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Medicare Remote Jobs

338 fresh jobs found
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Inpatient Medical Coding Auditor
Remote US, United States

Financial recovery DRG coding Inpatient Coding ICD MS-DRG Cost reduction Clinical Information DRG ICD-10-CM +49

USD 71K+

Medical Billing Coordinator
USA-Remote, United States Li LifeStance Health

Billing practices Insurance processes Automated billing systems RCM Billing Systems Medical Billing Revenue Cycle Management Medicaid Medicare +13

Senior Mid Full Time

USD 42K+

Escalation Response Specialist III
Remote-MO, United States

Centene Corporation

Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Problem Resolution +23

Senior Mid Full Time

USD 68K+

Fraud and Abuse Investigator/CPC- Remote!
Virginia Remote, United States

Behavioral health services Statistical sampling Health Plan Medical Coding Healthcare Compliance Report Writing Fraud Investigation Interviewing Claims processing +18

USD 88K+

Process Improvement Engineer- Remote
Virginia Premier Health Plan Glen Allen, United States

Behavioral health services Human resource management Health Plan Experience Healthcare Management Healthcare operations Lean Six Sigma Health Plan Six Sigma Lean +18

USD 101K+

Medicare Sales Field Agent- Northern VA
Work at Home - Washington DC, United States

Grass Roots Marketing Telephonic Interactions Medicare products Prescription Annuity Rating Medicare Sales Driver safety program HireVue +45

USD 35K+

Accounts Receivable Representative *Remote*
Irvine, CA, United States

Insurance Contracts Epic Experience Medical Billing Revenue Cycle Collections Accounts Receivable EPIC Health care Medicaid +9

USD 44K+

Supervisor-Quality Critical Incident (Remote Eligible)
Albuquerque, NM, United States

Presbyterian Healthcare Services

Critical incident reporting Performance Measurement Healthcare Compliance Incident Management Supervisory Care Coordination Coordination Managed Care Supervision +9

USD 95K+

Payment Accuracy COB Specialist
Remote, United States

COB tracker Cotiviti software NAIC guidelines Large data sets Audit tools Coordination of benefits RMS Claims review Payment accuracy +41

Entry Full Time

USD 46K+

Sr. Analyst, Compliance Oversight Med-D
United States

Navitus Health Solutions, LLC

Operational monitoring Compliance oversight Medicare part d CMS Health Audits Pharmacy Medicare Microsoft Office Suite +10

Senior Mid Full Time

USD 65K+

Coordinator, Grievance and Appeals
United States

Navitus Health Solutions, LLC

Grievance handling Appeals management Grievance and appeals Medical Director HIPAA regulations Pharmacy Claims Prior authorization CMS Health +15

USD 46K+

Sr. Coordinator, Med-D
United States

Navitus Health Solutions, LLC

Medicare part d knowledge Quality review Medicare part d CMS Health Technical Writing Administrative Support Pharmacy Medicare +10

Senior Mid Full Time

USD 49K+

Regional Account Manager, Market Access
US Remote

Managed care contracting Qlik HIPAA/PHI Privacy PHI Privacy PHI Legal counsel Policies and procedures Cell-free DNA Diagnostic Testing +37

USD 107K+

Physician Coding Pathology
Remote Phoenix AZ, United States

Clinical abstraction Procedure coding NCCI edits CPT4 Reimbursement requirements Diagnosis coding ICD-CM CPC Coding Guidelines +18

USD 66K+

Provider Engagement Professional 2
Work at Home - Florida, United States

Medicare policies Bonus methodologies Data Sharing Clinical Management Provider Contracting Reimbursement methodologies Analyzing Consumer Experiences Provider engagement +49

USD 59K+

Director, Quality Improvement
Remote-MO, United States

Centene Corporation

Medicare Stars Provider Satisfaction Technological Tools Policy Formulation HOS CAHPS Guidelines Healthcare operations NCQA +24

