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215 fresh jobs found

Utilization Management Review Nurse
Remote US, United States

Interpreting Criteria Health Plan Experience Clinical Nursing Rehabilitation Medical Services Health outcomes Acute care Consumer Experiences Registered Nurse +46

USD 71K+

Lead Enterprise Architect
Remote US, United States

Healthcare payer domain Business capabilities Value streams Hybrid Architecture Portfolio Rationalization Total Cost of Operations Technical innovation IT leadership IT Architecture +82

Senior Full Time

USD 142K+

Senior Full Stack Software Engineer
Remote US, United States

Holistic approach TDD Vue.js Test Driven Development Consumer Experiences Back-End Development Efficiency Node Software Applications +60

Senior Full Time

USD 106K+

Claims Research & Resolution Representative
Work at Home - Kentucky, United States

Administrative processes CRM Technology CAS LESS Administrative Tasks Mathematical Listening Claims processing Claims +33

Entry Mid Full Time

USD 43K+

Senior Program Delivery Professional
Remote US, United States

Report creation Program delivery Interoperability Healthcare IT EHR Healthcare experience EPIC Validation EMR +36

Senior Mid Full Time

USD 86K+

Manager, Customer Success
Remote US, United States

Performance Tracking Risk KPI Tracking Strategic initiatives CRM Tools BI Travel Accountability Visualization +54

USD 86K+

MarketPoint Senior Sales Compliance Professional
Remote US, United States

Metrics and reporting Regulatory Analysis Metrics Reporting Investigative CMS Risk Healthcare services Vision Wellness +32

Senior Mid Full Time

USD 86K+

Support Representative, Customer Success
Remote US, United States

Lucid Strategic execution Financial tracking Rating Process Flows Process documentation Operational Support Administrative Tasks Efficiency +67

USD 44K+

Senior Data Scientist
Remote IL CHI METRO, United States

Time Series DataRobot Gradient boosting Random Forest Regression analysis Statistical models Cluster analysis Predictive models Neural Networks +81

Senior Full Time

USD 129K+

Senior Therapeutic Specialist, HIV Treatment - Virginia
US - VA - offsite, Estados Unidos

Gilead Sciences

HIV Treatment Clinical updates Disease Awareness Healthcare Sales Therapies Public health Business Planning Vision Dental +20

Senior Full Time

USD 133K+

Senior Data Scientist – Model Risk Management
Remote US, United States

Statistical Analytics Analytic Data manipulation Risk Predictive Modeling Data Mining SAS Presentations BI +48

Senior Mid Full Time

USD 117K+

Financial Analytics Professional
Remote US, United States

Interpreting Data Financial analytics Microsoft Power BI Analyzing Risk Adjustment Valuation Actuarial Risk SAS +37

Senior Mid Full Time

USD 66K+

Senior IT Portfolio Manager
Remote US, United States

IT portfolio management Apptio Service Now IT leadership Budget planning Power Automate Budget development TDD LESS +70

Senior Full Time

USD 106K+

Content Strategy Lead
Remote US, United States

Editorial Calendar Management Content governance IVR Consumer Experience Human-centered design Due Diligence Healthcare experience Visual design Functions +47

Senior Full Time

USD 104K+

Fraud and Waste Investigator
Remote US, United States

Healthcare payment methodologies MS Access Investigative Ethics Process Development Investigations MS Word Business Operations Claims processing +41

USD 65K+

Software Development Engineer in Test- SDET
Remote US, United States

Streaming technologies Azure Cloud Data Models Cloud-native solutions Security Testing Health outcomes Microservices architecture Quality Engineering .NET Core +66

Senior Full Time

USD 106K+

Care Manager, Telephonic Behavioral Health
HGB SCA Remote TX, United States

Comprehensive care planning Telephonic care management Educational program coordination Solution-oriented approaches Community resource identification Tricare Clinical Nursing Care Planning Motivational interviewing +59

USD 59K+

Financial Reporting Professional
Remote US, United States

Trend analytics Consumer Experiences BI Healthcare services Vision Wellness Dental Regulations Financial reporting +29

