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50 fresh jobs found

Director, Analytics & Insights
United States

Cohere Health Remote-first

Clinical programs Qualitative methods LOINC SNOMED Clinical Informatics Quantitative methods Clinical Intelligence Model Development HCPCS +30

Exec Senior Full Time

USD 155K+

Sr Business Analyst (Product)
United States - Remote

Workflow Diagrams API documentation Implementations Agile Scrum Gap Analysis MS Project Prior authorization Software testing Public Sector +35

Senior Mid Full Time

USD 83K+

Medical Assistant, Supervisor
United States - Remote

Staff workflow Medical record management Medical Assistant Prior authorization Primary Care EMR Supervision Microsoft Outlook Clinical +12

Senior Mid Full Time

USD 72K+

Care Manager – Patient Access Support Call Center - - -Remote
Northborough, Massachusetts, United States of America

Telephony platform Benefit Investigation Insurance Verification Patient services Telephony Medical Billing Analytic Prior authorization Quality improvement +27

USD 46K+

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+

UM Administration Coordinator (Kentucky Medicaid)
Work at Home - Kentucky

ICD-10 codes ICD Electronic Medical Records Utilization Review ICD-10 Prior authorization Authorization Utilization management Travel +41

USD 37K+

Virtual Pharmacy Technician (Contract)
Remote

Prescription management Electronic prescribing Customer Support Tools Personalized Nutrition Prior authorizations Pharmacy Technician Healthcare Regulations Prior authorization Zendesk +15

USD 60K+

Virtual Pharmacy Technician (Prior Authorization Specialist)
Remote

Prescription management Insurance communication Customer support platforms Electronic prescribing Diabetes management Personalized Nutrition Weight loss Prior authorizations Pharmacy Technician +16

USD 48K+

Customer Service Representative (Part Time) - Remote - Absence Management Dept
Rockville, Maryland, United States - Remote

Confidentiality Adherence Automated Systems Telephone Communication PC Proficiency Call Center Experience Prior authorization Listening PC Effective Communication +13

Entry Mid Part Time

USD 36K+

UM Administration Coordinator
Remote US

ICD-10 codes ICD Electronic Medical Records Utilization Review ICD-10 Prior authorization Authorization Utilization management Clinical support +41

Entry Mid Full Time

USD 37K+

Senior Data Scientist
Remote

Cohere Health Remote-first

EMR data SDOH data Optimization methods Clinical programs Amazon AWS Spark SQL Cloud platform Clinical Intelligence Kibana +28

Senior Full Time

USD 120K+

Patient Access Consultant
USA - PA - Remote

AmerisourceBergen

Reimbursement activities Copay assistance Claim Submission Training and Support Benefit Verification Patient assistance Pharmacy operations Billing and Coding Computer Sciences +37

Senior Mid Full Time

USD 50K+

Field Reimbursement Manager, Allergy-ENT - San Francisco
Remote, US

Financial assistance Appeals Prior authorization Issue Resolution Biologics Customer focus Patient Support Patient Access Rare diseases +16

USD 122K+

Patient Access Specialist (remote)
USA - PA - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Patient assistance Billing and Coding Appeals Medical Billing Prior authorization Patient Access Healthcare industry +27

USD 42K+

Clinical Training and Quality Specialist
United States

Cohere Health Remote-first

Adult Learning Theory Clinical Intelligence RN licensure Clinical Training Performance Reporting Prior authorization Utilization management Quality improvement RN +10

Senior Mid Full Time

USD 70K+

Director, Data Product Development
Remote

Cohere Health Remote-first

Data marts SNOMED Clinical Intelligence Data Lakes Dashboarding AI solutions CPT Prior authorization Healthcare Data +33

Exec Senior Full Time

USD 170K+

Revenue Cycle Manager
Remote

Resurgens Orthopaedics

Practice Management System NextGen practice management Practice Management Revenue Cycle Management Medical Records Prior authorization Supervisory Billing Coding +8

Senior Mid Full Time

USD 96K+

Prior Authorization Pharmacist
Remote

Clinical audits Peer-to-peer calls Pharmacy Practice Prior authorizations Clinical Criteria Clinical Review Technology Platform Prior authorization Pharmaceuticals +11

