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Medicare Remote Jobs

547 fresh jobs found

Associate Director, Denials and Appeals
US Remote

Accounts receivable management PHI Privacy Billing Management HIPAA/PHI Privacy PHI Denials management Security Training ICD-10 Coding Policies and procedures +54

Senior Mid Full Time

USD 133K+

Enrollment Specialist (CA Payer Experience)
Remote, USA, United States

Credentialstream Payer enrollment Technology-driven HIPAA Rules HIPAA rules and regulations Cloud-based technology Enrollment Credentialing HIPAA Compliance +15

Entry Mid Full Time

USD 54K+

Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & Litigation Experience Required
Telecommuter TX, United States

Commercial auto policies Sub-limits Large deductible programs Deductibles Risk transfer claims Claims litigation Auto policies Injury claims Medicare Compliance +33

USD 60K+

Sales, Territory Manager - RespirTech (Western Louisiana, Field-Based)
United States of America - Home Based

New Business Development Respiratory Healthcare Education Demonstration Insurance coverage Medical equipment Product Demonstration OR Routing +21

USD 133K+

Senior Financial Planning and Analysis Professional
Remote US, United States

Large data sets Microsoft Office Applications Consumer Experiences Analytic Interviewing BI Verbal and written communication Market trends Administrative +49

Senior Full Time

USD 86K+

Business Systems Analysis Lead
Remote US, United States

Assist Business Systems Analysis Re-engineering Brand voice Problem Analysis Functional strategies Content Writing Microsoft Office Applications Processes +70

Senior Full Time

USD 106K+

Value-Based Programs Lead
Remote US, United States

Payment strategy VB Processes Value-based care Interviewing Risk BI Contract management Vision +42

Senior Mid Full Time

USD 104K+

Senior Organization Effectiveness Professional-Remote US
Remote US, United States

Organization effectiveness Medicaid Experience Development programs Adult learning theories Lightning Adult Learning Processes Consumer Experiences Salesforce CRM +42

Senior Full Time

USD 78K+

Medical Director--Claims Management
Remote US, United States

Inpatient care Clinical patient care Computer-Based Review Outpatient services Home health services Grievance and appeals processes Clinical reference materials CMS policies Post-acute care +87

Exec Senior Full Time

USD 223K+

Clinical Programs Pharmacy Technician 2
Remote US, United States

Medication assistance Assist Financial resources Financial assistance resources Development programs Computations Prescription Home health services Medication Adherence +32

USD 40K+

Digital Analytics Lead- eCommerce
Remote US, United States

Consumer experience improvement Digital product Adobe Experience Platform Brokerage Digital analytics Digital Experience Medicare Advantage Business Insights Articulate +50

Senior Mid Full Time

USD 117K+

Product Manager
Remote-NJ, United States

Centene Corporation

CMS Regulatory Knowledge Training Implementation Actuarial Cross-functional Team Leadership CMS Financial Service Delivery Auditing Medicare +25

USD 68K+

Learning Design Professional
Remote US, United States

ELearning strategies Learning design tools Peer reviews Cognitive psychology Learning Design Performance assessments Articulate 360 Adult Learning Theory Design tools +63

Senior Mid Full Time

USD 59K+

Case Manager- Milwaukee, WI
Work at Home - Wisconsin, United States

Health and Wellness Coordination Social service care management Family Care Community integration Prevention Health and wellness Human services Driver safety program Health benefits +42

USD 53K+

Claims Research & Resolution Lead
Remote US, United States

Long Term Services and Supports Trending Claims research Provider education Functional strategies Managed Care Contracts Claims resolution Driver safety program Microsoft Office Applications +66

Senior Mid Full Time

USD 94K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

Worker's Compensation Claims Examiner
Telecommuter GA, United States

Strategic vendor partnerships Vendor partnerships Insurance principles Social Security Claims coding Vendor Coordination Claims analysis Cost Containment Litigation management +36

Senior Mid Full Time

USD 61K+

Commercial Auto Bodily Injury Claims Examiner | Remote | Dedicated Client | Complex Claims & Litigation Experience Required
Recruiting Only - Telecommuter, United States