USD 65K+

Utilization Management Behavioral Health Professional
HGB SCA Remote KY, United States

Autism spectrum disorder Interpreting Criteria Tricare Applied Behavioral Analysis Medical Services CPT codes Prevention Productivity Process Management +48

USD 65K+

Senior Process Improvement Professional
Remote US, United States

Graph Creation Lucid NCQA Business practices Business Process Operational processes Lean Six Sigma Consumer Experiences Process design +54

Senior Full Time

USD 78K+

Value-Based Programs Compass Analyst
Remote US, United States

Tables SQL queries Production Support Analyzing Interoperability Pivot Tables Healthcare Data Population health Consumer Experiences +52

Entry Full Time

USD 59K+

Data and Reporting Professional
Remote US, United States

Self-Service Tools Consumer Experience Development programs Qlikview Home health services Medication Adherence KPI KPI Analysis Microsoft Office Applications +61

USD 60K+

Case Manager- Sheboygan and Ozaukee Counties
Work at Home - Wisconsin, United States

Health and Wellness Coordination Driver safety program Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39

USD 53K+

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

Driver safety program Healthcare Coordination Social service care management Community integration Family Care Prevention Social services Health and wellness Human services +39

USD 53K+

Case Manager, LaCrosse, WI
La Crosse, United States

Electronic Case Note Documentation Electronic Information Applications Social service agencies Microsoft Office Word Health promotion Driver safety program Community Health Care Planning Family Care +47

USD 53K+

Clinical Programs Pharmacy Technician Representative 2
Remote US, United States

Call center processes Insurance processing Medication therapy Bilingual English and Spanish Development programs Home health services Medication Adherence Clinical programs Prescription +35

USD 40K+

Growth Strategy Consultant
Remote NY NYC METRO, United States

Strategy Consulting Articulate Research and Analysis Medicare Advantage Investment Banking Qualitative analysis Strategy Development Collaborative Enrollment +41

USD 94K+

Associate Director, Regulatory Affairs Advertising and Promotion
US - MD - offsite, Estados Unidos

Gilead Sciences

Promotional Review Labeling FDA regulations Strategic Guidance Commercial Strategy Regulatory Submissions Regulatory Affairs Therapies Vision +20

Senior Mid Full Time

USD 165K+

Pharmacy Claims Representative
Remote US, United States

Dispensing systems Electronic claims submissions Pbm systems Pharmacy Claims Workflow enhancement Claims Adjudication PBM Prescription Billing Systems +37

Entry Mid Full Time

USD 40K+

Director, Clinical Pharmacy
Remote US, United States

Drug Utilization Analysis Formulary Development Pharmacy benefit management Clinical pharmacy Development programs Home health services Medication Adherence PBM Corporate Communications +44

Exec Senior Full Time

USD 168K+

Lead Data Product Manager
Remote US, United States

Metrics Production Trend reporting Systems Development Life Cycle Genesys ADO Problem Analysis Consumer Experience Project leadership Software development life cycle +59

Senior Mid Full Time

USD 126K+

Internal Audit Director, Insurance Segment
Louisville - KY, United States

Audit Methodology Audit tools Consulting Services Business Process Control Consumer Experiences Internal Audit Ethics Risk +43

Entry Senior Full Time

USD 168K+

Senior Medical Science Liaison - Boston (Oncology - Breast Team)
US - MA - offsite, Estados Unidos

Gilead Sciences

Scientific Discussions Healthcare Professional Engagement Data Presentation Medical Science Liaison Medical science Clinical Information Therapies Sales Training Clinical trials +25

Senior Full Time

USD 191K+

Encounter Data Management Professional
Remote US, United States

Encounter data Microsoft SQL Healthcare Claims CAS Compliance Standards Cross-functional Teamwork Analytical tools SAS Verbal and written communication +45

Entry Mid Full Time

USD 65K+

Senior Market Finance Professional
Remote US, United States

Statistical platforms Large data sets Rating MS Access Reporting tools PC MS PowerPoint Clinical operations Data Warehousing +48

