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Medicaid Remote Jobs

449 fresh jobs found

Actuary
Remote US, United States

Rate filing Trending Risk Modeling Reserving Functional strategies VBA Actuarial science Actuarial Processes +37

USD 129K+

Senior Strategy Advancement Professional
Remote US, United States

Virtual team Large corporate setting Consumer Experience Matrix organization Financial metrics Brokerage Articulate Strategic direction Design Thinking +51

Senior Mid Full Time

USD 86K+

Integrated Nurse Case Manger
Sentara Health Plans Richmond - Remote, United States

Chronic Illness Management RN license Telephonic assessments Clinical assessments Health Plan Care Coordination RN Care management Coordination +16

USD 111K+

Strategy Advancement Advisor
Remote US, United States

Consulting experience Brokerage Healthcare Industry Knowledge Qualitative analysis Operational Improvements Health outcomes Management consulting Strategy Development Quantitative analysis +40

USD 115K+

Compliance Audit Manager
Waltham Massachusetts Office, United States

Corrective action plans Regulatory Analysis Performance Reporting Healthcare Compliance Medicaid Medicare Risk Assessment Billing Audit +10

Senior Mid Full Time

USD 76K+

Provider Services Educational & Communications Professional
Work at Home - Virginia, United States

Template design Provider communications Learning design principles Trending Learning Design Assist Health Plan Operations Provider education Rating +48

USD 59K+

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

Gainwell Technologies

Medicaid IT Design and development Development Methodologies Posting Edge Test plans Technical Specifications Software development life cycle Software design +30

Senior Full Time

USD 65K+

Sr. Manager, Value-Based Care Operations
Remote, USA, United States

Operational training Payer contracting HIPAA rules and regulations HIPAA Rules Technology-driven Cloud-based technology Strategic Relationships Risk Adjustment Population health +26

Senior Mid Full Time

USD 95K+

Customer Service Representative 3
REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX

State of Arizona

Computer Information Systems Medical eligibility Heaplus Billing procedures Statistical reporting Spreadsheet Applications Medicaid programs Policies and procedures Researching +40

Entry Mid Full Time

USD 36K+

Benefits and Eligibility Specialist
REMOTE OPTIONS, PHOENIX

State of Arizona

Policy Application Investigative Interviewing Financial Eligibility Determination Interviewing techniques Interpersonal relationships Heaplus Mathematical Calculations Medicaid programs AMS +46

Entry Mid Full Time

USD 41K+

Benefits and Eligibility Specialist
REMOTE OPTIONS, VARIOUS-STATEWIDE, PHOENIX

State of Arizona

Investigative Interviewing Financial Eligibility Determination Interviewing techniques Interpersonal relationships Heaplus Mathematical Calculations Medicaid programs AMS Call Center Environment +48

Entry Mid Full Time

USD 41K+

Payment Integrity Product Manager
Any city, TX, US, 99999

Gainwell Technologies

Product development methodology Product systems design Financial operations concepts Technology architecture Payment Integrity Posting Product Vision Customization Client satisfaction +38

Senior Full Time

USD 108K+

Provider Contracting Professional
Remote US, United States

Medicaid contracting Provider Recruitment Assist Provider Contracting Managed Care Contracts Home Care Analyzing Independent work Risk +38

USD 65K+

FP&A Lead Enterprise Growth Finance
Remote US, United States

Data summarization Relational Database Software Database Software Financial Software Analyzing Consumer Experiences Actuarial Project leadership Advanced Excel +44

Senior Mid Full Time

USD 104K+

Senior Programmer Analyst (UNIX/C/SQL)
Montgomery, AL, US, 36117-6008

Gainwell Technologies

Medicaid IT Design and development Development Methodologies Posting Edge Test plans Technical Specifications Software development life cycle Software design +30

Senior Full Time

USD 65K+

Talent Management Lead; Primary Care Organization
Remote US, United States

Team performance Matrixed environment Organizational Effectiveness Talent Development Listening Talent Management Executive Presence Functions Interviewing +42

Senior Full Time

USD 104K+

Senior Financial Planning & Analysis Professional - Enterprise Growth Finance
Remote US, United States

