems +28

Senior Full Time

USD 63K+

Programmer Analyst (UNIX/C/SQL)
Atlanta, GA, US, 30345-3128

Gainwell Technologies

Unix/Linux Written and oral communication Edge Posting Test plans Healthcare systems Software development life cycle UNIX Oral communication +26

Entry Mid Full Time

USD 60K+

C / Unix Programmer Analyst (Hybrid: Tucker, GA)
Atlanta, GA, US, 30345-3128

Gainwell Technologies

Unix/Linux Written and oral communication Edge Posting Healthcare systems Test plans Software development life cycle UNIX Oral communication +26

Entry Mid Full Time

USD 60K+

Professional Auditor - Remote US
Any city, AR, US, 99999

Gainwell Technologies

Operational compliance Business controls MMIS Audit reports Relational database IT Audit Accuracy Efficiency Report Writing +29

USD 48K+

Principal Business Analyst - Requirement Validation
Any city, MO, US, 99999

Gainwell Technologies

Requirements traceability Requirements validation Contractual analysis ALM Tools Requirements Elicitation Application Lifecycle Management ALM Risk Identification Process Flows +46

Senior Full Time

USD 101K+

Programmer Analyst (C | Unix/Linux)
Any city, AR, US, 99999

Gainwell Technologies

Design and development Applications development Technical Research Unix/Linux Development Methodologies Data gathering Application design RDBMS Posting +38

Entry Senior Full Time

USD 58K+

Registered Nurse with Coding Certificate - Remote in US
Any city, OK, US, 99999

Gainwell Technologies

AP-DRG HMS Auditing Systems Clinical auditing CC Internet browsers MCC Coding reviews Clinical review judgment Regulatory support +57

Senior Mid Full Time

USD 59K+

Product Manager- Care Management
Any city, TX, US, 99999

Gainwell Technologies

Clinical Solutions Written and verbal communication Posting Edge Population health User Stories Quality Standards Cross-functional Teams Care management +31

USD 116K+

ITIL Manager
Any city, TX, US, 99999

Gainwell Technologies

Service level management Posting IT Service Management Problem Management Business solutions Infrastructure Management Processes Issue Resolution Service Delivery +24

Senior Mid Full Time

USD 86K+

Product Manager- Care Management
Sacramento, CA, US, 95814-5511

Gainwell Technologies

Posting Clinical Solutions Written and verbal communication Edge Population health User Stories Quality Standards Cross-functional Teams Care management +31

USD 116K+

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+

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+

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+

Experienced POS Project Manager
Any city, PA, US, 99999

Gainwell Technologies

Pharmacy Claims SLAs Pharmacy services Edge Posting Eligibility Healthcare Knowledge Claims processing Claims +20

Senior Mid Full Time

USD 77K+

Experienced Project Manager
Brentwood, TN, US, 37027-4528

Gainwell Technologies

Project Management Methodology Management methodology Catalyst Project tracking BPO Budget development Project Management Software Edge Posting +21

Senior Full Time

USD 86K+

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+

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