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Medicare Remote Jobs

110 fresh jobs found

Credit Resolution Representative - Remote - United States

Tenet Healthcare

STAR Contract Interpretation Meditech PBAR EPIC HCPCS/CPT coding ACE Call Center Environment HCPCS +18

Entry Full Time

USD 47K+

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Senior Encounter Data Management Professional - Work at Home - Kentucky

Six Sigma Microsoft Office Applications BI Power BI Databricks Wellness Outlook Data Medicaid +17

Senior Mid Full Time

USD 69K+

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Data and Reporting Professional - Remote US

QuickBase Qlikview Network Development Network Microsoft Office Applications SAS Data Warehousing Economics Prioritization +27

USD 59K+

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Lead, Executive Desktop/End User Support - Remote US

Desktop Support Project leadership Technical Troubleshooting Wellness Medicaid HIPAA Medicare Teams C +6

Senior Full Time

USD 95K+

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Financial Underwriter - Group Medicare - Remote US

Risk pool management Analyzing Pharmacy BI Mathematics Microsoft Word Wellness Data Medicaid +15

Entry Full Time

USD 47K+

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RN - Telephonic Utilization Management Nurse- Medicare- Remote - Southeast Region - Work at Home - Georgia

Emergency Room Care Discharge planning Rehabilitation Clinical nursing Clinical Experience Utilization management Nursing BI Microsoft Word +14

USD 69K+

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Product Owner - HQRI Encounters Submissions - Work at Home - Kentucky

Encounter Data Submissions CAS X12 User stories writing Agile development methodology Agile Delivery Lean Six Sigma Agile Development Prioritization +12

Senior Mid Full Time

USD 93K+

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Data Manager Lead - Remote US

Clinical Analysis Minitab SPSS Population health management Azure Synapse Analytics Data Models Database design Population health Analytic +25

Senior Mid Full Time

USD 104K+

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Utilization Management RN - Physical Health, OKLAHOMA REMOTE - Work at Home - Oklahoma

Clinical nursing Rehabilitation Clinical Experience Network Utilization management Nursing Wellness Medicaid HIPAA +9

USD 69K+

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Senior Learning Design Professional - Remote US

IT Learning Strategy Performance Consulting ELearning Design Adult Learning Theory Consultative Learning Management Systems Network Instructional Design BI +14

Senior Mid Full Time

USD 69K+

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Senior Product Owner - Work at Home - Kentucky

User stories writing Agile development methodology Agile Delivery Six Sigma Agile Development Prioritization Wellness Assessment Data +10

Senior Full Time

USD 93K+

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Lead Software Engineer - Remote US

REST API Development DevOps Processes NoSQL DB Spring Batch Project leadership Spring Boot Containerization Cloud solutions API Development +29

Senior Full Time

USD 126K+

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Lead Product Designer - Remote IL CHI METRO

Digital products Interaction design Efficiency Advocacy User Experience Design BI User Experience User Research Wellness +14

Senior Full Time

USD 112K+

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Care Coordinator - Cook County, IL - Remote IL CHI METRO

LTSS Human services Social Work Managed Care BI Case Management Wellness Microsoft Word Assessment +15

Entry Mid Full Time

USD 52K+

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

Healthcare Coordination Human services Network Social Work Managed Care BI Care management Case Management Wellness +8

USD 47K+

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Senior Project Manager (Medicaid Network Implementation) - Remote US

Value-Based Payment Provider Strategy Network implementation Network Development PMP Provider Relations Network Six Sigma Managed Care +19

Senior Full Time

USD 84K+

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Telephonic Utilization Management Nurse (Pacific Southwest Region) - Work at Home - Arizona

Clinical nursing Clinical Experience Nursing Utilization management BI Wellness Outlook HIPAA Medicaid +10

USD 69K+

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Product Strategy Lead - Remote US

Strategy Advancement Research and Analysis Nursing Strategy Development BI Wellness Data HIPAA Medicaid +17

Senior Mid Full Time

USD 123K+

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Director, Technology Solutions - Remote US