Large deductible programs Deductibles Sub-limits Risk transfer claims Commercial auto policies Auto policies Injury claims Medicare Compliance Complex claims +33

USD 60K+

Medical Coding Quality Auditor
Remote US, United States

Evaluation and Management Medical auditing Quality Auditing Durable Medical Equipment Medical Record Review Coding certification Interventional Radiology Processes Medical Coding +54

Senior Mid Full Time

USD 65K+

Senior Digital Product Owner - Ecommerce
Remote US, United States

Digital product Technical decision-making Dynamic Environment Agile Delivery Scaled Agile Scaled Agile Framework Brokerage Agile framework Digital Experience +46

Senior Full Time

USD 94K+

Sales, Territory Manager - Respirtech (Jacksonville, FL)
United States of America - Remote Based

New Business Development Respiratory Healthcare Education Demonstration Insurance coverage Medical equipment Product Demonstration OR Routing +21

USD 120K+

Director, Product Management- eCommerce
Remote US, United States

User Needs Assessment Digital product Dynamic Environment Brokerage Digital Experience Digital strategy Product lifecycle management Medicare Advantage Mobile +56

Exec Senior Full Time

USD 168K+

Senior Sourcing and Contract Management Professional
Remote US, United States

Icertis Assist Data-driven strategies Coupa Healthcare Industry Knowledge Processes Category management Administrative Tasks Automation tools +49

Senior Full Time

USD 78K+

Lead Digital Product Manager- eCommerce
Remote US, United States

Digital product Market Validation Dynamic Environment Scaled Agile Scaled Agile Framework Brokerage Agile framework Digital Product Management Digital Experience +58

Senior Full Time

USD 126K+

Search Engine Optimization Lead- eCommerce
Remote US, United States

Moz Dynamic Environment Ahrefs Brokerage Google Search Console Content Optimization Digital Experience SEMRush Medicare Advantage +54

Senior Full Time

USD 126K+

Priority Claims Specialist I
United States

Spreadsheet Development NextGen Onbase Billing Systems Electronic Health Records Medical Billing Claims management Medical terminology Events +15

Entry Full Time

USD 48K+

Encounter Data Management Professional
Remote US, United States

Humana Image View Station CMS.gov Enterprise Portal EHub Encounter data management Edifecs Encounter data Claims research Microsoft SQL CAS +53

USD 59K+

Utilization Management Behavioral Health Registered Nurse
Remote US, United States

Clinical patient care Behavioral Change Interpreting Criteria Microsoft Office Word Social service agencies Clinical Nursing Health promotion LESS Registered Nurse +54

USD 71K+

Claims Examiner - Auto
Recruiting Only - Telecommuter, United States

Auto policies Medicare Compliance Liability Action plans Commercial Lines Bodily injury PC literate Keyboarding Microsoft Office products +27

USD 75K+

Software Quality Tester
Remote US, United States

Test Data Creation Workflow Analysis Quality Engineering Articulate Consumer Experiences Software testing Oversight Interviewing Information systems +44

USD 64K+

Business Development Director-Government Reimbursement
Remote, CA, United States

CRM Automation Medicare reimbursement Team selling Revenue Cycle Management Revenue Cycle Medicare Lead Generation Client relationship management Patient care +17

Exec Senior Full Time

USD 116K+

Senior Technology Leadership Professional
Remote US, United States

Hardware delivery Mocking Strategy planning Technology Assessment Telephony Solutions Product Evaluation Contact Center Solutions Software delivery Telephony +47

Senior Full Time

USD 106K+

Accreditation Manager
Remote US, United States

NCQA Accreditation Continuous process improvement Team Engagement Health Plan Experience Judgement Functional strategies NCQA LESS Accreditation +44

USD 94K+

Financial Planning & Analysis Lead
Remote US, United States

OKR Infusion Durable Medical Equipment KPI Home Health Business Insights Financial Performance MS PowerPoint Analytic +61

