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Medicare Remote Jobs

307 fresh jobs found

Medicare/Medicaid Research Associate
Rockville, MD, United States

Provider Rating Systems Health Care Policy Research methods Solution Development Proposal Writing Quality improvement Evaluation Technical Writing Medicare +16

USD 105K+

Stars Program Delivery Lead
Remote US, United States

HEDIS measures Stars performance Program delivery Quality Metrics Metrics Reporting STARS HEDIS Campaign Development Control +48

Senior Full Time

USD 115K+

Medical Director - OneHome/Home Heatlth
Remote US, United States

LCD NCD Interpretative Clinical reference materials CMS policies Family practice Medical interpretation Clinical Standards National Guidelines +44

Exec Senior Full Time

USD 223K+

Director, Insurance Strategy
Remote US, United States

Strategy Consulting Research and Analysis Matrixed environment Articulate Medicare Advantage Collaborative Strategic initiatives Quantitative analysis Healthcare industry +40

Exec Senior Full Time

USD 168K+

Lead Product Manager, Self-Service and Support
Remote US, United States

Support Solutions Performance Goals AI knowledge Agile Methods Technical Debt Self Service Judgement Product performance Digital products +67

Senior Full Time

USD 126K+

Senior Enterprise Architect, EA Practices
Remote US, United States

Network IT Product Evaluation Technical capability development Serverless technologies Technology Evaluation Technical Consultation TOGAF Data Orchestration Analyzing +51

Senior Full Time

USD 117K+

Director, Strategic Partner Marketing and Business Development
USA Remote, United States

Marketing innovation Marketing Solutions Partner Marketing Solution Sales Value Based Selling ECommerce Strategic partnerships Health Insurance Campaign Management +18

Exec Senior Full Time

USD 74K+

Data Visualization Engineer
Remote US, United States

Qlik NPrinting Data algorithms Qlik Sense Tables SQL queries User Interfaces Dashboard Design SSIS Modeling techniques +72

USD 66K+

Case Manager RN (Remote)
Work At Home-Texas, United States

Clinical models Community care Wellness strategies Home health care coordination Home health care Telework Post-acute care Integrative functions Clinical Tools +31

USD 60K+

Partner Success Manager II
USA Remote, United States

Adobe Analytics Partner Management Customer acquisition Advising Creative Problem Solving Sales forecasting Strategic partnerships Health Insurance Performance Metrics +29

USD 111K+

Value-Based Programs Analyst
Remote US, United States

Tables SQL queries Actuarial Pivot Tables Consumer Experiences Enrollment Detail oriented Contracting Healthcare industry +49

Entry Mid Full Time

USD 59K+

Senior Test Engineer
Any city, MT, US, 99999

Gainwell Technologies

Functional models Performance models Healthcare Technologies Testing analysis Test specifications Network testing Test Design Network management Test Cases +26

Senior Full Time

USD 72K+

Sr. Director, Strategic Partner Marketing and Business Development
USA Remote, United States

Ecommerce Innovation Marketing Solutions Solution Sales Value Based Selling ECommerce Strategic partnerships Health Insurance Data-driven decision making Consultative sales +19

Senior Full Time

USD 81K+

Financial Analytics Lead
Remote US, United States

Analytical frameworks Durable Medical Equipment Financial analytics OKR KPI Business Insights Financial Performance Home Health Home Care +62

Senior Mid Full Time

USD 106K+

Government Programs Compliance Lead
Remote

Regulatory Guidance Healthcare Compliance Spark Behavioral health Medicare Medicaid Privacy Regulatory Compliance Consulting +10

Senior Full Time

USD 104K+

Manager, Risk Adjustment
Remote

Risk Adjustment Coding Continuity of care Clinical documentation improvement Risk Adjustment ICD-10-CM Data Validation Technology Platform Electronic Health Records Medical Records +22

USD 88K+

Counsel - Health Plan Contracting
Remote US, United States

Provider Network Dynamics Medical Services Healthcare law Contract drafting Legal advice Legal writing Analyzing Negotiating Risk +30