Artifacts development IT business analysis Agile development methodologies Systems Development Life Cycle Waterfall Consultation Agile Development BI Business Analysis +15

Exec Senior Full Time

USD 153K+

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Small Group Sales Representative - Remote US

Consultative Financial Acumen CRM System Wellness Consultative Selling Verbal and written communication Medicaid Business Acumen Medicare +7

Exec Mid Full Time

USD 56K+

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Home Solutions Medical Director - Remote US

NCD/LCD CMS Medicare Guidance Medical interpretation Clinical Standards National Guidelines InterQual Analytic Verbal and written communication Medicaid +8

Exec Senior Part Time

USD 199K+

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Medical Director - Florida - Remote US

Health claims review Discharge planning Medical background Rehabilitation Medical interpretation Clinical Standards Coding practices National Guidelines InterQual +31

Exec Mid Full Time

USD 199K+

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Lead Solutions Architect - Waterside Bldg

HL7 FHIR standards API based integrations API Management Platforms Service-Mesh NoSQL databases DevOps Tools Network Cloud platforms Data Architecture +29

Senior Full Time

USD 139K+

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Medicare Advisor-St. Louis/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Seattle/Remote - Remote

Insurance coverage assessment Medicare advising Software utilization Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-San Antonio/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Portland/Remote - Remote

Insurance Plans Healthcare coverage Prioritization Software Medicare Insurance Interpersonal Customer service Communication

Entry Full Time

USD 52K+

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Medicare Advisor-Orlando/Remote - Remote

Insurance coverage assessment Medicare advising Software utilization Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Oklahoma City/Remote - Remote

Insurance coverage assessment Medicare advising Software utilization Healthcare coverage Prioritization Interpersonal Communication Software Medicare Insurance +3

Entry Full Time

USD 52K+

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Medicare Advisor-Nashville/Remote - Remote

Insurance Plans Healthcare coverage Prioritization Software Medicare Insurance Interpersonal Customer service Communication

Entry Full Time

USD 52K+

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Medicare Advisor-Minneapolis/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Jacksonville/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Indianapolis/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Forth Worth/Remote - Remote

Insurance Plans Healthcare coverage Prioritization Software Medicare Insurance Interpersonal Customer service Communication

Entry Full Time

USD 52K+

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Medicare Advisor-El Paso/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Medicare Advisor-Atlanta/Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Advisor-Austin/Remote - Remote

Medicare expertise Insurance coverage assessment Software utilization Healthcare coverage Prioritization Interpersonal Communication Software Medicare Insurance +3

Entry Full Time

USD 52K+

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Director, Associate Benefits - Remote US

Pharmacy BI User Experience Modeling Wellness Medicaid HIPAA Medicare Financial modeling +15

Senior Mid Full Time

USD 149K+

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Senior Compliance Professional - Remote US

Compliance Controls Audit Methodology Auditing Assessment Wellness Data Risk Assessment Medicaid Medicare +13

Senior Full Time

USD 84K+

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Innovation Design Advisor – Clinical Product - Remote US

Design Research Design Strategy User Interviews Project leadership Quantitative research Qualitative Research Design Thinking Wellness Medicaid +12

Senior Mid Full Time

USD 123K+

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Manager, Care Management - Work at Home - Virginia

Analyzing Microsoft Office Applications Technical knowledge Managed Care Care management Assessment Wellness Data Medicaid +14

USD 84K+

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Medical Director - Home Health - Home Solutions - Remote US

NCD/LCD CMS Medicare Guidance MCG® Medical interpretation Clinical Standards National Guidelines InterQual Analytic Wellness +10

Exec Senior Full Time

USD 199K+

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Product Manager, Medicare Clinical Services-Remote - Appleton, WI, US | Remote, US

Navitus Health Solutions

Clinical programs Pharmacy Benefit Management Program development Population health Client Services Pharmacy Clinical services Testing Quality Assurance +3

USD 63K+

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Medicare Advisor-Remote - Remote

