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Medicare Remote Jobs

298 fresh jobs found

Bilingual Spanish Concierge Navigator
Remote - CA, California, United States

Alignment Health

Health Care Navigation Outbound Call Center Strong computer HMO Vietnamese Mandarin Member engagement Medicare Advantage Inbound call center +22

Entry Mid Full Time

USD 40K+

Registered Nurse – Quality Improvement
Remote-US, California, United States

Alignment Health

Medication review Medicare managed care plans Medicare Managed Care Managed Care Plans HEDIS LVN Electronic Medical Records Medical Records Interviewing +15

Senior Mid Full Time

USD 90K+

Senior - Content & Campaign Planning
Remote US

Print Marketing Campaign Planning B2C Marketing Functions Consumer Experiences Marketing campaigns Advanced Analytics B2B Marketing Content development +41

Senior Full Time

USD 69K+

Care Management Support Assistant
Work at Home - Kentucky

Care resources Microsoft Access Travel Clinical support Care management BI Healthcare industry Vision Administrative Support +32

USD 31K+

UM Nurse Consultant - Prior Authorization
Work At Home-Ohio

Benefit utilization Coverage determination Benefit management Navigating multiple systems Medical necessity Clinical Criteria Keyboarding RN licensure Discharge planning +27

USD 52K+

Actuarial Analyst, Analytics/Forecasting
Remote US

Metrics establishment Actuarial Analysis Valuation Consumer Experiences Efficiency Market strategy Contracting Data integrity SAS +32

Entry Mid Full Time

USD 78K+

Manager, Provider Management - Florida
Work From Home - FL

Provider management Network development Provider Relations Network management Medicare Advantage Credentialing Microsoft Teams Claims processing Leadership Development +27

Senior Mid Full Time

USD 74K+

Field Care Manager, Behavioral Health
Work at Home - Kentucky

Social determinants Medical Services Microsoft Office Word Social service agencies Health outcomes Health promotion Rating Community Health Bilingual English/Spanish +50

USD 25K+

Individual & Family Plans (IFP) Claims Strategy and Payment Integrity Senior Manager - Remote - Cigna Healthcare
Connecticut Work at Home

The Cigna Group

Claims auditing Payment Integrity Healthcare operations Risk Adjustment Enrollment Cost Management Utilization management Claims processing Financial +29

Senior Full Time

USD 111K+

Professional Field Representative - Remote WI
Any city, WI, US, 99999

Gainwell Technologies

Provider education Healthcare Billing Service Delivery Managed Care Health Insurance Billing Medical Medicaid Medicare +14

USD 54K+

Senior Research Scientist, Humana Healthcare Research
Remote US

Interrupted time series analysis Difference in difference Propensity score analysis Large data analysis Statistical coding Inverse probability treatment weighting Administrative claims data Multivariate regression Regression discontinuity designs +47

Senior Full Time

USD 93K+

Case Manager - Dodgeville, Richland Center, WI
Work at Home - Wisconsin

Health and Wellness Coordination Social service care management Community integration Health and wellness Family Care Prevention Social services Human services Risk +37

USD 47K+

Inside Sales Specialist - Insurance
Remote - New Jersey

Integrity Marketing Group

Fast-paced Environment Health Insurance Medicare Sales Communication

Entry Mid Full Time

USD 48K+

Senior Cloud Architect, Network
Remote US

Cloud network design ThousandEyes Cisco ISE QoS Architecture Development Zscaler Technical Concepts Software Defined Networking Infrastructure Engineering +92

Senior Full Time

USD 126K+

Associate Director, Technology Solutions
Remote US

Quality automation Analytics Solutions Custom solutions Collaborative relationships Social Determinants of Health Health outcomes Operations Research Interoperability Digital Experience +62

Senior Mid Full Time

USD 126K+

Director, Technical Program Management
USA Remote

Project Management Software Atlassian Health Insurance Performance Metrics Medicare Stakeholder engagement MS Office Continuous Improvement Risk Management +10

