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Medical policy Remote Jobs

27 fresh jobs found

Episodic Care Manager
Full Time Remote - North Carolina, United States

Medical necessity assessment Health care coordination Case review Clinical reviews Clinical evaluation Medical policy Medical necessity Clinical Documentation Clinical knowledge +7

USD 68K+

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+

Field Reimbursement Manager - Neurology - Ohio - IN, WV, KY, VA
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Carolinas - GA, NC, SC, TN
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 147K+

Field Reimbursement Manager - Neurology - Great Lakes - MI, IN, OH
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 147K+

Field Reimbursement Manager - Neurology - East Central - NJ, VA, DE, MD, Washington, DC
Remote, US, United States

Reimbursement processes Healthcare provider education Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support +35

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - PA - North NJ
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Healthcare Compliance Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - New York
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - New England - MA, CT, RI, VT, ME
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - East Texas - TX, OK, AR, LA, TN, MS
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Mid West - ND, SD, NE, IA, MN, WI
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Central - KS, MO, IL, WI
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - South West - CA AZ NV UT AZ
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - North West, WA, OR, CA, NV, UT, ID, MT, WY
Remote, US, United States

Financial assistance Medical policy Patient Support Services Billing and Coding Claims Adjudication Payer Environment Patient Support Rare diseases Neurology +33

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - West Texas - CO, NM, TX
Remote, US, United States

Financial assistance Medical policy Patient Support Services Claims Adjudication Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 122K+

Field Reimbursement Manager - Neurology - Gulf - FL, GA, AL, PR
Remote, US, United States

Financial assistance Medical policy Patient Support Services Healthcare Compliance Payer Environment Patient Support Rare diseases Neurology Issue Resolution +32

Senior Mid Full Time

USD 147K+

Clinical Quality Management Analyst - Asheville Region
Full Time Remote - North Carolina, United States

Clinical quality management Medical policy interpretation Healthcare effectiveness HEDIS measures Continuous quality improvement Medical policy Improvement Visualization Tools HEDIS +14

USD 68K+

Sr Payer Policy Analyst- remote
USA - NC - Burlington - 128 Maple Avenue, United States

Clinical appeal strategies Billing and reimbursement Payer Policy Critical reasoning Medical policy Clinical evidence Revenue Cycle Management Genetics Medicare +18

Senior Mid Full Time

USD 85K+

Medical Policy Analyst
Remote-MO, United States

Centene Corporation

Medical literature research Health care management Technology assessments Clinical Practice Guidelines Evidence-based medicine Medical policy Acute care Medical management Health Services +14

Entry Mid Full Time

USD 68K+

Sr Clinical Training Advisor
Full Time Remote - North Carolina, United States

Desktop Procedures Clinical Decision Making Improvement Medical policy System testing Adult Learning Clinical Training System Configuration Process documentation +22

Senior Mid Full Time

USD 69K+

Content Analyst II (Medicaid)
Remote, United States

Internet-based research Medicaid guidelines Claims payment methodologies Medical policy rules NDC Clinical coding Medical policy Claims payment Reimbursement methodologies +33

USD 68K+

Physician reviewer
Hingham, United States

Blue Cross Blue Shield of Massachusetts

Peer-to-peer outreach Case reviews Medical policy Computer Systems Health outcomes Conflict Management Clinical Judgment Care Coordination Utilization management +1

USD 232K+

Priority Claims Specialist III
United States

Medical auditing DMEOPS Patient collection laws Insurance reimbursement Payor appeal Medicare Audit Medical policy Automated billing systems NextGen +21

Senior Mid Full Time

USD 55K+

Client Policy Manager I
Remote, United States

Medical policy Clinical coding Healthcare Claims CMS guidelines Reimbursement methodologies Claims payment Payment Claims Adjudication Adjudication +29

USD 72K+

Director, Market Access and Medical Policy, Genetic Testing
USA - NC - Burlington - 348 S Main Street, United States

Medical policy Clinical utility Health plan negotiations Payer messaging Commercial payer strategy Publication strategy Payer strategy Genetic Testing Value-based care +19

Exec Senior Full Time

USD 170K+

Medical Review Analyst
Full Time Remote - North Carolina, United States

Computer application software Clinical analysis Medical policy Claims analysis Billing and Coding Medical necessity Medical Records Clinical expertise Root Cause Analysis +9

USD 61K+

Director, Market Access and Medical Policy, Specialty Testing
USA - NC - Burlington - 348 S Main Street, United States

Medical policy Payer messaging Publication strategy Commercial reimbursement strategy Clinical utility Payer strategy Cost-Effectiveness KOL Engagement Revenue Recognition +20

Exec Senior Full Time

USD 170K+

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