Relational Database Software Large data sets Database Software Consumer Experiences Actuarial Advanced Excel Interviewing SAS BI +46

Senior Mid Full Time

USD 86K+

Business Intelligence Lead
Remote US, United States

Innovative mindset ETL Processes Qlikview Matplotlib Data Models Population health Processes Health outcomes BI Tools +86

Senior Mid Full Time

USD 117K+

UM Coordinator 2
Remote US, United States

Assist Computations ICD-10 codes Process Flows ICD Clinical Information Microsoft Office Applications Medical necessity Processes +54

Entry Mid Full Time

USD 40K+

Provider Enrollment Processor- CT HYBIRD
Any city, CT, US, 99999

Gainwell Technologies

Medicaid enrollment Windows-based programs Healthcare guidelines Provider Enrollment Office Equipment Processes Government Medical Windows +17

Entry Mid Full Time

USD 30K+

Manager, Provider Performance Program Management
Ohio WFH, United States

Sdoh URAC Provider network Health Equity Quality Metrics Provider engagement NCQA Accreditation Healthcare Knowledge +37

USD 81K+

Claims Supervisor
Work From Home - AZ, United States

Error reduction Productivity standards Dental coding Diagnosis coding Performance review Hcpcs coding Ethical Standards Performance reviews Accuracy +26

USD 50K+

Vice President, Children's Health-Care Management
Remote-FL, United States

Centene Corporation

Health outcomes initiatives Medicaid compliance Population health strategy Executive leadership Provider contracts UM Quality Initiatives Compliance requirements Clinical programs +57

Exec Senior Full Time

USD 182K+

Configuration Systems Analyst III (Pricing Configuration)
Missouri WFH, United States

Reimbursement methods APC reimbursement ICD-CM Codes Clinical editing Database relationships Health Plan Experience Apc DRG Facets +40

Senior Mid Full Time

USD 81K+

Summer Intern
Remote US, United States

Healthcare research Quantitative healthcare research Collaborative research Health Services Research Regression analysis Literature review Health Equity Analyzing Social determinants +40

Entry Internship Part Time

USD 37K+

Claims Director
Home Based, US

Davies North America Remote-first

Stop loss CMS regulations Pharmacy benefits Claim processing Medical claims Medical terminology Editing Managed Care Auditing +16

Exec Mid Full Time

USD 75K+

Patient Account Senior Representative - Remote
United States

Tenet Healthcare

EOB interpretation Team support Insurance terminology UB-04 Remittance review Insurance collections Claim Submission Insurance Billing Patient financial services +40

Senior Full Time

USD 51K+

Medical Billing Specialist - Remote
United States

Tenet Healthcare

Account resolution Productivity standards Data documentation Remittance review ACE Claim Submission Insurance collections HCFA 1500 UB04 +42

Entry Mid Full Time

USD 47K+

Denial Management Specialist - Remote
United States

Tenet Healthcare

Account resolution Remittance review ACE Insurance collections Claim Submission HCFA 1500 UB04 Patient financial services Denial Management +42

Entry Mid Full Time

USD 47K+

Physician Services Refunds Representative - Remote
United States

Tenet Healthcare

Ge Centricity IDX Cash Posting Athena Healthcare industry expertise Medical Billing Quality Standards Microsoft Teams Customer focus +24

Entry Mid Full Time

USD 43K+

Physician Billing Specialist - Remote
United States

Tenet Healthcare

Account resolution Remittance review ACE Insurance collections Claim Submission HCFA 1500 UB04 Patient financial services Patient Accounting +40

Entry Mid Full Time

USD 47K+

Denial Follow-up Specialist - Remote
United States

Tenet Healthcare

Account resolution Remittance review ACE Insurance collections Claim Submission HCFA 1500 UB04 Patient financial services Patient Accounting +40

Entry Mid Full Time

USD 47K+

Credentialing & Provider Enrollment Specialist
Remote

Provider Enrollment Commercial Insurance Enrollment Healthcare administration Credentialing Detail oriented Microsoft Outlook Managed Care Behavioral health +16

