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Medicare Advantage Remote Jobs

79 fresh jobs found

Sr. Software Engineer
Remote, USA

System Troubleshooting Health Services Technology Testing practices Platform design Deployment Pipelines Microservice architecture Spinnaker Retool Nest.js +19

Senior Full Time

USD 150K+

Clinical Care Reviewer - Board Certified Behavioral Analyst
Dayton WFH, United States

ASAM Change resiliency Evidence-based care systems Medical advisement Durable Medical Equipment LSW Medical Necessity Review Proper grammar usage Phone Etiquette +44

USD 61K+

Customer Care Specialist I (Must live in Ohio)
Ohio WFH, United States

Professional Phone Etiquette Typing 35 WPM Phone Etiquette Windows Environment Customer Care Grammar Computer Proficiency Eligibility Credentialing +20

USD 35K+

SQL Developer II
Work From Home - AZ, United States

Indexes Execution Plans Responsiveness Triggers Cloud Platforms AWS Stored Procedures ETL tools Ethical Standards T-SQL +40

USD 61K+

Provider Engagement Specialist III
Mississippi WFH, United States

Provider Recruitment Health analytics Provider network Provider network management Critical Listening Provider Contracting NCQA Engagement Strategies Provider engagement +41

Senior Full Time

USD 63K+

Manager - M&A Data Acquisition and Integration
Dayton WFH, United States

Healthcare payer TOGAF Population health System Configuration Technical Specifications Project Planning Business Requirements Eligibility Utilization management +42

USD 92K+

Manager, Population Health
Waltham Massachusetts Office, United States

Healthcare operations Google Sheets Looker Health Insurance SQL Analytics Operations Healthcare Excel +6

USD 74K+

Broker Manager
Fully Remote - Utah, United States

Medicare marketing Broker relations Medicare Knowledge Broker Environment Marketing Strategy Sales Management Medicare Health Insurance Data & Analytics +14

USD 65K+

SAP Functional Analyst – Systems Analyst III
Dayton WFH, United States

Functional design Requirements Elicitation SAP S/4HANA Facets Process modeling Technical Specifications User Acceptance Testing Continuous delivery Software development lifecycle +37

Senior Mid Full Time

USD 92K+

Vice President, Corporate Controller
Innovation Center-13736, United States

People & Culture Audit Coordination Succession Planning Variance analysis Risk Analysis Revenue Recognition Resource Allocation GAAP Financial reporting +12

Exec Senior Full Time

USD 203K+

Provider Network Manager
Fully Remote - Utah, United States

MS Suite CMS star measures Provider servicing Provider management Network development Provider Relations Oral communication Google Suite Contract Negotiation +14

USD 75K+

Vice President of Affiliate Marketing (Lead Generation)
Remote (United States)

Campaign Operations Performance Media Partnership strategy Market Trends Analysis Campaign Optimization Affiliate Marketing Digital Advertising Performance Marketing Lead Generation +9

Senior Full Time

USD 180K+

Performance Marketing Manager — Media Buyer
Remote (United States)

Microsoft Ads PPC Keyword Research Campaign Optimization Media Buying Google Ads Digital Advertising Performance Marketing Google Sheets +7

USD 70K+

Senior Compliance Analyst
Work From Home - AZ, United States

Ethical Standards Regulatory knowledge Accuracy Audit Management Issue Resolution Microsoft Teams Collaborative Leadership Development Conflict Resolution +19

Senior Full Time

USD 55K+

Vice President, Data and AI Governance
HQ2-3251, United States

Data-Driven Culture AI Governance AI models Healthcare Data Stakeholder Collaboration Data Quality Technical Documentation Data Governance Data Management +11

Exec Senior Full Time

USD 203K+

Senior Manager, Payment Integrity Data Analytics
Dayton WFH, United States

Decision support Payment methodologies Operational reporting ICD10 Apc Strategic management Critical Listening Business solutions Healthcare policy +59

Senior Full Time

USD 92K+

Sr. Director, Product - Referral & Network Optimization
Massachusetts, United States