Exec Senior Full Time

USD 116K+

QA Ops Auditor - Bilingual English/Spanish - Remote
Remote - FL, United States

HIPAA Compliance Root Cause Analysis Auditing Medicaid Medicare Spanish Bilingual Clinical Outlook +9

USD 41K+

Medicare Sales Field Agent - CarePlus Duval County
Work at Home - Florida, United States

Grassroots Marketing Telephonic Interactions Grass Roots Marketing Medicare products Prescription Annuity Rating Driver safety program Medicare Sales +48

USD 31K+

Medicare Sales Field Agent - Chattanooga, TN
Work at Home - Tennessee, United States

Prescription Rating Annuity Driver safety program Medicare Sales Health benefits Multilingual Sales Goals Bilingual Communication +39

Senior Mid Full Time

USD 31K+

Director, External Corporate Communications
Remote US, United States

Crisis communication Crisis Communications Communications Strategy Corporate Communications Health benefits Strategic communication HireVue Campaign Execution Communication Strategies +49

Exec Senior Full Time

USD 168K+

Medicare Sales Field Agent - Collier County
Work at Home - Florida, United States

Telephonic Interactions Medicare products Grass Roots Marketing Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +47

USD 31K+

Lead Product Manager
Remote US, United States

Azure dev ops ML engineering ADO Agile framework Health benefits GenAI Healthcare experience AI technologies Vision +54

Senior Full Time

USD 126K+

Medicaid Trend Strategy Advancement Advisor
Remote US, United States

Leadership presentation Large data sets Consulting experience Medicaid Experience Matrix organization Consumer Experiences Strategic direction HireVue Project leadership +40

USD 115K+

Case Manager/Care Coach
Work at Home - Wisconsin, United States

Service plan development Advocacy services Psychosocial assessment Grievances Family Care Human services Medical Services Assist Long Term Care +53

USD 53K+

ABA UM Reviewer
Remote US, United States

MCG criteria Accreditation Process Interpreting Criteria Computer-Based Review Community Groups Payer policies Judgement MCG Medical Director +57

Senior Mid Full Time

USD 78K+

Member Advocate I
Remote-NY, United States

Centene Corporation

Member advocacy Member education Grievances Guidelines Health Plan Customer Care Health care Advocacy Medicaid +11

USD 38K+

Process Improvement Lead - Medicaid/DSNP Implementations
Remote US, United States

Clinical process improvement CGX Business Process Microsoft Applications Project leadership Processes Efficiency Six Sigma Vision +61

Senior Mid Full Time

USD 94K+

Medicare Sales Field Agent - Sarasota/Manatee County
Work at Home - Florida, United States

Grassroots Marketing Telephonic Interactions Grass Roots Marketing Medicare products Prescription Annuity Rating Driver safety program Medicare Sales +47

USD 31K+

Medicare Sales Field Agent - CarePlus Orange/Seminole County
Work at Home - Florida, United States

Grass Roots Marketing Medicare products Telephonic Interactions Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +48

USD 31K+

Fraud and Waste Investigator
Work at Home - Louisiana, United States

Healthcare payment methodologies MS Access Consumer Experiences Investigative Clinical Experience Process Development Vision Investigations MS Word +49

USD 65K+

Medicare Sales Field Agent - Lee County
Work at Home - Florida, United States

Grass Roots Marketing Medicare products Telephonic Interactions Prescription Rating Annuity Driver safety program Medicare Sales Multilingual +47

USD 31K+

Medicare Sales Field Agent - Treasure Coast
Work at Home - Florida, United States

Telephonic Interactions Medicare products Grass Roots Marketing Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +45

USD 31K+

Medicare Sales Field Agent - Broward County
Work at Home - Florida, United States

Grass Roots Marketing Medicare products Telephonic Interactions Prescription Rating Annuity Driver safety program Medicare Sales Multilingual +46

USD 31K+

Medicare Sales Field Agent - North Pinellas County
Work at Home - Florida, United States