Exec Senior Full Time

USD 169K+

Bilingual Spanish Concierge Navigator - Advocate (Temp w/ Medical Benefits)
Remote - CA, California, United States

Alignment Health

Health Care Navigation Outbound Call Center Strong computer HMO Vietnamese Mandarin Member engagement Medicare Advantage Inbound call center +22

Entry Mid Full Time

USD 40K+

Compliance Specialist
Remote CA - R1

Spreadsheet Applications Regulatory Analysis ERISA Word Processing Independent Judgment Verbal and written communication Discretion Information security Medicaid +17

USD 51K+

Case Manager RN (Remote)
Work At Home-Florida

Home healthcare Telework Proprietary applications Navigating multiple systems Keyboarding Clinical Tools Clinical resources Healthcare Coordination Holistic approach +35

USD 54K+

Nurse Auditor 2
Remote US

Clinical audit Medical record documentation Coding certification Medical Record Review Medical claims CPT codes Clinical Review CPT Consumer Experiences +37

USD 69K+

Social Work Case Manager - Blair, WI
Work at Home - Wisconsin

Housing support Face-to-face assessments Employment support Health and Wellness Coordination Community Resource Coordination Community integration Social service care management Health and wellness Family Care +38

USD 47K+

Associate Actuary, Part D Pricing
Remote US

Pricing tools Financial metrics Rating Actuarial science Consumer Experiences Vision Pricing Dental Healthcare services +27

USD 104K+

Claims Examiner - General Liability
Telecommuter CA

Social security procedures Vendor Coordination Claims coding Strategic vendor partnerships Social Security Insurance principles Liability Claims Litigation management Cost Containment +32

Senior Mid Full Time

USD 80K+

Senior Learning Systems Professional
Remote US

Area9 Adaptive Learning Articulate Suite Mobile learning Multimedia Project documentation Highspot Articulate Analyzing Learning Management System +38

Senior Mid Full Time

USD 69K+

Actuary - Enterprise Financial Analytics
Remote US

Rate filing Reporting & Analysis Trending Reserving Actuarial Analysis Valuation Financial Forecasting Functions Market trends +32

USD 126K+

Claims Supervisor
Work From Home - AZ

Dental coding Error reduction Diagnosis coding Hcpcs coding Audit Support CPT coding Performance reviews Microsoft Applications Accuracy +22

USD 50K+

Field Nurse Care Manager - Milwaukee, WI
Work at Home - Wisconsin

Health Assessment Interdisciplinary Teamwork Health and wellness Family Care Infection control Health promotion Home Health Crisis Intervention Registered Nurse +35

USD 69K+

Senior Compliance Professional
Remote US

Health Plan Operations Pharmacy operations Regulatory Analysis Analyzing Risk Claims processing Claims Strategic initiatives CMS +42

Senior Full Time

USD 84K+

Medicaid Lead, Technology Solutions
Work at Home - Oklahoma

Compliance Audits IT Strategy Documentation Management Healthcare operations Process Flows IT solutions Technology Trends RFP Enrollment +50

Senior Full Time

USD 115K+

Senior Manager Reimbursements *Remote*
Renton, WA, United States

Regulatory reporting Supervisory Health care Mathematics Evaluation Medicaid Medicare Statistics Reimbursement +7

Senior Full Time

USD 89K+

Physician, Urgent Care (Part-Time)
Nevada

Included Health

Diagnostic Tests Referral Family Medicine Specialty care In-person care Manual Dexterity Care Navigation Triage Urgent care +21

USD 139K+

Physician, Urgent Care (Part-Time)
Denver, CO

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +23

USD 139K+

Physician, Urgent Care (Part-Time)
Arizona

Included Health

Adult Care Diagnostic Tests Pediatric care Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation +25