Senior Mid Full Time

USD 104K+

Senior Professional, Creative Development.
Remote US, United States

Health and Wellness Knowledge Multimedia Development Database Marketing Creative design Adobe Campaign Logical thinking Multimedia Creative Writing Creative development +42

Senior Mid Full Time

USD 78K+

Senior Compliance Professional - Marketing Reviewer
Remote MA BOSTON, United States

Marketing review Humana policies Regulatory Analysis Processes Compliance Standards Process design Oversight Project Coordination CMS +41

Senior Full Time

USD 103K+

Call Center Representative - Remote Arkansas
Any city, AR, US, 99999

Gainwell Technologies

Call center etiquette Web browsers SLAs Edge Processes Call Center Multitasking Medical Medicare +22

Entry Mid Full Time

USD 27K+

Medicare Sales Field Agent - Kane County IL
Remote IL CHI METRO, United States

Grassroots marketing Telephonic Interactions Grass Roots Marketing Medicare Sales Medicare products Prescription Telephonic Communication Annuity Virtual Communication +46

USD 35K+

IT Asset Management Tool SME - Remote!
USA MD Home Office (MDHOME), United States

General Dynamics Information Technology

Eracent Firewall rules Vendor interface Software entitlement management Licensing models Network Devices Data center technology Structured query language Software asset management +40

USD 73K+

Director, Consumer Experience
Remote US, United States

Data-Driven Improvement Consumer Experience Insurance operations Operational readiness Program Evaluation Automation solutions Problem Management Articulate Consumer Experiences +51

Exec Senior Full Time

USD 150K+

Market Clinical Quality Specialist II
Florida WFH, United States

Microsoft Access Accreditation Utilization Review Clinical Experience Certification Visio Quality improvement RN Technical Writing +27

USD 70K+

Sr. Payer Operations Associate (Remote)
Remote - United States

Process guides Medigap Verification of benefits Behavioral health terminology EHR Tools Payer Portals Insurance terminology Training materials Financial Operations +16

Senior Mid Full Time

USD 70K+

Emergency Department Patient Access Supervisor
Albuquerque, NM, United States

Presbyterian Healthcare Services

Registration Insurance Verification Performance Improvement Patient Access Supervisory Supervision Medicare Quality Assurance Critical thinking +14

USD 68K+

Supervisor Disease Management Healthy Solutions Health Coaching Program
Albuquerque, NM, United States

Presbyterian Healthcare Services

Staff management Staff training Workflow Design Healthcare Management Cost analysis Motivational interviewing Performance Improvement Community Engagement Coordination +15

USD 102K+

Remote IP Facility Coder with CCS
Albuquerque, NM, United States

Presbyterian Healthcare Services

HHRG Hospice Apc MS-DRG CPT-4 Home Health ICD-9 Medical Coding HCPCS +11

Senior Mid Full Time

USD 68K+

Patient Account Representative - Remote AR Follow up
United States

Tenet Healthcare

ACE Remittance review Claim Submission HCFA 1500 Patient financial services Insurance collections UB04 Patient Accounting Call Center Environment +40

Entry Mid Full Time

USD 47K+

Patient Account Representative - Remote Denial Management
United States

Tenet Healthcare

ACE Remittance review Claim Submission Insurance collections Patient financial services HCFA 1500 UB04 Patient Accounting Denial Management +41

Entry Mid Full Time

USD 47K+

Patient Account Representative - Remote Follow Up Experience
United States

Tenet Healthcare

ACE Remittance review Claim Submission HCFA 1500 Patient financial services Insurance collections UB04 Patient Accounting Call Center Environment +39

Entry Mid Full Time

USD 47K+

Nurse Supervisor, Utilization Management Clinical Quality
Remote

Nurse Management HEDIS measures Clinical auditing Escalations RN licensure Insurance experience Ncqa standards Healthcare quality MCG +37

USD 88K+

Senior Manager, Security Governance, Risk and Compliance
Remote

Security governance HITRUST SOC2 Technology Platform Audit Management PCI GRC Efficiency SOX +37

Senior Full Time

USD 158K+

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