USD 108K+

UM Nurse Consultant-Reconsideration
Work At Home-Arizona

Clinical call center Clinical Judgement Benefit utilization Benefit management Long Term Care Clinical Criteria Home Health Acute care Call Center Experience +19

USD 52K+

Business Development Representative
United States

Cohere Health Remote-first

Sales Engagement Social Media Outreach Clinical Intelligence Email Campaigns Prior authorization Utilization management Healthcare Technology Clinical expertise Cold Calling +16

Entry Mid Full Time

USD 75K+

Clinical Case Manager Behavioral Health DSNP
Work At Home - Utah

Behavioral health consultation Provider coordination Clinical Case Management Community Resource Coordination Appeals Care Planning Clinical Practice Utilization Review Crisis Intervention +23

USD 54K+

Utilization Management Nurse Consultant
Work At Home-Arizona

Evidence-based clinical criteria Clinical documentation systems Clinical call center Clinical Practice Guidelines Clinical Judgement Phone Long Term Care Navigating multiple systems Clinical Criteria +22

USD 52K+

Sr/Care Manager, Patient Support Services – Remote
Northborough, Massachusetts, United States of America

Soft phone systems Shoretel Mitel Benefit Investigation Patient Support Services WebEx Insurance Verification Medical Billing Analytic +29

Entry Mid Full Time

USD 44K+

Surgery Authorization Specialist (Full Remote Eligible if Reside in Denver-metro area)
US Lone Tree

Surgical authorization Insurance eligibility Benefit Verification CPT-4 Healthcare Billing ICD-10 Prior authorization Health Insurance Healthcare +2

USD 53K+

Patient Access Specialist
USA - NC - Remote

AmerisourceBergen

Benefits Verification Benefit Verification Patient assistance Billing and Coding Appeals Medical Billing Prior authorization Patient Access Healthcare industry +26

USD 42K+

Care Manager - (Home-Based)
Northborough, Massachusetts, United States of America

Shoretel Soft phone systems Mitel Benefit Investigation Patient Support Services WebEx Insurance Verification Medical Billing Analytic +25

Entry Mid Full Time

USD 44K+

Revenue Cycle Claims Client Billing Specialist-Temp
Remote

Payer utilization management Procedure coding Modifier selection UB revenue codes Insurance collections Medical billing systems Appeals Billing and Coding Cell-free DNA +34

USD 46K+

Senior Billing Strategy Lead
Remote

Billing strategies Financial analytics PHI Privacy HIPAA/PHI Privacy PHI Healthcare Billing Cell-free DNA Business Objects Hyperion +47

Senior Full Time

USD 114K+

Senior Billing Strategy Analyst
US Remote

Billing strategies Healthcare reimbursement HIPAA/PHI Privacy PHI Privacy PHI Healthcare Billing Business Objects Cell-free DNA Hyperion +48

Senior Full Time

USD 85K+

AVP, Clinical Operations Cost of Care Strategy
Remote US

Policy Optimization Operational analytics Health Plan Experience Healthcare economics Functions Strategic direction Prior authorization Analytic Authorization +52

Exec Senior Full Time

USD 181K+

Liaison - Patient Services, Ambulatory
USA - HI - Remote

AmerisourceBergen

Retail pharmacy Copay assistance Pharmacy dispensing software Prior authorizations Patient services Patient outcomes Pharmacy Technician Specialty Pharmacy Electronic Health Records +20

USD 56K+

UM Administration Coordinator (Intermountain Region)
Work at Home - Utah

Telephonic Customer Service ICD-10 codes Electronic Medical Records ICD Utilization Review Prior authorization ICD-10 Healthcare experience Consumer Experiences +42

Entry Full Time

USD 37K+

Claims Clinical Documentation Reviewer
REMOTE OPTIONS, PHOENIX

State of Arizona

Prepayment claims review Audit reporting Medical necessity evaluation Healthcare laws Quality of care Stakeholder Coordination Policy compliance Certification Equal Opportunity +31

USD 68K+

Field Reimbursement Specialist
USA - UT - Remote

AmerisourceBergen

Buy and bill Medical benefits Patient assistance Pharmacy benefits Appeals Reimbursement support Health policy Practice Management Revenue Cycle +18

Exec Mid Full Time

USD 86K+

Certified Pharmacy Tech - Rhode Island
Rhode Island

Pharmaceutical Calculations Medication Reconciliation Medication therapy management Medication Adherence Pharmacy benefit management Pharmacy Technician Electronic Health Records Prior authorization Medication management +1

USD 40K+

Care Manager – Patient Access Support Call Center - - -Remote
Durham, North Carolina, United States of America

Benefit Investigation Telephony platform Patient services Telephony Insurance Verification Prior authorization Medical Billing Analytic Quality improvement +25

USD 46K+

Regional Access Director - Northeast
Remote (Northeast, US)

Soleno Therapeutics, Inc.

