The R&D Sourcer focuses on talent sourcing, pipelining, and intelligence to build candidate slates for critical R&D roles. They act as a talent advisor providing market insights and competitive intelligence to business leaders and recruiters.
Remote Jobs & Work From Home Opportunities (228,961)
Oversees inpatient and outpatient coding and reimbursement practices to ensure accuracy and regulatory compliance. Manages coding staff, conducts data quality reviews, and handles external audits and denial responses.
Strategic District Partner - Florida
Cambium Learning Group
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Full Time
·
3 hours ago
Cambium Learning Group
Manage a large-scale K-5 reading intervention implementation in South Florida by collaborating with district curriculum teams and school-level educators. Deliver professional learning services and develop training assets to ensure the fidelity of program implementation and maximize customer ROI.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. They also advise other physician reviewers and participate in process and quality improvement for Delegated Utilization Management.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. They also advise other reviewers and participate in process and quality improvement for delegated utilization management.
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The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. They are also responsible for advising other reviewers and participating in process and quality improvement initiatives.
Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE
ChenMed
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Full Time
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3 hours ago
ChenMed
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. Responsibilities include attending health plan calls, advising other reviewers, and participating in process and quality improvement initiatives.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. The role involves advising other reviewers and participating in process and quality improvement for Delegated Utilization Management.
Licensed Physician Reviewer- - Otorhinolaryngology (ENT) PRN Remote
ChenMed
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Full Time
·
3 hours ago
ChenMed
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. The role involves advising other reviewers, attending health plan calls, and participating in process and quality improvement initiatives.
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across assigned territories. Responsibilities include advising other reviewers, attending health plan calls, and participating in process and quality improvement initiatives.
Director, Pre-Bill DRG Review - Quality Assurance, Training & Education
CorroHealth
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Full Time
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3 hours ago
CorroHealth
Leads the internal pre-bill DRG validation program to ensure coding accuracy and compliance prior to claim submission. Responsible for designing the quality assurance framework and managing the training and education infrastructure for coding and CDI staff.
The role focuses on analyzing and refining programmatic operations and performance through DSP partner management and data-driven optimizations. It involves troubleshooting campaign issues and collaborating with sales and marketing teams to align programmatic strategies with client goals.
Cybersecurity Incident Response Analyst, Senior
Cook Children's Health Care System
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Full Time
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3 hours ago
Cook Children's Health Care System
The Senior IR Analyst is responsible for detecting, responding to, and mitigating security incidents to minimize organizational risk. This includes conducting in-depth investigations of security events and enhancing incident response processes using defensive tools and threat intelligence.
The Strategic Account Director is responsible for driving revenue growth and managing long-term partnerships with higher education institutions. This includes leading complex contract negotiations, developing multi-year account plans, and serving as a strategic advisor to academic leaders.
Manage end-to-end bi-weekly and off-cycle payroll operations for employees in the United States and Canada. Serve as a Workday Payroll subject matter expert to ensure compliance, perform audits, and drive process improvements.
Lead end-to-end Customer Care initiatives and complex projects from inception through delivery across multiple business units. Partner with operations teams to implement process improvements and communicate project status and risks to senior leadership.
Serve as Program Manager for the Congenital Syphilis Prevention Project, coordinating case reviews and providing technical assistance to health departments. Additionally, provide direct clinical care and STI diagnostic services at the Sexual Health Clinic as needed.
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Manages the strategic direction of hospital billing coding to ensure accuracy, timeliness, and maximum reimbursement. Oversees staff development, budget preparation, and compliance with HIPAA and Joint Commission standards.
Manage the strategic direction of the hospital billing coding area to ensure accuracy, timeliness, and maximum reimbursement. Oversee medical record documentation, coding audits, staff development, and compliance with HIPAA and Joint Commission standards.
Acts as the primary sales contact for GPOs and IDNs to grow the biosimilar product business. Responsible for negotiating profitable long-term agreements and maintaining strong strategic relationships with key healthcare stakeholders.
The Account Manager is responsible for driving incremental revenue through upselling and mitigating churn within an existing enterprise customer base. Key duties include executing account plans, managing CRM reporting, and maintaining strong relationships through regular customer visits.
The role involves leading cross-functional teams to develop and implement innovative clinical solutions and strategic initiatives. It focuses on managing projects from ideation through scaling to solve business problems and deliver value within the Clinical Solutions business unit.
Lead the implementation, integration, and optimization of enterprise learning platforms including LMS and LXP systems. Coordinate data migrations, system enhancements, and user acceptance testing while managing stakeholders across business units.
Remote Travel Consultant -Sabre Experience
American Express Global Business Travel
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Full Time
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3 hours ago
American Express Global Business Travel
Advise and arrange complex domestic and international travel for corporate business clients using the Sabre GDS. Ensure compliance with travel policies and provide high-quality customer service while collaborating with team members to improve service levels.
Client Executive - Financial Services; Consumer Interactive
TransUnion
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Full Time
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3 hours ago
TransUnion
The Client Executive drives growth and deepens relationships for Consumer Interactive offerings by leading strategic client engagements and negotiating high-value agreements. They are responsible for account planning, identifying new product opportunities, and acting as a customer advocate within a matrixed organization.
The role involves reviewing clinical information and applying guidelines to make coverage determinations across the care continuum. The consultant collaborates with providers and internal teams to coordinate care and improve member outcomes.
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The engineer will architect, design, and deliver AI-driven solutions for the Specialty pharmacy Benefit Verification domain. They will collaborate with technical leaders to drive product strategy and move capabilities from prototype to production.
Field Service Engineer - SF Bay Area, CA
Thermo Fisher Scientific
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Full Time
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3 hours ago
Thermo Fisher Scientific
Install, maintain, calibrate, and repair laboratory equipment such as incubators, centrifuges, and freezers to maximize uptime. Manage daily service operations including scheduling, reporting, and collaborating with cross-functional teams to resolve technical challenges.
Specialist, Benefits and Authorization - Remote
Option Care Health
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Full Time
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3 hours ago
Option Care Health
The role is responsible for processing benefit verifications and authorizations for all new referrals with speed and accuracy. Additionally, the specialist assists the AVA Supervisor and Manager with special assignments as needed.
Drive sustainable business growth through independent operators and trade partner engagement using a multi-touchpoint digital and face-to-face strategy. Accountable for delivering targets related to sales growth, reach, penetration, and digital engagement within the assigned territory.
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