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35 fresh jobs found

Senior Software Engineer, Backend
Remote

Fault-tolerant systems Scalable software Technology Platform Code Quality Authentication Technical Design Reliability Golang Scalability +14

Senior Full Time

USD 158K+

Claims Quality Audit Lead
Remote

Database language Database Languages Policy Documentation Claims auditing Healthcare Claims Technology Platform Claims processing Claims Auditing +14

Senior Mid Full Time

USD 84K+

Claims Processor
Remote

Health Insurance Operations Technology Platform Public Policy Claims processing Quantitative analysis Claims Google Sheets Data Entry Health Insurance +10

Entry Mid Full Time

USD 38K+

Senior Analyst, UM Authorization Strategy
Remote

Mitigation Strategies Corporate strategy Technology Platform Dashboard Development Models Market development Management consulting Claims Claims management +31

Senior Mid Full Time

USD 69K+

Actuarial Analyst II
Remote

Health insurance concepts Actuarial Analysis Data Insights Technology Platform Quantitative analysis Utilization management Modeling Health Insurance Forecasting +12

Entry Mid Full Time

USD 65K+

Clinical Training Manager
Remote

Microlearning Technology Platform E-Learning Lean Six Sigma Clinical Training Training Programs Clinical operations Instructional Design Learning and development +21

USD 92K+

Manager, UM Authorization Strategy
Remote

Financial strategic analysis Project consulting Mitigation Strategies Automation Development Metrics Evaluation Business Process Consulting Healthcare Consulting Strategic Analysis Technology Platform +38

USD 97K+

Senior Analyst, Payment Integrity Data Mining
Remote

Healthcare Payment Integrity Database Languages Claims auditing Business Insights Technology Platform Lean Six Sigma Models Knowledge Management Data Mining +24

Senior Mid Full Time

USD 65K+

Claims Recovery Specialist
Remote

Database language Database Languages Provider communication Health care operations Payment Integrity Technology Platform Claims processing Claims Auditing +15

USD 64K+

Associate General Counsel, Litigation
Remote

Legal advice Technology Platform Talent Management Litigation Business strategy Health Insurance Regulatory Equity Regulatory Compliance +9

Senior Mid Full Time

USD 190K+

Operations, Data Analyst
Remote

Periscope Quality of care Healthcare Analytics Risk Adjustment Contract negotiations Technology Platform Models Google Sheets BI +22

USD 72K+

VP, Claims System Configuration
Remote

Benefit configuration Claims design Claims Adjudication Healthcare operations Technical Implementation Corporate strategy Technology Platform Lean Six Sigma Knowledge Management +37

Exec Senior Full Time

USD 232K+

Senior Actuarial Analyst
Remote

Performance trends Health insurance concepts Actuarial applications Actuarial Analysis Budget planning Regulatory filings Pricing strategies Technology Platform Models +12

Senior Mid Full Time

USD 82K+

Associate Director, Provider Experience Strategy
Remote

Healthcare Strategy Healthcare Consulting Technology Platform Management consulting KPI Tracking KPIs Healthcare industry Health Insurance Equity +25

Senior Mid Full Time

USD 142K+

Associate, Claims Optimization Process Improvement
Remote

Automation governance Mitigation Strategies Technology Platform Lean Six Sigma Strategic initiatives Claims Six Sigma Risk mitigation Lean +27

USD 84K+

Manager, Member & Provider Operational Compliance
Remote

Operational integrity Regulatory Audits Health Insurance Operations Team training Macros Technology Platform Lean Six Sigma Knowledge Management Six Sigma +27

Senior Mid Full Time

USD 92K+

Part-Time NY Center Physician (MD/DO)
New York, New York, United States

Health outcomes research MacBook Functional medicine DO MD Family Medicine Next Technology Platform Tech-savvy +12

USD 80K+

Senior Director, Pharmacy & Behavioral Health Program Operations
Remote

Program Evaluation Technology Platform Cost Management Models Efficiency Transformation Controls Pharmacy Regulatory requirements +24

Senior Full Time

USD 172K+

SIU Investigator (Healthcare)
Remote

Investigative Techniques Provider Contracting Technology Platform Fraud detection Claims processing Process improvements Claims Contracting Data Security +16

USD 62K+

BPO Operations Manager
Remote

BPO Management Production Management Operational improvement Technology Platform Lean Six Sigma Six Sigma Lean Root Cause Analysis Health Insurance +18

USD 76K+

Compensation Program Manager
Remote

Pay equity studies Headcount planning Compensation planning Plan Design Technology Platform Models Advanced Excel Pay equity SOX compliance +19

USD 102K+

Associate, Provider Success
Remote

Workflow Design Technology Platform Lean Six Sigma Knowledge Management Six Sigma Content development Lean Health Insurance Communications +19

USD 84K+

Analytics Engineer I
Remote

LookML Analytics engineering Data Pipeline Technology Platform Healthcare Data Data Transformation Claims Transformation Dbt +21

Entry Full Time

USD 103K+

Director, Network Contracting & Services
Remote

Provider management Healthcare Strategy Contracting Strategies Network performance Quality care Provider Contracting Network development Cost Containment Healthcare Delivery +25

Exec Senior Full Time

USD 142K+

Senior Director, Network Contracting & Services
Remote

Network Contracting Contracting Strategies Healthcare Strategy Quality care Network performance Provider Contracting Network development Provider Relations Cost Containment +28

Senior Full Time

USD 192K+

Virtual Physician (MD/DO)
Remote

Health outcomes research Functional medicine MacBook Charting DO MD Next Family Medicine Tech-savvy +15

USD 160K+

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+

Operations Analyst, Plan Loading
Remote

Medical Coding Concepts Health Plan Benefit Concepts Google Slides Google Docs Medical Coding Technology Platform HCPCS ICD-10 CPT +21

Entry Mid Full Time

USD 54K+

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+

Operations Associate, Claims Design
Remote

Claims design Claims Adjudication Technical Implementation Technology Platform Knowledge Management Models Lean Six Sigma Process design KPI development +33

USD 88K+

Team Lead, Knowledge Management Operations
Remote

Operational KPIs Insurance experience Technology Platform Knowledge Management Administrative Tasks Lean Six Sigma Operational Improvements Six Sigma KPIs +23

Senior Mid Full Time

USD 54K+

Data Scientist II
Remote

Models Technology Platform Statistical modeling Advanced Analytics Data Pipelines Data processing Health Insurance Data Modeling Technical Expertise +15

USD 131K+

Senior Manager, Data Science
Remote

Data Pipeline Development Quality care Technology Platform Models Statistical modeling Efficiency Operations Management Clinical operations Advanced Analytics +23

Senior Full Time

USD 174K+

Operations Associate, Claim Design & Configuration
Remote

Claims design Healthcare Claims Workflow Design Models Technology Platform Lean Six Sigma KPI development Claims processing Technical Design +27

USD 88K+

Physician Reviewer, Utilization Management
Remote

Medical necessity criteria Workflow Tools Evidence-Based Guidelines Clinical Review Clinical Acumen Technology Platform Utilization Review Clinical Practice Utilization management +11

Senior Full Time

USD 211K+

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