The Case Review Specialist manages clinical documentation and processes pre-authorization requests to ensure timely determinations. They collaborate with clinical and non-clinical staff to facilitate case discussions and maintain internal systems.
Remote Jobs & Work From Home Opportunities (205,516)
Manage high-volume inbound calls to facilitate case intake and documentation for cancer treatment reviews. Act as a liaison between providers and internal clinical teams to ensure cases progress according to established timelines and quality standards.
Lead the design and continuous improvement of non-clinical operations processes within the utilization management business unit. Focus on optimizing case intake, workflow efficiency, and leveraging data-driven decision-making to improve client outcomes.
The Medical Director provides clinical oncology expertise primarily focused on performing prior authorization reviews for chemotherapy treatment requests. They also collaborate on strategic initiatives involving real-world oncology data and contribute to research projects and publications.
Provide clinical expertise in radiation oncology to perform prior authorization reviews and conduct peer-to-peer consultations. Strategically guide product development projects and execute quality improvement activities for the radiation oncology program.
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The Medical Oncology Nurse performs clinical reviews of oncology requests and collaborates with medical teams to enable therapy decisions. They are responsible for patient advocacy, creating clinical documentation, and managing projects to improve quality of care.
The Radiation Coder reviews radiation billing codes for accuracy and compliance while triaging cases prior to clinical evaluation. They collaborate with nursing and medical teams to document rationales for approvals and denials and maintain radiation protocols.
Develop and maintain the Enterprise Data Platform by designing scalable data solutions and data warehouse environments. Support existing reporting and analytics data products using CI/CD and test-driven development best practices.
Design and maintain analytics and reporting solutions, including dashboards and self-service tools, to support business decision-making. Collaborate cross-functionally to operationalize insights and ensure data quality and governance across all products.
The role involves building and maintaining analytics products while resolving client tickets and change requests related to data operations. It also requires collaborating with external vendors and participating in client calls to gather implementation requirements.
Lead the enterprise-wide compliance program focusing on utilization management and telehealth operations. Design and operationalize a compliance framework to ensure adherence to federal and state laws, CMS requirements, and accreditation standards.
The Product Owner manages the team backlog and delivery outcomes for utilization management products, translating strategy into epics and user stories. They collaborate with cross-functional teams to prioritize features and ensure quality through clear acceptance criteria.
The Engagement Manager serves as the primary point of contact for clients, translating business objectives into actionable engagement plans and managing project governance. They are responsible for overseeing the end-to-end delivery of AI and data implementations while identifying commercial growth opportunities.
Work on reputable international software development projects for various clients. Expand your professional portfolio by engaging with diverse tech experiences within a global community.
Resolve complex connectivity and eSIM issues via chat, email, and video to ensure seamless user experiences. Collaborate with internal teams to eliminate recurring pain points and optimize support workflows to increase customer loyalty.
Build and scale a best-in-class experimentation engine across web and mobile apps to improve conversion and user experience. Lead a cross-functional team to identify funnel friction and drive revenue growth through fast iterations.
The role focuses on transforming raw marketing data into actionable insights to optimize customer acquisition and retention. Key duties include building automated KPI dashboards and developing attribution models to guide budget allocation.
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Business Development Associate
Estoras Group of Companies
·
Full Time
·
Yesterday
Estoras Group of Companies
Drive sales and new client acquisition across all Estoras Group companies and products on a global scale. Manage existing client relationships to secure up-sell opportunities and maintain accurate sales tracking in Zoho Projects.
Design and optimize automated customer journeys across email, push, SMS, and WhatsApp to improve retention and LTV. Collaborate with technical teams to integrate data via APIs and webhooks and translate business needs into CRM requirements.
Design and deploy sophisticated pricing algorithms and ML models to optimize conversion rates and profit margins across global destinations. Translate complex data into commercial insights and collaborate with engineering to build scalable data pipelines.
Lead the strategic evolution of a global 200+ agent operation by designing QA frameworks and scalable training infrastructures. Drive improvements in CSAT and FCR through AI-driven tools and the mentorship of QA and Training Managers.
Provide professional support to customers via live chat, email, and phone to resolve platform-related inquiries and technical issues. Collaborate with internal teams to improve service quality and maintain high levels of customer satisfaction.
Lead and mentor a remote global customer support team to ensure high-quality service and achievement of KPIs. Monitor real-time performance and serve as a bridge between frontline agents and management to optimize operational excellence.
Lead the end-to-end execution of strategic CX projects and manage high-impact service disruptions. Architect and implement BPO partner ecosystems to scale global service delivery models.
The analyst will evaluate customer interactions across multiple channels to ensure adherence to quality standards and provide coaching to agents. They will also track quality metrics, identify trends, and collaborate with leadership to improve operational workflows.
Information Architect (IA) Specialist — Marketing Agency
Estoras Group of Companies
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Full Time
·
Yesterday
Estoras Group of Companies
The specialist will organize complex website content and digital ecosystems into intuitive structures to improve usability and SEO. They will collaborate with cross-functional teams to create scalable site architectures and seamless navigation systems.
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Principal for PM61 - Remote
Estoras Group of Companies
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Full Time
·
Yesterday
Estoras Group of Companies
Lead complex, multi-phased technology programs from discovery to deployment while ensuring delivery excellence and measurable business outcomes. Drive revenue growth through account expansion, new client acquisition, and the management of high-performing cross-functional teams.
Own the analytical view of the Recurrence P&L by identifying growth patterns and leakage across markets and cohorts. Bridge the gap between marketing activities and recurrence revenue while presenting actionable insights to executive leadership.
Oversee day-to-day finance operations, including the preparation of management accounts, financial statements, and tax compliance. Provide financial advisory support to external clients and collaborate with leadership on strategic operational projects.
Drive growth in the German market by recruiting and managing a portfolio of strategic affiliate partners. Monitor performance metrics like ROAS and AOV to optimize revenue and ensure brand compliance.
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