USD 138K+

Senior Data Manager
Remote US, United States

Azure Synapse Analytics ADF Synapse Azure Synapse Data Models Qlikview SPSS SSIS Azure Data Factory +75

Senior Full Time

USD 97K+

Director, Full Stack Engineering
Remote US, United States

Enterprise IT Standards Technical Systems Design Digital Platform Architecture Hosting Management Database Integration Information Technology Solutions Healthcare Strategy Back-End Development Functional strategies +62

Exec Senior Full Time

USD 189K+

RN - Utilization Management
Work at Home - Florida, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Medical Services Rehabilitation Acute care Consumer Experiences Registered Nurse Utilization management +42

USD 71K+

Utilization Management Clinical Supervisor
Work From Home - AZ, United States

Virtual collaboration Clinical Review Microsoft Applications HCPCS CPT Leadership Development Microsoft Teams Performance monitoring Utilization management +25

USD 55K+

Social Worker Care Coach - Eau Claire
Eau Claire, United States

Preventive education Care Plan Development Community Resource Coordination Driver safety program Travel Coordination Community integration Social service care management Health and wellness Family Care +39

USD 53K+

Liability Claims Examiner | Marlton, NJ | Open to Remote
Marlton, NJ - Lake Center, United States

Claims analysis Vendor Coordination Strategic vendor partnerships Liability Claims Action plans Social Security Claims coding Insurance principles Litigation management +35

Senior Mid Full Time

USD 66K+

Claims Examiner, Bodily Injury
Recruiting Only - Telecommuter, United States

Commercial policies Action plans Bodily injury Auto policies Liability PC literate Microsoft Office products Subrogation Investigations +24

USD 65K+

Lead Director, Pharma Contracting
Downers Grove-3200 Highland Av, United States

Formulary Strategies Rebate Contracts Specialty Pharmacy Pharmaceuticals Pharmacy Contract Negotiation Market Access Managed Care Health care +14

Senior Full Time

USD 100K+

Clinical Strategy Lead
Remote US, United States

Operational data Cross-organizational collaboration Clinical Strategy Health outcomes Clinical Informatics Analyzing Clinical Acumen Epidemiology Qualitative analysis +48

Lead Senior Full Time

USD 115K+

Senior Specialist, Risk Adjustment Coder
Remote

Electronic medical record systems Risk Adjustment Coding Medical Record Review Risk Adjustment ICD-10-CM Technology Platform Data Validation ICD-10 Efficiency +12

Senior Mid Full Time

USD 65K+

Medicare- Consumer Support Advocate
United States

MLM Outbound Calls Inbound Calls Call Center Medicare Technology Customer service Sales

Entry Mid Full Time

USD 26K+

Clinical Research Scientist
Remote US, United States

Recommender system Spark r Recommender Systems Judgement Analytics Solutions Clinical Strategy Network Analysis Business Insights Clinical Informatics +65

USD 71K+

Sr Account Manager, Government Markets
Remote CA - R3, United States

Report Analysis Commissions Benefits Administration Communication Strategies Client Relations Strategic initiatives Client service Information security Medicare +21

Senior Mid Full Time

USD 69K+

Senior Compliance Professional
Remote US, United States

Compliance Systems Rules PBM Regulatory Guidance Risk CMS Healthcare services Wellness Regulations +24

Senior Full Time

USD 86K+

Physician Reimbursement Senior Analysis Professional
Remote US, United States

Reimbursement Analysis Trending MS Access Analyzing Microsoft Office Applications Microsoft Access Claims BI Network +36

Senior Mid Full Time

USD 89K+

Business Intelligence Lead
Remote US, United States

Claims Administration Analytics Solutions Functional strategies Qlik Analyzing Visualizations Microsoft Office Applications Budget development Trend Analysis +69

Senior Full Time

USD 117K+

Telephonic Behavior Health Care Manager
Remote US, United States

Community health navigation Interagency collaboration Social service agencies Case coordination Pediatric care Community Health Community Resources Psychology Consumer Experiences +35