USD 139K+

Physician, Urgent Care (Part-Time)
Washington

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +22

USD 139K+

Cigna Medicare Clinical Operations Program Management Lead Analyst- Remote- Cigna Healthcare
Tennessee Work at Home

The Cigna Group

Medicare Advantage Data Validation Utilization management Clinical operations Data integrity Nursing Influencing Auditing Behavioral health +25

Senior Mid Full Time

USD 74K+

Medicare Provider Directory Business Analytics Advisor - Cigna Healthcare - Remote
Texas Work at Home

The Cigna Group

M-code Visual studios Java script Onbase Medicare advantage provider data Fusioncharts SQL Server Integration Services Powerquery Qnxt +44

Exec Senior Full Time

USD 80K+

General Liability Adjuster
Telecommuter IL

Claims coding Insurance principles Liability Claims Social Security Cost Containment Liability Adjudication Interpretive Utilization Review +27

USD 49K+

Senior Clinical Research Scientist
Remote US

Recommender system Spark/Scala Analytics Solutions Spark r Healthcare economics Clinical Informatics Business Insights Analyzing Network Analysis +65

Senior Mid Full Time

USD 93K+

Implementation Manager I
Work From Home - AZ

Work plan development Implementation management Quality improvement Leadership Development Microsoft Teams Medicaid Medicare Stakeholder engagement Technical Support +18

USD 61K+

Manager, Encounter Data Management
Remote US

X-12 data Business process development Large data sets Microsoft SQL CAS Analyzing Microsoft SQL Server Microsoft Office Applications Compliance Standards +51

USD 76K+

Lead Systems Engineer
Remote US

EMM Solutions Lucid COTS Custom solutions TOGAF Jamf CIS PCI M365 +64

Senior Full Time

USD 115K+

Sr. Medicare Program Analyst
Remote, USA, United States

HIPAA Rules HIPAA rules and regulations Cloud-based technology Technology-driven Healthcare Analytics Data accuracy Value-based care Healthcare Data Data integrity +14

Senior Mid Full Time

USD 82K+

Senior Full-Stack Developer (Angular and Node JS)
Remote USA

Softrams Remote-first

Node js HX Cloud Development SonarQube Health IT EDI Public Trust Clearance Healthcare Data Unit Testing +27

Senior Full Time

USD 100K+

WFM Lead
Remote US

People metrics Bi dashboards Predictive analysis Metrics and reporting Functional strategies Analytical Problem Solving Workforce management Staffing Consumer Experiences +46

Senior Full Time

USD 84K+

Senior Risk Management Professional
Remote US

Risk Utilization management Collaborative Clinical operations BI Vision Dental Healthcare services Nursing +37

Senior Mid Full Time

USD 76K+

Senior COBOL Programmer Analyst
Roseville, CA, US, 95747-6645

Gainwell Technologies

MainView FileAid Xpediter Abend-Aid ChangeMan MVS TSO IBM Mainframe Easytrieve +39

Senior Full Time

USD 100K+

Corporate Communications Principal, Speechwriter
Remote US

Public policy writing Executive speechwriting Creative storytelling Audience analysis Corporate Communications Strategic communication Communication Strategies Medicare Advantage Functions +41

Senior Full Time

USD 136K+

Consumer Service Operations Representative 2
Remote US

Technology navigation Mathematical Call Center Experience Healthcare experience Listening Consumer Experiences Initiative Pharmacy Vision +32

USD 37K+

Physical Therapist Reviewer PRN (Remote - Within Alabama)
Alabama, United States - Remote

Medicare Policies Medicaid Policies Strong organizational Disease Processes Medical record abstracting Medical Record Review Medical necessity Rehabilitation Prior authorization +24

USD 84K+

Senior Stars Improvement Professional
Work at Home - Texas

Dynamic Environment STARS Provider engagement Trending Office Suite Interoperability Performance Improvement Travel Quality improvement +54

Senior Mid Full Time

USD 76K+

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