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Healthcare Regulations Remote Jobs

35 fresh jobs found

Care Operations Specialist
US - Remote

Claims review CMS guidelines Strategic growth CPT coding Healthcare Regulations Operational Management Revenue Cycle Management HIPAA Coding +9

USD 60K+

Director, Auditing, Monitoring & Oversight (Marketplace)
Remote-MO, United States

Centene Corporation

Oversight tools Executive Reporting Audit readiness Government programs Health administration Compliance requirements Healthcare Regulations Compliance management Health Plan +37

Exec Senior Full Time

USD 116K+

Market Quality Improvement Specialist II
Mississippi WFH, United States

PDSA Team Facilitation HEDIS Healthcare Regulations Gap Analysis Accreditation Resolution Six Sigma Quality improvement +28

USD 55K+

Director, Configuration Implementation
Dayton WFH, United States

API-driven automation Payer platform configuration Guidingcare Implementation Strategy Facets System integrations NCQA Healthcare Regulations System Configuration +28

Exec Senior Full Time

USD 110K+

Launch Specialist I (Remote)
New Hyde Park, NY

Intake Processes Medflyt Talkdesk Home Care Healthcare Regulations HIPAA Empathy Critical thinking Process Improvement +9

USD 38K+

Chief Financial Officer (CFO) - Remote
United States

CHE Behavioral Health Services

Financial strategy Cash Flow Management Healthcare Regulations Cost Management Revenue Cycle Management Stakeholder communication Operational Efficiency Financial Planning GAAP +4

Exec Senior Full Time

USD 200K+

Senior Manager, Corporate Compliance
Remote

Internal control Healthcare Compliance Technology Platform Strategic Guidance Healthcare Regulations Audit Management Ethics Policy Development Stakeholder communication +20

Senior Full Time

USD 107K+

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

The Cigna Group

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

Exec Senior Full Time

USD 203K+

Advice Nurse, Home Health Hospice, Work from Home
4255 Lake Park Boulevard, United States

Telephone nursing Disease Processes Health sciences BLS Clinical Nursing Pharmacology Healthcare Regulations Electronic Medical Records Interviewing +10

USD 91K+

Growth Marketing Manager - B2B2C Partnerships (Remote)
Remote - United States

HITECH Brand Loyalty Consumer Engagement B2C Marketing Pardot Partner Marketing Customer Journey Mapping Healthcare Regulations SEM +20

USD 130K+

ASC Corporate Sales Executive
United States of America : Remote

Glucose Monitoring Healthcare Regulations Sales Objectives Cardiovascular Strategic partnerships Contracts Contracting Presentations Business Planning +26

Exec Mid Full Time

USD 127K+

RX Lock-In Registered Nurse
Mississippi WFH, United States

Pain management Registered Nursing Critical Listening Substance abuse Provider engagement Healthcare Regulations Clinical Experience RN Care management +25

Senior Mid Full Time

USD 55K+

Engineer II, Quality Assurance
Work at Home - Cincinnati - OH, United States

Ensemble Health Partners

Defect management TestNG Healthcare Regulations Regression testing JUnit Test plans Selenium Color Healthcare systems +23

USD 62K+

Chief Medical Officer
United States

Rad AI Remote-first

Market influence Product direction Clinical Strategy Healthcare Regulations Radiology AI solutions Strategic partnerships Public speaking Thought Leadership +12

Exec Senior Full Time

USD 275K+

Full Risk Claims Specialist - Remote - 25-24
1. San Ramon, California, United States

Hill Physicians Medical Group

Ambulance Services Epic Tapestry Optum Pricing System Ambulatory Surgery Centers Skilled Nursing Facility Emergency Room Facility MS-DRG DME Home health care +2

USD 54K+

Full Risk Claims Specialist - Remote - 25-23
Cathedral City, California - CM, United States

Hill Physicians Medical Group

Ambulance Services Epic Tapestry Optum Pricing System Ambulatory Surgery Centers Skilled Nursing Facility Emergency Room Facility MS-DRG DME Home health care +2

