The Claims Representative is responsible for managing a portfolio of 200-250 complex claims and handling high-volume inbound and outbound communications. They must ensure accurate documentation and real-time data entry while adhering to strict performance metrics and operational timelines.
Remote Compliance Jobs (25,506)
Tags = compliance
The System Administrator will own the day-to-day health of a hybrid infrastructure environment, including server maintenance, cloud services, and identity management. They will also provide second-level technical support, manage IT assets, and ensure system security and compliance.
Territory Manager - TN, KY, NC, SC (61146)
Core Health & Fitness, LLC
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Full Time
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4 Days Ago
Core Health & Fitness, LLC
The Territory Manager is responsible for soliciting fitness products to commercial markets within a specific geographic territory. They must manage sales pipelines, conduct product demonstrations, and meet established revenue and activity quotas.
Senior Software Security Engineer- Cloud/GovCloud (Top Secret cleared)
IIIIIIUS
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Full Time
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4 Days Ago
IIIIIIUS
The engineer will monitor and assess system security to identify vulnerabilities while implementing security controls across cloud and on-premise environments. They will also provide guidance on secure coding practices and deliver briefings to government stakeholders.
The senior engineer will serve as a technical lead for transmission planning engagements, managing project scope, schedule, and client relationships. They will perform complex power system studies, including load flow, contingency analysis, and dynamic simulations to support utility infrastructure planning.
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The Naval Architect will design, construct, and maintain marine vessels while overseeing the installation and repair of associated equipment. They are also responsible for conducting performance studies, preparing technical reports, and ensuring compliance with international safety and environmental regulations.
Front End Revenue Integrity Coordinator
American Addiction Centers
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Full Time
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4 Days Ago
American Addiction Centers
The Front-End Revenue Integrity Coordinator protects organizational reimbursement by proactively identifying and resolving insurance eligibility, ACA coverage, and Coordination of Benefits issues. This role collaborates with facility teams and third-party partners to reduce preventable claim denials and improve front-end revenue cycle performance.
The Senior Records Manager will lead the assessment, redesign, and strengthening of the EDA's Records Management Program across headquarters and regional offices. They will develop standardized policies, procedures, and tools to ensure compliance with NARA requirements and long-term program sustainment.
The Healthcare Accountant manages end-to-end client billing processes, ensuring accuracy, timeliness, and compliance with contractual agreements. They also perform billing reconciliation, monitor accounts receivable, and collaborate with cross-functional teams to resolve financial discrepancies.
You will own the end-to-end money movement platform, designing reusable payment services and infrastructure that integrate seamlessly with various rails. You will work embedded with engineering to define requirements, manage performance SLAs, and ensure compliance across all payment operations.
Sr Systems Engineer - RHEL Linux Engineer
Mercury Insurance Services, LLC
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Other
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4 Days Ago
Mercury Insurance Services, LLC
The Senior Systems Engineer will design, implement, and support critical infrastructure systems while mentoring less experienced staff. They are responsible for diagnosing system issues, automating workflows, and ensuring compliance across development and production environments.
The Underwriter analyzes new and existing personal lines business to evaluate risk, determine coverage acceptability, and establish appropriate premiums. They also build strong relationships with agents to influence sales and support the retention of existing customers.
The Underwriter analyzes new and existing personal lines business to evaluate risk and determine coverage acceptability. They also build strong relationships with agents to influence sales and ensure accurate processing of policy updates.
The Clinical Consultant will provide clinical consulting, workflow analysis, and end-to-end testing for medical imaging projects. They will also deliver remote and onsite training while providing clinical support to sales teams and customers.
The Radiation Oncology Coder assigns accurate ICD-10 and CPT codes for outpatient specialty encounters while abstracting data for billing and reporting. They also resolve claim denials, query providers for documentation clarification, and ensure compliance with regulatory standards.
The Senior Account Executive manages and grows sales of assigned products within a defined geographic territory while meeting revenue objectives. They are responsible for developing territory business plans and building trusted relationships with surgeons, clinicians, and key decision-makers.