Referral management Network optimization Customer Discovery AI Applications Healthcare operations Value-based care Healthcare administration Healthcare Technology Competitive analysis +13

Senior Full Time

USD 165K+

Product - VBC Solutions Vice President
Massachusetts, United States

Clinical service line development Customer Discovery Strategic growth Strategic development Product Lifecycle Clinical Leadership Risk Adjustment Value-based care User Stories +21

Exec Senior Full Time

USD 188K+

Associate Vice President, Quality Operations(Preferred Managed Care Experience)
Dayton WFH, United States

Systematic Thinking Strategic management Healthcare quality Critical Listening Problem identification NCQA HEDIS Accreditation Resolution +25

Senior Mid Full Time

USD 150K+

FWA Investigator, Dental Services
Work From Home - AZ, United States

Claims Data Analysis Dental CPT Coding Investigative strategies Ethical Standards Detail Orientation Strategic Fraud detection Data Mining CPT +19

USD 55K+

AVP, Accounting(Preferred Managed Care Experience)
Dayton WFH, United States

Internal Control Framework FAS Accounting Concepts CMS Certification Team building Interpersonal Communication ERP systems Internal Controls +23

Exec Senior Full Time

USD 150K+

Manager, EPMO Business Analysis
Texas WFH, United States

Healthcare payer Business Architecture Budget Forecasting Requirements Management Mergers and acquisitions Resolution Continuous delivery Certification Six Sigma +36

Senior Mid Full Time

USD 92K+

EDI/Edifecs Application Developer III
Dayton WFH, United States

Healthcare EDI UML modeling Onbase Edifecs UML Software troubleshooting Facets EDI OOP +44

Senior Mid Full Time

USD 81K+

Patient Engagement Specialist
Illinois, United States

Telephonic Outreach Patient Engagement Healthcare Knowledge Patient Education Coding Time Management Customer service Organization Project Management +1

Entry Mid Full Time

USD 39K+

Part Time-Associate Medical Director(Required Weekends)
Dayton WFH, United States

Prior authorization reviews Clinical appeals support Clinical case review Medical consultation Performance evaluations Systematic Thinking Clinical appeals URAC Data Sharing +31

Senior Mid Part Time

USD 191K+

MBB Care Manager - Ohio, Indiana, and/or Georgia Based RN's
Dayton WFH, United States

Healthcare resource management Maternity care Inter-disciplinary care team Person-centered planning Clinical Standards Health Assessments Critical Listening Trauma-Informed Care Health Equity +42

USD 61K+

Transition of Care Manager -RN or LSW - Must live in MS
Mississippi WFH, United States

Inter-disciplinary care team LSW Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +44

USD 55K+

Remote Medical Director, Grievances & Appeals
Dayton WFH, United States

Clinical case review Medical consultation Performance evaluations Clinical appeals Systematic Thinking URAC Cultural Sensitivity Data Sharing Critical Listening +31

Exec Senior Full Time

USD 191K+

Client Engineer III
Mississippi WFH, United States

Inter-disciplinary care team Interdisciplinary Team Collaboration Person-centered planning Health Assessments Critical Listening Clinical Standards Health Equity Trauma-Informed Care Culturally competent care +46

Senior Mid Full Time

USD 61K+

Sr Manager, Provider Data Operations Implementation (Implementation experience a must)
Dayton WFH, United States

Provider data management Contract administration Provider Relations Healthcare Regulations Prior authorization Healthcare administration Project Planning Credentialing Enrollment +50

Senior Full Time

USD 92K+

Care Manager NICU - RN
Mississippi WFH, United States

Inter-disciplinary care team NICU Person-centered planning Telephonic Communication Critical Listening Clinical Standards Health Equity Trauma-Informed Care Disease Management +43

USD 55K+

Provider Network Manager
Fully Remote - Pennsylvania, United States

CMS star measures Provider servicing Provider management VLOOKUP Network development Pivot Tables Microsoft Suite Spreadsheets Google Suite +14

USD 80K+

VP Customer Success, Enablement
HQ2-3251, United States

KPI implementation Customer onboarding Healthcare administration Project delivery Cross-functional Leadership AI solutions Healthcare Technology Process Optimization Operational Excellence +10