USD 54K+

Sr. Contracts Manager
United States-%LABEL POSITION TYPE REMOTE WITHIN ONE%

Contract Law Healthcare Regulations Contract administration Risk Adjustment NLP Natural Language Processing Quality improvement Contract management Quality +16

Senior Full Time

USD 110K+

Senior Product Manager
Remote, USA

Clinical background Metabolic diseases Acceptance Criteria Member engagement Personalized care plans Chronic Disease Management Healthcare Regulations Data-driven solutions Patient Engagement +18

Senior Full Time

USD 160K+

Senior Director, Compliance Advisory (Marketplace)
Remote-MO, United States

Centene Corporation

ACA requirements Executive Reporting Audit readiness Government programs Health Plan Compliance requirements Metrics Development Health administration Healthcare Regulations +36

Senior Full Time

USD 145K+

EMR Application Analyst
Remote Position, United States

American Oncology Network

Data verification System testing Clinical applications EMR systems Healthcare Regulations User Training Data migration Emotional Intelligence EMR +8

Entry Mid Full Time

USD 43K+

Executive Assistant-USPI (Remote, based in Eastern Time Zone; limited travel required)
Baltimore, MD, United States

Tenet Healthcare

Healthcare Delivery Healthcare Regulations Revenue Cycle Revenue Cycle Management MS Office Suite Effective Communication Real Estate Email Business administration +27

Exec Senior Full Time

USD 84K+

Regulatory Attorney
Ankeny, IA

Healthcare Regulations Legal research Nutrition Policy Development Regulatory Compliance Critical thinking Research Healthcare Compliance +2

Senior Mid Full Time

USD 108K+

Data Validation Program Manager
Dallas, TX, United States

American Heart Association

Clinical data quality Healthcare Regulations Legal Compliance Quality improvement Data Quality Clinical trials Consultation Audit Artificial Intelligence +17

USD 75K+

Associate Director, Compliance
Remote US, United States

Medicare Sales Regulatory Interpretation Healthcare Compliance Operational improvement Healthcare Regulations Consumer Experiences Risk People Management Regulations +36

Senior Mid Full Time

USD 138K+

Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote
Home, United States

Prime Therapeutics

Regulatory inquiries Licensure management Policy governance Healthcare Regulations Regulatory Guidance Ethics Stakeholder Collaboration Claims Reports +15

Senior Full Time

USD 74K+

Release of Information Specialist/Medical Records 92868 ONSITE IN HOSPITAL SETTING
Orange, CA, US

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

Entry Mid Full Time

USD 40K+

Launch Specialist (Remote)
New York, NY

Intake Processes Talkdesk Home Care Healthcare Regulations Empathy Onboarding Critical thinking Process Improvement Business Development +6

USD 38K+

Full Risk Claims Specialist - Remote - 25-23
1. San Ramon, California, United States

Hill Physicians Medical Group

Ambulance Services Epic Tapestry Optum Pricing System Ambulatory Surgery Centers Skilled Nursing Facility Emergency Room Facility DME MS-DRG Home health care +2

USD 54K+

Medical Director -Pediatric Cardiology
Florida Work at Home, United States

The Cigna Group

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

Exec Senior Full Time

USD 203K+

Compliance Analyst Principal--Medical Pharmacy Specialty- REMOTE
Home, United States

Prime Therapeutics

Medical pharmacy Pharmacy benefit management Healthcare Regulations Ethics Investigation Critical thinking Communications Benefits Compensation +7

Senior Full Time

USD 94K+

Coding Denial and Appeals Specialist
MN, United States

Denial Management Coding software Healthcare Regulations HCPCS ICD-10 EPIC CPT Coding Data analysis

USD 55K+

Coding Intelligence Program Manager
Remote

Included Health

Compliance regulations Athena Healthcare Regulations In-person care Urgent care Specialty care Manual Dexterity Healthcare administration Primary Care +20

Senior Full Time

USD 25K+

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+

Clinical Workflow Specialist
United States

Consultative Advice IT and Clinical Liaison Clinical Workflows Technology Implementation Healthcare Regulations Training Development Relationship building Customer Success Time Management +5

USD 136K+

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+

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