Insurance Knowledge Software utilization Medicare advising Healthcare coverage Prioritization Software Medicare Insurance Interpersonal +2

Entry Full Time

USD 52K+

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Utilization Management Strategy Analyst - Remote US

Healthcare Management Data-driven strategies Network management Network Population health SAFe Data interpretation Efficiency Clinical operations +31

USD 84K+

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Senior Regional Director, SGS Program Management - Any city, NC, US, 99999

Gainwell Technologies

Supervisory Healthcare Technology Client service Medicaid Innovation Medicare Time Management Program Management Insurance +10

Senior Full Time

USD 130K+

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Lead Solutions Architect - EUC - Remote US

End-User Compute Agile delivery frameworks Digital Workplace Agile Delivery Enterprise Architecture Network Identity and Access Management BI User Experience +26

Senior Full Time

USD 139K+

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Lead Solutions Architect – DEX +IT Support Services - Remote US

Agile delivery frameworks Digital Employee Experience (DEX) IT Support Services Service Now Agile Delivery Enterprise Architecture Network ITIL Identity and Access Management +28

Senior Full Time

USD 139K+

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Value Office Financial Investment Analytics Lead - Work at Home - Florida

Analyzing Project leadership Stakeholder Collaboration Efficiency Modeling Assessment Wellness Data Medicaid +18

Senior Full Time

USD 95K+

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Associate Actuary, SPA-Rx - Remote US

Root Cause Analysis Business Intelligence Wellness Data Medicaid Financial Forecasting Medicare Forecasting Business +5

USD 104K+

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Patient Account Representative - Remote - United States

Tenet Healthcare

Call Center Environment ACE Revenue cycle process Remittance Review Claim Submission Basic Computer Hospital billing Commercial Insurance Insurance collections +18

Entry Mid Full Time

USD 43K+

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Research Scientist - Remote US

Data acquisition Analyzing Clinical Informatics Biostatistics PySpark Population health Epidemiology Analytic SAS +27

USD 69K+

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Associate Director, Business Intelligence - Remote US

SSMS Azure Synapse Analytics Power Apps Power Automate SSIS SSRS Health Insurance Analytic Cloud Technologies +29

USD 126K+

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Financial Underwriter Representative - Remote US

Microsoft Access Wellness Data Microsoft Word Access Medicaid Medicare Microsoft Excel Financial analysis +5

USD 40K+

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Experienced Business Analyst - Medicaid Provider - Any city, NV, US, 99999

Gainwell Technologies

Medicaid Provider Requirement Documentation Analytical Software Written and oral communication Computer Programming Oral communication Business Processes Business Analysis Medicaid +15

Entry Senior Full Time

USD 69K+

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Senior Enterprise Architecture - EA Activation - Remote US

Architecture Principles IT Professional Agile Delivery Enterprise Architecture Mainframe Project leadership Technology Strategy Business strategy SDLC +28

Senior Full Time

USD 115K+

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Senior Problem, Incident and Event Management Engineer - Remote US

ITIL4 Trending Investigations Waterfall Process Management Process documentation Root Cause Analysis Microsoft Office Applications Agile Development +22

Senior Full Time

USD 86K+

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Patient Account Representative- Remote - WA STATE RESIDENTS ONLY - WA, United States

Tenet Healthcare

Medicare/Medicaid Knowledge Call Center Environment ACE Remittance Review Claim Submission Revenue cycle process Basic Computer Hospital billing Medical Records +17

Entry Mid Full Time

USD 49K+

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Senior Application Architect - Remote US

Cloud Adoption Software Upgrades Technology Infrastructure Upgrades Security Enhancements SAFe BI Agile Development Wellness HIPAA +15

Senior Full Time

USD 104K+

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Associate Director, SIEM & Detection Engineering(remote) - Remote US

PCI SIEM platforms Malware Analysis Network administration Efficiency Technical knowledge Cloud environments Security Engineering Threat Intelligence +12

Senior Mid Full Time

USD 153K+

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