USD 44K+

Lactation Consultant (IBCLC) (Spanish Fluency Required)
United States

Lactation care Healthcare practice Spanish fluency Clinical protocols EHRs Software Proficiency Patient Engagement Registered Nurse Risk assessments +20

USD 65K+

Healthcare Consultant I
United States

Rate Analysis Cost reporting Medicaid Medicare Outlook Accounting Word Finance Planning +7

Entry Full Time

USD 47K+

Medicaid Business Intelligence Engineer
Remote US, United States

Jupyter Notebook Medicaid Experience Modeling techniques Visualizations Microsoft Power BI Interoperability Risk Adjustment Processes Pandas +48

USD 66K+

Sales, Territory Manager - Philips RespirTech (San Francisco/Bay Area)
United States of America - Remote Based

Respiratory Healthcare Education Demonstration Insurance coverage New Business Development Insurance Knowledge Medical Device Sales Product Demonstration Medical equipment +23

USD 120K+

PMO Lead, Manager Service Delivery (Remote in US)
Any city, ME, US, 99999

Gainwell Technologies

SLAs Processes Process Development Healthcare experience Configuration Management Service Delivery Medical Configuration Medicaid +19

Senior Mid Full Time

USD 93K+

Senior CyberSecurity Engineer(remote)
Remote US, United States

Operational Hygiene RSA Protocol SSL Certificates Infrastructure Security Network Infrastructure Security Systems Consumer Experiences System Administration Technical Guidance +39

Senior Full Time

USD 106K+

Case Manager - Sparta/Tomah, WI
Work at Home - Wisconsin, United States

Case Note Documentation Electronic Case Note Documentation Electronic Information Applications Family Care Microsoft Office Word Social service agencies Health promotion Care Planning Human services +52

USD 53K+

Social Services Care Manager, Behavioral Health
Remote US, United States

Bilingual English/Creole Telephonic assessment Assist Bilingual English/Spanish Microsoft Applications Social services Social Work Community Resources Care Coordination +37

USD 59K+

Data Scientist
Remote US, United States

Stars performance Python programming Predictive models Synapse Statistical models Modeling techniques STARS Azure Synapse Quality Metrics +56

USD 89K+

Medical Director - Southeast Region
Remote US, United States

Health claims Clinical patient care Health claims review Computer-Based Review Post-acute services Outpatient services Grievance and appeals processes CMS policies Post-acute care +90

Exec Senior Full Time

USD 223K+

Senior Professional Nurse
Topeka, KS, US, 66619-1448

Gainwell Technologies

Billing audits DRG coding Medical Review Provider education DRG Accuracy ICD-9 Utilization Review HCPCS +33

Senior Full Time

USD 64K+

Network Adequacy Reporting Analyst II
Dayton WFH, United States

Quest Analytics Network Adequacy Standards T/PL-SQL Cognizant Facets Provider data management Provider network Facets NCQA Healthcare Regulations +31

Entry Mid Full Time

USD 61K+

Case Manager- Dane County
Work at Home - Wisconsin, United States

Wellness coaching Electronic Case Note Documentation Case Note Documentation Social service care management Family Care Electronic Documentation Prevention Community integration Social service agencies +48

USD 53K+

General Manager, PHP, NM (Behavioral Health)- Remote
United States, United States

Magellan Health Remote-first

Quality oversight Health Plan Operations Call center Operations Security Controls Financial Performance PHP Care Coordination Team Development Quality Management +18

Senior Full Time

USD 127K+

PASRR Program Supervisor
REMOTE OPTIONS, PHOENIX

State of Arizona

Program improvement Heaplus Federal and state laws Medicaid programs Program Planning State laws Policies and procedures Reviewing Arizona Administrative Code +59

USD 62K+

Appeals Specialist
REMOTE OPTIONS, PHOENIX

State of Arizona

Program liability Administrative rules Administrative hearings Federal Laws Mathematical Calculations Medicaid programs Federal and state laws State laws Policies and procedures +46

USD 56K+

Cares Program Manager
REMOTE OPTIONS, PHOENIX

State of Arizona

Volunteer Coordination Arizona Revised Statute Federal and state laws AMS State laws Policies and procedures Arizona Administrative Code Long Term Care Database Systems +43

USD 66K+

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