Healthcare professional collaboration Private payer policies Public payer policies Pharmacy processes Patient Support Services Patient services Prior authorization Issue Resolution Market Access +4

Exec Senior Full Time

USD 180K+

Regional Access Director - Central
Remote (Central, US)

Soleno Therapeutics, Inc.

Private payer policies Public payer policies Pharmacy processes Patient Support Services Healthcare Professional Engagement Action Planning Patient services Clinical Criteria Issue Resolution +8

Exec Mid Full Time

USD 180K+

Regional Access Director - West
Remote (West, US)

Soleno Therapeutics, Inc.

Private payer policies Public payer policies Pharmacy processes Patient Support Services Healthcare Professional Engagement Clinical Criteria Patient services Prior authorization Issue Resolution +7

Exec Senior Full Time

USD 180K+

Field Access Specialist
USA - PA - Remote

AmerisourceBergen

Insurance benefits Financial assistance Patient services Health policy Specialty Pharmacy Prior authorization Patient Access Patient Support Public speaking +13

USD 72K+

Certified Pharmacy Tech - California
California

Medication Reconciliation Pharmaceutical Calculations Medication therapy management Medication Adherence Pharmacy benefit management Pharmacy Technician Prior authorization Electronic Health Records Medication management +1

USD 42K+

Regional Medical Director
PA-Remote Li LifeStance Health

Peer consultation Psychiatric care Clinical Strategy State regulations Staff training Federal regulations Prior authorization Quality improvement Operations Management +21

Exec Senior Full Time

USD 275K+

Medical Billing/Insurance - Patient Support Call Center - Remote 11:30am - 8:00pm ET
Durham, North Carolina, United States of America

Telephony platforms Benefit Investigation Patient services Telephony platform Telephony Insurance Verification Prior authorization Medical Billing Patient Support +23

Entry Mid Full Time

USD 44K+

Integration Services Manager
Remote

Cohere Health Remote-first

Data Exchange Clinical Intelligence Interoperability Prior authorization BI Tools Data Transformation EHR Utilization management Healthcare systems +16

USD 140K+

Data Scientist Co-Op (January-June 2025)
Remote

Cohere Health Remote-first

Spark SQL Clinical programs Optimization methods Clinical Intelligence Prior authorization PySpark Statistical methods Creative Healthcare Data +15

Entry Full Time

USD 60K+

Reimbursement Specialist - Prior Authorization
Remote, CA, United States

Guardant Health

Payer portals Edi enrollment Merchant solutions Laboratory billing Healthcare reimbursement Xifin Prior authorization Insurance Claims Billing +14

Entry Mid Full Time

USD 46K+

Reimbursement Specialist - November Start Date
Remote

Prior authorization support Benefit investigations Reimbursement functions Prior authorization Negotiating Microsoft Outlook Microsoft Word Microsoft Excel Time Management +6

Entry Mid Full Time

USD 30K+

Clinical Reviewer-Immediate Advocacy (RN/LCSW)-Remote
United States - Remote

Medical record abstracting Medical Record Review Rehabilitation Prior authorization Clinical assessment Public Sector Medical Records RN Clinical Experience +16

USD 44K+

Certified Pharmacy Tech - Tennessee
Tennessee

Medication Reconciliation Pharmaceutical Calculations Medication Adherence Pharmacy benefit management Prior authorization Pharmacy Technician Electronic Health Records Medication management Healthcare

USD 40K+

Clinical Reviewer - 10-hour shift starting at 10am
Harrisburg, Pennsylvania, United States - Remote

Disease process Ncqa standards Medical record abstracting Cms standards Urac standards Telephone etiquette Medical Record Review Prior authorization Rehabilitation +24

USD 44K+

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