The Business Development Manager is responsible for driving HCP adoption and patient enrollment for the LIFE program by developing clinic and hospital accounts. This role involves building relationships with clinical stakeholders to embed patient enrollment into the hospital discharge workflow.
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Clinical Documentation Integrity Specialist I (Relief, Non-benefitted)
Stanford Health Care
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Part Time
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4 Days Ago
Stanford Health Care
The specialist conducts concurrent and retrospective medical record reviews to improve documentation quality and ensure accurate representation of patient severity and risk. They also partner with physicians and coding staff to facilitate accurate DRG assignment and compliance with regulatory standards.
Compliance Billing & Coding Auditor II (Remote)
Stanford Health Care
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Full Time
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4 Days Ago
Stanford Health Care
Conduct proactive and retrospective billing and coding audits to identify compliance risks and ensure accuracy in documentation and reimbursement. Collaborate with departments to investigate discrepancies, implement corrective actions, and provide feedback to educators to enhance training materials.
The Senior Legal Counsel will draft, review, and negotiate various commercial agreements while providing practical legal guidance to Sales and Procurement teams. They will also drive strategic legal initiatives to improve contracting processes and ensure compliance with evolving regulations.
Senior Director of Information Risk & Governance
Modern Health
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Full Time
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4 Days Ago
Modern Health
The Senior Director of Information Risk & Governance will establish and lead cross-functional governance programs, serving as the second-line-of-defense for information technology risk. This role involves managing risk registers, overseeing AI governance, leading incident management programs, and ensuring compliance with various security frameworks.
Utilization Management Manager – Remote Nonprofit Role
Yamhill Community Care
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Full Time
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4 Days Ago
Yamhill Community Care
The Utilization Management Manager oversees the daily operations and staff of the UM team to ensure compliance with state and federal regulations. They lead process improvement initiatives and collaborate with clinical leadership to manage medical necessity reviews and quality outcomes.
Staff Software Engineer, Certificate Lifecycle Management
Keeper Security
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Full Time
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4 Days Ago
Keeper Security
You will architect and develop certificate lifecycle management capabilities, including discovery, issuance, and rotation across complex enterprise environments. You will also provide technical leadership on PKI architecture and collaborate with cross-functional teams to build secure, scalable automation workflows.
Senior Infrastructure Test Engineer, DevOps
Keeper Security
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Full Time
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4 Days Ago
Keeper Security
Design and maintain automated test frameworks for AWS infrastructure, infrastructure-as-code, and deployment workflows. Collaborate with DevOps, Platform Engineering, and Security teams to validate infrastructure changes and ensure compliance before production release.
The Principal Customer Success Engineer will lead strategic relationships with major customers, guiding them through data security programs and value realization. This role involves orchestrating cross-functional teams and acting as a trusted advisor to executive stakeholders like CISOs and CIOs.
Manage a book of business for small and medium-sized customers in Mexico, driving new opportunities from prospecting through to close and renewal. Collaborate with cross-functional teams to deliver a cohesive pre- and post-sales experience while supporting customer adoption and reducing churn.
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Manage a book of business for small and medium-sized customers in the Northern Cone, driving new and expansion opportunities from prospecting through renewal. Collaborate with cross-functional teams to deliver a cohesive sales experience and support customer adoption of the DevSecOps platform.
The Commercial Contract Specialist supports GPO contract operations by maintaining membership data, resolving customer inquiries, and ensuring compliance. The role also involves identifying process improvements and collaborating with internal teams to manage agreements and audit requests.
The ML Data Associate II performs precise annotation tasks across multiple data types to improve Large Language Model capabilities and provides guidance to team members. They also conduct audits, resolve disputes, and identify process improvements to ensure high data quality and operational efficiency.
The Senior Clinical Trial Manager is responsible for site management oversight, clinical monitoring, and ensuring protocol compliance and data integrity. They lead clinical project teams, manage study risks, and coordinate with functional leaders to meet study milestones and deliverables.
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