Senior Full Time

USD 78K+

Senior IT Internal Auditor
Remote US, United States

Multi-cloud environment MS Azure IT Audit COBIT Microsoft Office Applications PCI Operational processes Investigative Consumer Experiences +71

Entry Mid Full Time

USD 94K+

Principal Medical Science Liaison (Liver Disease) - Los Angeles
US - CA - offsite, Estados Unidos

Gilead Sciences

Liver Disease Educational presentations Clinical presentations Healthcare Provider Engagement Medical Science Liaison Competitive Intelligence Medical science Clinical operations Strategic initiatives +24

Senior Full Time

USD 221K+

Business Intelligence Engineer
Remote US, United States

Dashboard Tools SQL programming Microsoft SQL ADO SQL queries Microsoft SQL Server Consumer Experiences Efficiency Azure DevOps +43

USD 66K+

Behavioral Health Strategy Principal
Remote US, United States

Quality Initiatives Clinical Decision Making Evidence-Based Approaches Development programs Chronic Condition Management Home health services Clinical programs Collaborative relationships Health outcomes +77

Senior Full Time

USD 138K+

Long Term Care Functional Screen Manager & Liaison
Work at Home - Wisconsin, United States

Functional screening Long Term Care Family Care Microsoft Office Applications Health Services BI Policy Development Travel Network +39

USD 71K+

Senior Medical Science Liaison - Northern, CA (Oncology - Breast Cancer)
US - CA - offsite, Estados Unidos

Gilead Sciences

Scientific Discussions Healthcare Professional Engagement Data Presentation Project Support Medical Science Liaison Medical science Clinical Information Therapies Clinical trials +24

Senior Full Time

USD 191K+

Medicare Sales Field Agent- Camden County, NJ
Remote PA PHLD METRO, United States

Grass Roots Marketing Telephonic Interactions Medicare Sales Medicare products Prescription Driver safety program Multilingual Rating Annuity +40

USD 35K+

Regional Sales Director, Oncology - New England
US - MA - offsite, Estados Unidos

Gilead Sciences

Sales Force Effectiveness Pharmaceutical marketing Customer focus Clinical updates Resource Management Disease Awareness Therapies Sales Management Vision +26

Exec Senior Full Time

USD 205K+

Senior Medical Science Liaison - Pacific Northwest (Oncology - Breast Cancer)
US - WA - offsite, Estados Unidos

Gilead Sciences

Clinical Information Dissemination Scientific Discussions Data Presentation Healthcare Provider Engagement Medical Science Liaison Medical science Clinical Information Therapies Clinical trials +25

Senior Full Time

USD 191K+

Medical Director - Southeast Region
Remote US, United States

Post-acute services Outpatient services Grievance and appeals processes Clinical group practice management Inpatient rehabilitation Commercial health insurance Coding practices Medical background Hospitalist +82

Exec Senior Full Time

USD 223K+

Sr Director, Project Toxicologist
US - NJ - offsite, Estados Unidos

Gilead Sciences

Scientific assessment Regulatory Writing Toxicology Research and development Drug Development Clinical Development Therapies Vision Dental +15

Senior Full Time

USD 237K+

Sr. Field Reimbursement Manager – HIV Prevention Jackson, MS
US - MS - offsite, Estados Unidos

Gilead Sciences

Claims Submissions Payer policies Strategic Education Prior authorization Therapies Patient Support Patient Access Market Access Vision +20

Senior Mid Full Time

USD 153K+

Lead Software Engineer
Remote US, United States

Java Spring Visual Studio Code Api gateways Development programs IntelliJ Home health services Azure Cloud Medication Adherence Stakeholder Alignment +67

Senior Full Time

USD 129K+

Senior Provider Education Professional (Medicaid)
Remote US, United States

Managed healthcare contracts Learning design principles Template design Health Plan Operations Microsoft Office Word Learning Design Matrixed environment Provider Relations Provider education +44

Senior Full Time

USD 78K+

Business Support Coordinator
Work at Home - Wisconsin, United States

Long Term Care Family Care Presentations Network Administrative Administrative Support Databases Healthcare services Wellness +31

Entry Full Time

USD 38K+

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