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Healthcare Regulations Remote Jobs

17 fresh jobs found

Manager of Clinical Operations
Chicago, Illinois, United States - Remote

Lumata Health Remote-first

Data-Driven Care Management Healthcare Management Healthcare Regulations Clinical operations Resource Allocation Operational Efficiency HIPAA Performance Management Patient care +19

USD 60K+

RN Clinical Auditor
Work at Home - Ohio - Other, United States

Ensemble Health Partners

Clinical auditing CMS rules Nursing practices Healthcare Standards DRG EMR systems Healthcare Regulations Electronic Medical Records Medical necessity +23

USD 56K+

Sr. Manager Enterprise Quality Engineering
Dayton WFH, United States

Metrics and KPIs Testing Protocols Automation Frameworks Healthcare Regulations Quality Engineering Test Automation Managed Care CI/CD Continuous Improvement +11

Senior Full Time

USD 110K+

Advice Nurse, MIST - Work From Home
4255 Lake Park Boulevard, United States

Telephone nursing Disease Processes Emergency care Health sciences Clinical Nursing Pharmacology Healthcare Regulations Electronic Medical Records Interviewing +8

USD 93K+

AVP, Special Investigations Unit
Full Time Remote - North Carolina, United States

Investigation Management Healthcare Regulations Fraud detection Risk Assessment Team Management Data & Analytics Machine Learning Analytics Organization +4

Exec Senior Full Time

USD 150K+

Virtual Pharmacy Technician
Remote

Prescription management Customer support platforms Electronic prescribing Insurance communication Weight loss management Personalized Nutrition Prior authorizations Diabetes Management Pharmacy Technician +16

USD 40K+

Medical Director - Pediatric Infectious Disease - EviCore
Florida Work at Home, United States

The Cigna Group

Medical case reviews Evidence-Based Decision Making Evidence-based medical reviews Case Management Software Automated processes Computer Applications Federal Laws Healthcare Regulations Medical necessity +22

Exec Senior Full Time

USD 203K+

Medical Director- Radiation Oncology - EviCore
Florida Work at Home, United States

The Cigna Group

Medical case reviews Medical Case Management Evidence-based reviews Case Management Software Evidence-Based Decision Making Evidence-based medical reviews Automated processes Computer Applications Federal Laws +30

Exec Senior Full Time

USD 203K+

Medical Director - Pediatric Radiology - EviCore
Florida Work at Home, United States

The Cigna Group

Medical case reviews Evidence-based reviews Evidence-Based Decision Making Case Management Software Evidence-based medical reviews Automated processes Computer Applications Federal Laws Healthcare Regulations +23

Exec Senior Full Time

USD 203K+

Medical Director - Clinical Biochemical Genetics or Clinical Genetics - EviCore
Florida Work at Home, United States

The Cigna Group

Clinical genetics Clinical biochemical genetics Medical case reviews Evidence-Based Decision Making Case Management Software Evidence-based medical reviews Automated processes Evidence-based medicine Computer Applications +25

Exec Senior Full Time

USD 203K+

ROI Specialist (On-Site Grand Rapids/Walker, MI)
Grand Rapids, MI, US

ROI Software Healthcare Regulations Medical Records Quality Control Confidentiality Data Entry HIPAA Interpersonal Compliance

USD 40K+

Stars Advocacy and Communications Lead
Remote US, United States

Regulatory advocacy Process Implementation Prescription Healthcare quality Rating STARS Healthcare Regulations Health outcomes Medicare Advantage +66

Senior Full Time

USD 115K+

Senior Business Analyst - Healthcare Technology
Any city, TX, US, 99999

Gainwell Technologies

Front End User Experience CMS Requirements Population health management FHIR Healthcare Regulations Interoperability Service Oriented Architecture HL7 Population health +37

Senior Full Time

USD 69K+

Compliance Officer, Oklahoma Complete Health
Remote-OK, United States

Centene Corporation

Internal Audits Audit Processes Healthcare Regulations Compliance management CMS Policy Development Health Insurance Contract management Regulatory +12

Senior Full Time

USD 142K+

Medical Director - EviCore
Florida Work at Home, United States

The Cigna Group

Evidence-Based Decision Making Evidence-based medical reviews Case Management Software Automated processes Computer Applications Federal Laws Healthcare Regulations Medical necessity Utilization Review +21

Exec Senior Full Time

USD 196K+

Charge Description Master Analyst II
Work at Home - Ohio - Other

Ensemble Health Partners

Charge master Charge capture Revenue enhancement Patient Accounting Denial Management Healthcare Regulations Color Medical Records Revenue Cycle Management +14

Entry Mid Full Time

USD 51K+

Director, Billing Solutions Center
USA-Remote Li LifeStance Health

Patient collections IVR design PCI compliance Billing solutions Staff management Healthcare Regulations Insurance Verification PCI Procedures +25

Exec Mid Full Time

USD 90K+

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