Responsible for screening, reviewing, and adjudicating paper and electronic claims to determine payment or denial based on organizational policies. The role involves resolving claim edits, performing quality control reviews, and handling adjustments resulting from audits or appeals.
Remote Jobs & Work From Home Opportunities (201,222)
Responsible for obtaining prior authorizations from third-party payers to ensure reimbursement for scheduled services. This includes verifying insurance benefits, maintaining EMR records, and coordinating clinical information with other departments.
Assists in the analysis, design, coding, testing, and implementation of less complex application enhancements and systematic solutions. Provides general production support and technical assistance to maintain system availability and performance.
Perform non-clinical quality audits of transactions to ensure compliance with regulatory guidelines and contractual performance guarantees. Maintain accurate audit documentation and communicate findings to internal and external customers.
Develop and maintain relationships with Life Science customers to generate purchase orders and meet annual sales goals. Support all aspects of sales and marketing, including market research, lead generation, and identifying unique IP opportunities.
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Program Manager Technology & Strategic Initiatives
Boundless Network
·
Full Time
·
18 hours ago
Boundless Network
Oversee a portfolio of strategic business and technology initiatives to bring structure and clarity to ambiguous organizational processes. Partner with leadership to align product roadmaps with business goals and drive cross-functional execution across software development lifecycles.
Design and implement Snowflake-native data architectures and complex end-to-end data pipelines using services like Dynamic Tables and Snowpipe. Lead technical design, mentor junior engineers, and collaborate with stakeholders to deliver scalable data products.
Support business development efforts within the aerospace and defense industry. Research, identify, and evaluate companies providing services to federal agencies.
Provide non-clinical administrative support for utilization management, including managing chart reviews and building authorizations. Coordinate with providers and members via phone and written correspondence to verify clinical information and distribute determination letters.
Manage the implementation and annual updates of Group Medicare (EGWP) product offerings from development through CMS approval. Coordinate cross-functional efforts to ensure accurate benefit documentation, compliant member communications, and operational excellence.
The Territory Sales Manager is responsible for driving sales growth and market share within a specific geographical area by executing strategic sales plans. This includes prospecting new business opportunities, maintaining strong customer relationships, and collaborating with internal teams to ensure a seamless customer experience.
The role involves designing, developing, and deploying integrations between Workday and other systems across HCM, Financials, and Payroll domains. Responsibilities include full lifecycle project support, troubleshooting integration issues, and collaborating with cross-functional teams.
Develop sales and brand awareness among professional users in the South East of France, focusing on sectors like landscaping, forestry, and sports. Manage leads via CRM, conduct product demonstrations, and support the dealer network to increase autonomy and sales.
Sales and Customer Support Consultant (m/f/d) - Spanish or French and English speaking
IDEXX
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Full Time
·
18 hours ago
IDEXX
Act as the primary point of contact for customer inquiries and manage accounts within an assigned region. Coordinate end-to-end processes with internal teams and maintain high-quality customer data in Salesforce.
The role involves negotiating clinical trial agreements, budgets, and payment terms with assigned sites. It also requires managing invoicing, reporting, and collaborating with internal teams to improve site budgeting and contracting metrics.
Oversee and manage clinical trial activities to ensure adherence to protocols, regulatory requirements, and GCP standards. Conduct site visits to assess performance, resolve issues, and collaborate with cross-functional teams for accurate data reporting.
Manage day-to-day clinical trial operations, ensuring adherence to timelines, budgets, and quality standards. Collaborate with cross-functional teams and investigators to implement protocols and maintain regulatory compliance.
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The Site Specialist II manages site support activities, including document collection, review, and maintenance to ensure compliance. They act as the primary operational liaison for site staff and maintain clinical trial metrics and milestones.
The role involves conducting site qualification, initiation, monitoring, and close-out visits for clinical trials. Responsibilities include ensuring protocol compliance, data integrity, and collaborating with investigators to maintain high-quality clinical data.
Oversee the planning and execution of clinical supplies projects to ensure timely delivery and regulatory compliance. Collaborate with cross-functional teams to optimize budgets, timelines, and logistics for clinical trial supply management.
The role involves coordinating and administering clinical trials while ensuring compliance with regulatory requirements and protocols. Key tasks include maintaining study documentation and collaborating with cross-functional teams to ensure smooth trial execution.
Lead site start-up and activation tasks, including feasibility assessments, contract negotiations, and regulatory submissions. Ensure patient welfare by reviewing informed consent forms and maintaining high quality and compliance standards.
The role involves preparing, verifying, and executing invoicing and reporting for an assigned portfolio of accounts. It also requires reconciling accounts, investigating discrepancies, and collaborating with the Revenue team to ensure timely billing.
Lead the initiation of clinical trials by managing site start-up and activation activities. This includes collecting and reviewing essential documents and collaborating with internal teams and CROs to meet SSU metrics.
The role focuses on clinical trial site management and monitoring activities in compliance with GCP guidelines and SOPs. Key tasks include executing qualification, initiation, routine, and close-out visits while maintaining trial master files.
The Contracts Manager is responsible for drafting, reviewing, and redlining legal and business terms for commercial services within the US business unit. They manage a high volume of contracts of various complexities while collaborating with stakeholders to implement contracting efficiencies.
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Provide strategic medical and scientific expertise in hematology-oncology to support proposal development, protocol design, and clinical development plans. Act as a subject matter expert and consultant throughout the research and development lifecycle to guide project teams and sponsors.
Support the sales team by managing customer inquiries and streamlining the process from initial quote to signed sales order. Maintain CRM accuracy and coordinate with internal pricing teams to ensure high-quality support for enterprise clients.
Junior Inside Sales Representative — (Remote) EMEA
Blue Yonder
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Full Time
·
18 hours ago
Blue Yonder
Support Enterprise Account Managers by identifying expansion opportunities and managing a small pipeline of in-quarter deals. Execute outbound prospecting and maintain accurate activity data within Salesforce to drive revenue growth.
Drive incremental revenue growth by engaging existing customers and prospecting into coverage gaps. Partner with Enterprise Account Managers to qualify and advance expansion opportunities through the sales pipeline.
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