Manage the Ready to Bill queue to ensure accurate and timely creation of claims and invoices. Coordinate with branch staff to resolve billing documentation issues and ensure compliance with payer guidelines.
Remote Jobs & Work From Home Opportunities (205,690)
Drive test planning and execution for healthcare payer systems, focusing on claims processing, enrollment, and EDI transaction flows. Manage the defect lifecycle and coordinate with cross-functional teams and offshore QA analysts to ensure quality.
Lead end-to-end testing delivery and define test strategies for U.S. healthcare payer platform implementations and regulatory releases. Manage offshore QA teams and serve as the primary point of contact for client stakeholders regarding quality outcomes and risk.
Contribute to the CRM marketing strategy to increase user engagement and execute campaigns across email, push, and in-app channels. Track performance metrics and stay current on industry trends to refine campaign execution.
Lead the strategic direction and performance of digital marketing channels, with a primary focus on email and affiliate marketing to drive revenue. Manage cross-channel integration and guide the digital marketing team to optimize customer acquisition and conversion rates.
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Lead the full enterprise sales lifecycle to drive profitable growth within the healthcare segment through strategic new business acquisition and cross-selling. Build C-level relationships and design tailored, integrated service solutions to solve complex client challenges.
The FSO manages and coordinates DoD and agency industrial security programs to ensure compliance with government and company policies. Key duties include processing personnel security clearances, maintaining DCSA documentation, and conducting security briefings and audits.
The role focuses on detecting, investigating, and responding to security threats across endpoint and server environments. It involves automating protection tasks and partnering with IT teams to enhance vulnerability management and system hardening.
Lead the strategic vision and evolution of enterprise reliability, observability, and resilience practices across IT systems. Collaborate with engineering teams to embed reliability into architecture and drive the adoption of Service Level Objectives.
Human Services Director
Liberty Healthcare Corporation
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Full Time
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17 hours ago
Liberty Healthcare Corporation
Oversee a statewide program to enhance Home and Community Based Services for older adults and individuals with disabilities in Maine. Lead a start-up initiative, manage a team of 12 remote Quality Reviewers, and improve critical incident reporting systems.
Build and maintain guest-facing web experiences for a global QSR platform, focusing on ordering, payments, and loyalty features. Collaborate with cross-functional teams to implement AEM headless content and integrate backend APIs while ensuring high performance and accessibility.
Design and build scalable middleware services for digital ordering, payments, and loyalty using serverless AWS architectures. Leverage AI-assisted development tools to generate code, refactor, and maintain high-quality Node.js/TypeScript microservices.
Design and maintain automated test suites for serverless middleware services and event-driven architectures on AWS. Integrate quality gates into CI/CD pipelines and utilize AI-assisted tools for test generation and failure analysis.
Build and maintain guest-facing web experiences for a global QSR platform, focusing on ordering, payments, and loyalty features. Collaborate with cross-functional teams to implement Figma designs and integrate backend APIs using a headless architecture.
Manage assigned territories by maintaining customer relationships and implementing sales strategies to increase revenue. Focus on delivering continuous improvement projects and achieving annual sales targets through new applications and volume increases.
Public Benefit Specialist
Ensemble Health Partners
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Full Time
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17 hours ago
Ensemble Health Partners
Interview uninsured or under-insured patients to determine eligibility for Medicaid or financial assistance programs. Coordinate the application process and follow up to ensure timely billing and adjustment processing.
The representative is responsible for managing sales and providing service within a designated territory. This involves maintaining client relationships and driving business growth.
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Manage technology and operations incidents by establishing response playbooks, coordinating recovery activities, and conducting post-mortem analyses. Oversee the production release process for critical client-facing applications to ensure adherence to change management policies and quality objectives.
Manage digital channels and electronic payments relationships with financial institutions across North America to drive product adoption and retention. Act as a client advocate by facilitating operational escalations and collaborating with internal business units to increase revenue and client satisfaction.
Innovate and build new systems while leading the technical roadmap to increase product delivery velocity. Provide thought leadership, mentor engineers, and collaborate with product managers to solve complex enterprise-class business problems.
System Test Engineer Senior
General Dynamics Information Technology
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Full Time
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17 hours ago
General Dynamics Information Technology
The role involves reviewing system and security requirements to create test plans, cases, and traceability for cybersecurity-focused systems. Responsibilities include executing system and integration testing, documenting results, and collaborating with engineers to resolve defects.
Provide service delivery oversight including technical risk, incident, and vendor management while designing engineering solutions for complex business problems. Govern supplier execution, validate defect reporting, and ensure infrastructure and security standards are met.
Participate in a 24-month rotational program focusing on various IT disciplines including application development, security, and data science. Work on complex technical and business problems while building a professional network of mentors and peers.
This player/coach role involves coaching and mentoring Client Relationship Managers while managing a book of business for small and mid-sized companies. The position focuses on driving strategic growth, improving client experience, and executing client retention strategies.
Provide virtual medical consultations to patients in Mississippi, including diagnosing and treating medical conditions. Responsible for prescribing medications and offering ongoing support and guidance to patients.
Responsible for evaluating total loss claims by conducting investigations, assessing vehicle damage, and determining fair market value. The role involves negotiating settlements with policyholders and coordinating documentation with lienholders.
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The specialist is responsible for investigating and responding to clinical appeals and grievances from members and providers. This includes classifying cases, collaborating with other departments, and participating in regulatory site visits.
Field Sales Representative (Multi-Family)- South West Portland
HD Supply
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Full Time
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17 hours ago
HD Supply
Responsible for driving profitable sales growth by managing an established portfolio of multi-family housing customers and prospecting new accounts. The role involves developing strong relationships with decision-makers and implementing plans to expand business presence in the assigned area.
Responsible for the administration, implementation, and maintenance of enterprise applications to ensure reliability and security. Collaborates with cross-functional teams and vendors to deploy solutions and troubleshoot technical issues across various platforms.
The role serves as a key escalation point for global mobility cases, partnering with stakeholders to resolve employee and vendor inquiries. It involves providing operational support for international assignments, managing exception requests, and ensuring alignment with policy and SLAs.
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