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Remote Jobs & Work From Home Opportunities (213,302)

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Manager, Eligibility & Enrollment

United States $73000 - $114K per year 2-5 yrs exp Others

The Manager will oversee daily eligibility and enrollment workflows, ensuring compliance with CMS requirements and internal SLAs for HMO, PPO, and SNP products. They will also lead, coach, and develop a team of associates while managing inventory, quality audits, and process improvements.

Senior Director, Data Governance

United States $178K - $210K per year 10+ yrs exp Others

The Senior Director of Data Governance will define and operationalize the global data governance strategy, policies, and standards across all business lines. This role involves leading a global team to implement data management, quality, and certification programs while driving organizational change through stakeholder partnerships.

Sr. Software Engineer – Backend / API Engineering

United States $110 - $120 per hour 10+ yrs exp Software Development Software Engineer

The engineer will design and implement core domain microservices on Google Cloud, including licensing, case management, and payment processing. They will also own the platform's API surface, ensuring stable contracts for mobile, frontend, and integration teams.

Revenue Specialist I (Collections)- Remote

United States $19.5 - $23 per hour 0-2 yrs exp Sales

This role involves managing the revenue cycle by processing patient insurance information, collecting on outstanding balances, and resolving payment credits. The specialist will collaborate with insurance payers and clinic staff to ensure accurate reimbursement and maintain patient account integrity.

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Executive Director - Medicare Strategy, Finance & Value Creation

United States $131K - $303K per year 10+ yrs exp Finance

The Executive Director will lead a new Strategy, Finance & Value Creation capability to improve strategic decision-making and investment discipline within the Medicare business. This role involves providing rigorous analysis and objective recommendations to senior leadership to drive measurable business outcomes and long-term strategic growth.

Associate Vice President, Medicare Advantage CFO

United States $157K - $363K per year 10+ yrs exp Finance

The Associate Vice President, Medicare Advantage CFO serves as the senior finance leader responsible for financial strategy, performance management, and bid governance across the Medicare Advantage portfolio. This role partners with business leaders to drive growth and profitability while providing integrated financial leadership and strategic decision support.

Quality Assurance Manager - Test Design Engineering

United States $60300 - $132K per year 5-10 yrs exp Software Development

The Quality Assurance Manager leads test design activities, develops quality programs, and manages testing strategies to ensure high-quality product delivery. They also oversee compliance audits, analyze performance metrics, and collaborate with cross-functional teams to drive continuous improvement.

Senior Investigator, Special Investigations Unit (Aetna SIU)

Canada, France, Trinidad and Tobago +2 more $46988 - $112K per year 2-5 yrs exp Others

The Senior Investigator conducts complex investigations into healthcare fraud, waste, and abuse by analyzing claims data and identifying aberrant billing patterns. They also collaborate with law enforcement, medical directors, and internal stakeholders to facilitate case outcomes and ensure regulatory compliance.

Manager, Network Relations

United States $60300 - $132K per year 5-10 yrs exp Others

The Manager of Network Relations serves as the primary point of contact for high-profile providers, managing complex issues related to Medicaid policies, claims, and contract interpretation. They also collaborate cross-functionally to optimize provider interactions, ensure compliance, and execute cost-management initiatives.

Program Director

United States 10+ yrs exp Product

The Program Director will provide senior leadership for major federal health programs, ensuring successful delivery, contractual compliance, and team effectiveness. They will also build trusted relationships with CMS stakeholders and support business development initiatives to drive company growth.

Korean Interpreter

United States 2-5 yrs exp Others Interpreter

Facilitate communication between Korean and English speakers by providing accurate interpretation services, particularly within the healthcare sector. Maintain professional conduct, adhere to industry-specific vocabulary, and participate in internal training.

Korean Translator

United States 2-5 yrs exp Writing Translator

Facilitate communication between Korean and English speakers in high-stakes healthcare environments. Maintain professional conduct, adhere to industry vocabulary, and report to team leadership.

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Experienced Paralegal

United States $60000 - $75000 per year 5-10 yrs exp Legal Paralegal

The paralegal will manage client communication, case documentation, and workflow progression. They are also responsible for maintaining the case calendar, preparing trial materials, and coordinating with legal staff.

Principal Security Engineer

United States $132K - $242K per year 10+ yrs exp Software Development Security Engineer

The Principal Security Engineer will define and drive the long-term security architecture and strategy across cloud, infrastructure, and application domains. They will also lead security investigations, manage the bug bounty program, and mentor engineering teams on security best practices.

Senior Platform Infrastructure Software Engineer

United States $84629 - $155K per year 5-10 yrs exp Software Development Software Engineer

The engineer will own the global Kubernetes cluster footprint, internal CI/CD build platforms, and shared infrastructure services. They are responsible for designing reusable Terraform modules, managing observability standards, and ensuring disaster recovery for the platform.

Remote SME I - Payments * Internal Only*

United States $24 - $30.55 per hour 0-2 yrs exp Teaching

The specialist supports the Payments Department by processing copay, premium, and specialty payments while managing the internal help desk. They are responsible for resolving payment inquiries, handling call escalations, and identifying trends to report to department leadership.

Technical Account Manager (Brazil - Remote)

The Technical Account Manager guides customers in integrating mathematical optimization technology into enterprise software solutions to solve complex business problems. They collaborate with sales teams to drive new business, provide architectural recommendations, and deliver technical workshops and demonstrations.

Sales Executive - UK - CCAAS Solutions

United Kingdom £100K - £140K per year 10+ yrs exp Sales

The Sales Executive is responsible for driving new business growth by identifying and closing enterprise-level opportunities for CCaaS and CX solutions. They will manage complex sales cycles, develop strategic account plans, and collaborate with cross-functional teams to deliver tailored customer solutions.

Online Travel Consultant | Entry Level

United States $30000 - $60000 per year 0-2 yrs exp Others

The consultant will design and book luxury travel experiences, including destination weddings and honeymoons, for couples. They are responsible for managing travel logistics, coordinating VIP services, and providing exceptional customer service throughout the travel process.

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Cyber Security Analyst I (Wednesday - Saturday / Noon to 10p ET shift)

United States $25 per hour 0-2 yrs exp Software Development Security Analyst

Monitor and triage cybersecurity alerts across client environments while investigating suspicious activity and potential threats. Support incident response activities, document findings, and maintain accurate security tickets while collaborating with the team.

Client Support Manager

United States 5-10 yrs exp Support

The Client Support Manager is responsible for managing day-to-day client relationships, account plan execution, and driving strategic engagement within an assigned book of business. They act as a primary liaison across cross-functional teams to ensure operational issue resolution and translate data analytics into actionable insights for client growth.

Property Claims Quality Assurance Supervisor (Remote)

United States $115K - $125K per year 5-10 yrs exp Software Development

The supervisor leads a team of quality assurance representatives to ensure claim file accuracy and compliance with regulatory standards. They are responsible for developing quality policies, managing department workflows, and overseeing audits while providing feedback for continuous improvement.

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