FreshRemote.Work

Sign in

Medicaid Remote Jobs

414 fresh jobs found

Lead, Client Operations
Remote

Operational program management Commercial membership Cms medicare stars program Client operations Health Plan Operations Risk Adjustment Invoicing Conflict Management Claims management +10

Senior Mid Full Time

USD 54K+

Associate, Revenue Cycle
United States

Billing compliance Claims Submission Child health Billing regulations Operational processes Virtual care Risk assessments Revenue Cycle Management Telehealth +17

USD 65K+

Senior Strategic Sales Director - Chicago (Health Plans)
United States

CMS Requirements Government agencies Health plans Social services Sales Training CRM Tools Enterprise Sales Government Pipeline Management +15

Senior Full Time

USD 140K+

Transition Specialist
Remote-IN, United States

Centene Corporation

Education Materials Transition planning Transition of care Member assessment Health care services Metrics Tracking Education and Training Care Plans Training Programs +20

USD 52K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims reimbursement Claims billing Cost and utilization Network performance Utilization Provider education Provider engagement HEDIS Provider Relations +27

USD 55K+

Clinical Review Nurse - Concurrent Review
Remote-NC, United States

Centene Corporation

Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19

USD 52K+

Bilingual Call Center Rep (Relationship Coordinator) - Man/Can
Remote - NY, United States

Medicare Eligibility MS Office 2010 Medicaid Eligibility Sunguard Patient Health Information Management CareEnhance Macess RightFax Mltcp +15

Entry Mid Full Time

USD 41K+

Manager, Provider Relations
Remote-OK, United States

Centene Corporation

Health delivery systems Provider contracts Provider Contracting Staff management Provider Relations Health Plan Credentialing Quality Standards Supervisory +16

USD 86K+

Enrollment Specialist II (Marketplace)
Dayton WFH, United States

Proper grammar usage Phone Etiquette Critical Listening Data interpretation Certification Medicare Medicaid Microsoft Word Decision making +15

USD 40K+

Configuration System Analyst II - Benefits Configuration
Mississippi WFH, United States

Configuration Analysis Use-Case Analysis ICD-CM Codes DRG reimbursement Reimbursement methods HCPCS codes HIPAA codes APC reimbursement Database relationships +48

USD 63K+

Utilization Management Clinical Care Reviewer II - MUST be Multi-State Licensed
Mississippi WFH, United States

Clinical care review Proper grammar usage Medical Necessity Review Registered Nursing Phone Etiquette Provider engagement Discharge planning Accreditation Certification +33

USD 55K+

Project Manager III (Claims Workstream experience)
Dayton WFH, United States

Critical Listening Project Management Software Certification Visio SharePoint Medicare Medicaid Governance Decision making +24

Senior Full Time

USD 92K+

UI/UX Developer - Healthcare Consulting
Remote

TypeORM Payload CMS TailwindCSS Adobe XD WCAG Nest.js Healthcare Consulting UI/UX Redux +16

USD 96K+

Quality Assurance (QA) Software Engineer - Healthcare
Remote

Quality Metrics Tracking Requirement analysis Test execution Defect management Test planning Automation Testing Healthcare Consulting Regression testing Healthcare Industry Knowledge +13

USD 90K+

Cultural Competency Coordinator
REMOTE OPTIONS, PHOENIX

State of Arizona

Translation Services Education Material Development Ada Cultural Competency Gmail Performance measures Equal Opportunity Eligibility verification Eligibility +25

USD 56K+

Director of Medical Affairs
Remote

Telehealth services Clinical Audits Clinical Leadership Licensing Therapy Credentialing Telehealth Healthcare services Mental Health +23

Exec Senior Full Time

USD 125K+

Product Manager - Payment Integrity (COB)
Remote, United States

Payment accuracy Feature prioritization Roadmap planning Payment Integrity Reimbursement methodologies Payment Metrics Tracking Claims Adjudication Exchange +56

USD 88K+

UM Case Manager - 100% Remote
Remote - NY, United States

NYSDOH regulations PT ST OT Notifications CMS regulations Milliman LMSW LMHC +25

USD 71K+

Sales, Territory Manager - RespirTech (Field-Based, North Phoenix/Las Vegas)
United States of America - Remote Based

New Business Development Healthcare Education Respiratory Insurance coverage OR Product Demonstration Routing Medical equipment Environmental +19

USD 133K+

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

Centene Corporation

Risk Reporting Security Training Insurance Regulations Compliance requirements Healthcare administration Public Policy CMS Policy Development Procedures +26

Senior Full Time

USD 145K+

Salesforce Production Support Developer
USA MD Home Office (MDHOME), United States

General Dynamics Information Technology

Salesforce lightning web components Salesforce Development Aura Framework Bug triaging SOSL LWC Salesforce Lightning Lightning Components Salesforce platform +64

USD 136K+

Payment Cycle Analyst III
Mississippi WFH, United States

Claims Payment Systems Claims operations Apc Payment methodologies Health Plan Operations Health Plan Experience Facets DRG Microsoft Visio +35

Senior Mid Full Time

USD 63K+

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+

Clin Ops Educ & Excell Coord (UM focus) (Trainers)
Mississippi WFH, United States