USD 59K+

Senior Product Manager
Remote US, United States

Oracle SBC E911 Avaya Load Testing SAFe Agile Telecom Technical Requirements Telecommunications Consumer Experiences +29

Senior Full Time

USD 104K+

Pre-Authorization Registered Nurse
Remote US, United States

MHK CGX Medical management systems MAccess Rehab Health Plan Experience MCG InterQual Medical necessity +49

USD 71K+

Network Operations Coordinator 3
Remote US, United States

Provider data management Data integrity management Provider Audits Administrative Tasks Credentialing Claims HIPAA Compliance Audits Data integrity +32

Entry Mid Full Time

USD 44K+

Director, Market Finance
Remote US, United States

Provider Contracting Provider engagement Network Analysis Medicare products STARS Functional strategies Business Insights Risk Adjustment Valuation +52

Exec Senior Full Time

USD 168K+

Senior Automation Test Engineer
Remote USA

Softrams Remote-first

Gauge Performance Center LoadRunner HX IntelliJ Cloud Development Automation Testing Cucumber TestNG +44

Senior Full Time

USD 100K+

Actuarial Analyst
Remote US, United States

Actuarial Consumer Experiences Market trends Data integrity Root Cause Analysis Regulations Healthcare services Wellness Business Intelligence +22

Entry Full Time

USD 66K+

Case Manager - Sparta, WI
Sparta, United States

Face-to-face assessments Employment support Driver safety program Housing support Community Resource Coordination Health and Wellness Coordination Community integration Social service care management Prevention +40

USD 53K+

Medical Coding Auditor
Remote US, United States

Clinical documentation review Encoder usage Medical Documentation Medical claims CPT coding Coding Guidelines ICD Medical Coding ICD-10 +33

USD 59K+

FP&A Analyst
Work At Home-Tennessee, United States

Balance sheet analysis Account Reconciliations Journal entries Variance analysis GAAP Health Insurance Health care Medicare Accounting +6

Entry Mid Full Time

USD 43K+

Case Manager- Weston
Work at Home - Wisconsin, United States

Driver safety program Health and Wellness Coordination Community integration Social service care management Social services Prevention Family Care Health and wellness Human services +39

USD 53K+

Healthcare Call Center Supervisor (Hybrid Onsite in Orange, CA and Work-From-Home)
Orange, California, United States

Alignment Health

Team Motivation Performance coaching Medicare Managed Care Call Center Management Medicare Advantage Supervisory Training and Development Data integrity Call Center +14

USD 57K+

Telecomm/Voice Administrator
Remote US

Voice communication systems Avaya Telephony Systems Genesys Telecom Telephony Telecommunications Genesys Cloud Efficiency +40

Entry Mid Full Time

USD 66K+

Licensed Clinical Therapist
Work At Home-Illinois, United States

Problem Solving Therapy Licensed Clinical Professional Counselor Short-term Counseling Licensed Mental Health Counselor Virtual Therapy Delivery Care Collaboration Electronic health record systems Cognitive Behavioral Therapy Licensed Marriage and Family Therapist +24

USD 52K+

Licensed Clinical Therapist
Work At Home-Arizona, United States

Licensed Mental Health Counselor Care Collaboration Short-term Counseling Virtual Therapy Delivery Problem Solving Therapy Electronic health record systems Licensed Professional Counselor Cognitive Behavioral Therapy Licensed Marriage and Family Therapist +24

USD 52K+

Clm Resltion Rep III, Hosp/Prv - Remote/Hybrid Opportunity
Rochester - NY, United States

University of Rochester

Claims follow-up OmniPro Flowcast Third party claims systems Fidelis Emdeon Revenue collection Billing regulations Microsoft Access +7

Senior Mid Full Time

USD 38K+

Licensed Clinical Therapist
Work At Home-Nevada, United States

Care Collaboration Short-term Counseling Licensed Clinical Professional Counselor Problem Solving Therapy Virtual Therapy Delivery Electronic health record systems Cognitive Behavioral Therapy Licensed Marriage and Family Therapist Crisis Intervention +24

USD 52K+

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