The Security Lead will establish and oversee the cybersecurity, privacy, and compliance posture for a CMS case management program. They will serve as the primary security advisor to leadership and ensure security controls are embedded into cloud architecture and CI/CD pipelines.
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18 Remote Job Openings at Commence
Lead the technical implementation and migration of case management functionality from a legacy Pega system to the Salesforce platform. Collaborate with data teams to design integrations and enforce development standards across the project lifecycle.
The consultant will serve as a domain expert to support sales, product, and engineering teams by bridging operational payment integrity knowledge with technology solutions. They will lead discovery conversations, conduct product demonstrations, and ensure the platform aligns with commercial health plan workflows.
The Technical Delivery Manager is responsible for planning, coordinating, and delivering technical projects across engineering, product, and data teams. They will drive end-to-end project management, including scope definition, dependency management, and stakeholder communication to ensure measurable outcomes.
The Senior Site Reliability Engineer will own the reliability, scalability, and operational health of the mission-critical healthcare data platform. Responsibilities include designing observability infrastructure, leading incident response, and automating manual processes to reduce operational toil.
The consultant serves as the primary technical point of contact, responsible for deploying and configuring software to meet client operational needs. They act as a liaison between clients and internal teams to manage project timelines, provide training, and facilitate product improvements.
The Senior Full-Stack Engineer will design, develop, and maintain robust, scalable web applications across the full technology stack. They will collaborate with cross-functional teams to integrate APIs, deploy serverless cloud solutions, and optimize performance for large data sets.
You will design, develop, and maintain scalable front-end and back-end components for healthcare-focused web applications. The role involves collaborating with cross-functional teams to build secure, high-performance systems while providing technical mentorship to other engineers.
The Senior Recruiter will own the full-cycle recruiting process for the Public Sector Growth Team, focusing on federal health IT talent. They will proactively build and maintain talent pipelines to support active contracts and future proposal staffing needs.
The Senior Finance Manager leads key financial functions including project control, accounts receivable, and financial planning and analysis. They partner with leadership to ensure accurate forecasting, strong internal controls, and effective management of project-based financial performance.
The Nurse Educator/Review Coordinator facilitates provider education regarding Medicare claim reviews and billing issues to decrease error rates. They also perform desktop medical reviews, support physician reviewers, and ensure compliance with clinical documentation standards.
The Senior Business Analyst will lead requirements management, business process transformation, and stakeholder engagement for a CMS case management system. They will serve as a strategic advisor, ensuring business needs are translated into scalable, compliant, and interoperable solutions.
The Chief Architect owns the target-state architecture for a CMS case management program and holds final decision authority across cloud, data, security, and application layers. This role involves representing the program's architecture at technical review boards and setting standards for the engineering teams.
The architect will design and lead the delivery of scalable, secure, and high-performance data solutions across cloud-native environments. They will also collaborate with product and delivery teams to translate business needs into sustainable data architectures while providing technical leadership.
The Coder Reviewer performs clinical documentation reviews and audits to support independent dispute resolutions at federal and state levels. They are responsible for generating accurate audit findings, interpreting payment policies, and communicating rationales to hospital and client personnel.
Sr. Advisor - Centers for Medicare & Medicaid Services (CMS)
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Full Time
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4 days ago
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The Sr. Advisor will guide the company's strategy across CMS by advising leadership on agency priorities, policy direction, and operational needs. They will also build relationships across the CMS ecosystem and translate complex regulatory and budgetary information into actionable business strategies.
The Arbiter is responsible for deciding payment disputes and jurisdictional issues by analyzing documentation and summarizing case facts. They must research federal and state laws, specifically the No Surprises Act of 2020, to draft defensible and accurate determinations.
The HSCRC Coding Reviewer performs compliance audits and clinical data abstraction to ensure accurate payment methodologies based on medical records. They are responsible for generating audit work papers, writing reports, and providing feedback to hospitals regarding audit findings.