Clinical documentation systems Proper grammar usage LSW Phone Etiquette Adult Learning Certification Performance Improvement Clinical Experience Clinical operations +35

USD 55K+

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+

Provider Account Manager II
Remote-TX, United States

Centene Corporation

Health Plan Operations Provider Contracting Data Systems Long Term Care Commercial Insurance Provider Relations Health Plan Performance Improvement Issue Resolution +27

USD 55K+

USPI Credentialing Specialist (Remote)
United States

Tenet Healthcare

Credentialing database Provider Enrollment Collaborative work Ncqa standards Office Software Healthcare Delivery Credentialing Revenue Cycle Management Revenue Cycle +16

USD 69K+

Patient Account Representative - Remote
United States

Tenet Healthcare

Remittance review Claim Submission Managed Care Contracts Patient Accounting Patient financial services Insurance collections Call Center Environment Hospital billing EOB +37

Entry Mid Full Time

USD 47K+

Payment Accuracy Data Mining Senior Specialist
Remote, United States

Claims Validation Audit Productivity Contract research Technological improvements Audit tools Payment accuracy Audit concepts Report Analysis Audit Procedures +34

Senior Full Time

USD 78K+

Payment Accuracy Specialist 1
Remote, United States

Reimbursement analysis Claims Validation Custom queries Technological improvements Client systems Audit tools Coordination of benefits Payment accuracy Claim adjudication +49

Entry Full Time

USD 58K+

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+

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+

Clinical Review Nurse - Concurrent Review
Remote-IN, United States

Centene Corporation

Utilization Health management systems Medicaid regulations Health management Medical necessity Clinical Review Acute care Discharge planning Medical Records +19

USD 95K+

Clinical Review Nurse - Prior Authorization
Remote-FL, United States

Centene Corporation

Utilization Medicare regulations Cost-effective care Service authorization Health management systems Medicaid regulations Health management Authorization requests Medical appropriateness +26

USD 52K+

Configuration Analyst III - (SDET/Automation experience)
Dayton WFH, United States

ICD-CM Codes HCPCS codes DRG reimbursement HIPAA codes Reimbursement methods Apc Database relationships APC reimbursement Clinical editing +41

Senior Full Time

USD 81K+

Experienced QNXT Developer
Any city, TX, US, 99999

Gainwell Technologies

Web Forms Platform Configurations Payer Systems Qnxt .NET framework Posting Claims Adjudication ASP.NET Healthcare IT +31

Senior Full Time

USD 77K+

EDI Gateway & Integration Solutions Lead/Manager
Any city, ID, US, 99999

Gainwell Technologies

Qnxt Edifecs Applications development X12 Integration solutions Posting Supervisory experience Healthcare Management Pharmacy benefit management +42

Senior Full Time

USD 101K+

EDI Gateway & Integrated Solutions Manager
Any city, ID, US, 99999

Gainwell Technologies

Applications Development Methodology Applications Outsourcing Qnxt Applications development Edifecs X12 Posting Supervisory experience Healthcare Management +41

Senior Mid Full Time

USD 81K+

Analyst-Indiana Medicaid-Remote
Indianapolis, IN, US, 47906

Gainwell Technologies

Provider Enrollment Processes Detail oriented Multitasking Medical Medicaid Adaptability Policy Flexibility +8

Entry Full Time

USD 30K+

Clinical Appeals Nurse
Mississippi WFH, United States

MDCH regulations URAC State hearings OAC Proper grammar usage Clinical appeals Phone Etiquette Facets Critical Listening +22

Exec Mid Full Time

USD 55K+

Clinical Business Strategy Lead
Dayton WFH, United States

URAC NCQA Clinical operations Negotiating Business Processes Regulatory requirements Managed Care Business strategy Medicare +19

Senior Mid Full Time

USD 81K+

Enterprise Clinical Quality Analyst II
Dayton WFH, United States

Ncqa standards NCQA Provider Relations Microsoft Access Credentialing Healthcare Knowledge Performance Improvement CMS Clinical Experience +32

USD 61K+

Quality Project Manager
Dayton WFH, United States

Critical Listening Project Management Software Visio SharePoint Quality Management Managed Care Medicare Medicaid Decision making +23

Senior Mid Full Time

USD 92K+

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+

Remote TEAM COORD, SIU
Virginia Premier Health Plan Richmond, United States

Healthcare Fraud Speaking Service orientation Active learning Medical Review Healthcare Compliance Health Plan Verification Judgment +29

Senior Mid Full Time

USD 76K+

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+

Provider Relations Manager
Remote

iCare Health Solutions

Optometry Provider Relations Credentialing Training Development Managed Care Medicare Medicaid Coaching Interpersonal +5

USD 96K+

Sr. National Account Executive
United States

Navitus Health Solutions, LLC

Managed healthcare Strategic Account Management P&L Management Client Relations Client Services Health Medicaid Creativity Budgeting +14

Senior Full Time

USD 120K+

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+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Middle East Remote Jobs in Africa Full Time Remote Jobs Part Time Remote Jobs Internship Remote Jobs Contract Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs

Remote Jobs with CAD > 80K in Salary Remote Jobs with GBP > 80K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with CAD > 120K in Salary Remote Jobs with EUR > 100K in Salary