Exec Senior Full Time

USD 203K+

Community Outreach Specialist
Fully Remote - Virginia, United States

Medicare marketing Community-Based Marketing Agile Work Environment Medicare Advantage Community outreach Team Player Social Work Marketing strategies Medicare +12

USD 60K+

Broker Manager
Fully Remote - Washington, United States

Broker Environment Marketing Strategy Medicare Sales Management Health Insurance Data & Analytics Relationship building Analytics Operations +10

USD 70K+

Broker Manager
Fully Remote - Pennsylvania, United States

Broker Environment Marketing Strategy Medicare Sales Management Health Insurance Data & Analytics Relationship building Analytics Operations +10

USD 65K+

Provider Network Manager
Fully Remote - Washington, United States

CMS star measures Provider servicing Provider management VLOOKUP Network development Pivot Tables Microsoft Suite Spreadsheets Google Suite +14

USD 80K+

Compensation Analyst II
Dayton WFH, United States

Job title assignment Salary research Certification Prioritization Analysis Microsoft Office Attention to detail Research Customer service +9

Entry Mid Full Time

USD 61K+

Grievance & Appeals Specialist II (Indiana or Ohio WFH))
Indiana WFH, United States

Clinical appeals Phone Etiquette Facets UAT UAT testing Resolution Healthcare Knowledge Certification Claims +25

USD 40K+

Service Integration Analyst I
Dayton WFH, United States

Claims knowledge Proper grammar usage URAC NCQA Customer Care Accreditation Certification Visio Instructional Design +25

USD 46K+

Manager of Marketing Engagement and Automation
Dayton WFH, United States

Preference management Campaign integration User Experience Research Microsoft dynamics 365 Provider engagement Technology Trends Campaign Execution Creative Problem Solving Certification +36

Senior Mid Full Time

USD 81K+

Bilingual Community Outreach Specialist
Fully Remote - Florida, United States

Agile Work Environment Community-Based Marketing Medicare Compliance Medicare Advantage Community outreach Marketing strategies Medicare Bilingual Health Insurance +10

USD 60K+

EDI Application Architect II
Dayton WFH, United States

Tidal job scheduling Edifecs C programming Facets Technical evaluations Dynatrace MS SQL Application Architecture EDI +45

Senior Full Time

USD 92K+

Sr. Salesforce Administrator - Healthcare (St. Louis)
Missouri, United States

System Audits Workflow Automation Data Security Technical Documentation Coding User Experience Data Management Process Improvement CRM +5

Senior Mid Full Time

USD 98K+

Clinical Systems Application Architect III
Dayton WFH, United States

Aerial medecision 275/278 Interoperability techniques Healthedge Clinical IT Care management packages 278 ADT Server technologies +80

Senior Full Time

USD 110K+

Summer Internship 2025 - Data Science
Dayton WFH, United States

Predictive analysis Certification Network Statistical analysis Microsoft Office Suite Outlook Data Visualization Data Science Access +13

Entry Internship Full Time

USD 35K+

Certified Medical Assistant | Remote | $17/hour | Starts 5/8/25
United States

Medical Assistant Compassion Guidelines Protocols Electronic Medical Records Medical terminology Microsoft Outlook Data Entry Clinical +4

USD 34K+

Registered Nurse (RN) | Work from home | $34/hr | Starts 5/5/25
United States

Computer-based Algorithms Triage Assessments Nursing process Telephonic assessments Guidelines Protocols Health education Registered Nurse Triage +9

USD 68K+

Service Integration Analyst II
Dayton WFH, United States

Accreditation Requirements Business Integration Healthcare payer Lean Six Sigma Accreditation Technical Specifications Six Sigma Certification Business Processes +23

Entry Mid Full Time

USD 55K+

Behavioral Health Medical Director
Dayton WFH, United States

Clinical care standards Safe Prescribing Healthcare data analysis Systematic Thinking URAC Critical Listening Clinical Leadership NCQA Provider Relations +30

Exec Mid Full Time

USD 191K+

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