Grass Roots Marketing Medicare products Telephonic Interactions Prescription Rating Annuity Driver safety program Medicare Sales Multilingual +46

USD 31K+

Medicare Sales Field Agent - Duval County
Work at Home - Florida, United States

Telephonic Interactions Medicare products Grass Roots Marketing Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +46

USD 31K+

Medicare Sales Field Agent - CarePlus St Johns County
Work at Home - Florida, United States

Grass Roots Marketing Medicare products Telephonic Interactions Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +47

USD 31K+

Supervisor, Claims
Remote-FL, United States

Centene Corporation

Medical claims Cost control Researching Marketplace Financial Supervisory Procedures Claims processing Claims +22

USD 55K+

Sr. Claims Coding Analyst
Remote - NY, United States

Pathophysiology knowledge Compliance checks Anatomy knowledge Electronic Documentation Claims analysis Hcpcs coding ICD-10 Coding Insurance policies Adobe Acrobat +23

Senior Mid Full Time

USD 71K+

Care Manager, Remote
Remote - NY, United States

Electronic Documentation Systems Community Health Practices Paperless database modules Intervention LMSW Electronic Documentation Cantonese Korean LMHC +20

USD 71K+

Pharmacy Operations Specialist I
Remote-FL, United States

Centene Corporation

Pharmacy Claims Processing Quality process improvement Pharmacy operations Training materials Pharmacy Claims Pharmacy Technician UAT Medicare part d Power Automate +30

USD 44K+

Provider Data Management Specialist I
Remote-FL, United States

Centene Corporation

Third party liability Provider data management Administrative Tasks Prior authorization Database Management Health care Network Managed Care Data Entry +17

USD 38K+

Senior Actuarial Analyst - REMOTE
Home, United States

Prime Therapeutics

Actuarial modeling VBA Actuarial science Data Mining SAS Quantitative Pharmacy Medicaid Medicare +18

Senior Full Time

USD 94K+

Mgr Operations- REMOTE
Home, United States

Prime Therapeutics

Rxclaim Staff Development Pharmacy benefit management Project leadership Capacity planning Talent Management Operations Management Quality improvement Pharmacy +15

Exec Mid Full Time

USD 81K+

Claims Adjuster - Workers Compensation - Telecommute CO
Telecommuter CO, United States

Social Security Claims coding Action plans Interpretive Adjudication Keyboarding PC literate Microsoft Office products Medical management +24

USD 60K+

Senior Scrum Master
Remote US, United States

Azure dev ops Service Now Scrum Master Scaled Agile ADO Agile framework Scaled Agile Framework Agile practices Sprint planning +59

Senior Full Time

USD 97K+

Principle, Medical Record Product Management
Remote US, United States

Healthcare interoperability Agile principles Medicare Advantage HireVue Interoperability Digital products Data storage Usability Vision +44

Senior Mid Full Time

USD 150K+

Care Manager, Bilingual Spanish - 100% Remote
Remote - NY, United States

Pediatric Clinical Experience Electronic Documentation Systems Paperless database modules Intervention LMSW Electronic Documentation LMHC Spanish fluency LMFT +17

USD 71K+

Medicare Sales Field Agent- Lake, Marion and Sumter County
Work at Home - Florida, United States

Medicare products Telephonic Interactions Grass Roots Marketing Prescription Annuity Rating Driver safety program Medicare Sales Multilingual +48

USD 31K+

Medicare Sales Field Agent - Baton Rouge, East Feliciana, Iberville, Livingston, or Ascension Parish, LA.
Work at Home - Louisiana, United States

Prescription Rating Annuity Driver safety program Medicare Sales Health benefits Multilingual Sales Goals Bilingual Communication +39

Senior Mid Full Time

USD 31K+

Medicare Sales Field Agent - Biloxi/Gulfport, MS.
Work at Home - Mississippi, United States

Prescription Rating Annuity Driver safety program Medicare Sales Health benefits Multilingual Sales Goals Bilingual Communication +39

Senior Mid Full Time

USD 31K+

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