The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.
Remote Compliance Jobs (3,184)
Tags = compliance
The role involves building trust and educating individuals on Humana’s Medicare Advantage plans while creating meaningful connections through community engagement. Agents will drive self-generated sales and expand Humana’s presence in the market.
Medical Claims Auditor (Remote - Texas) 18 APPLICANTS
Gainwell Technologies LLC
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Full Time
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20 Weeks Ago
Gainwell Technologies LLC
The Medical Claims Auditor reviews and analyzes medical claims and supporting documentation to ensure accuracy, compliance with company policies, and adherence to industry standards, including validating coding accuracy using ICD-10, CPT, and HCPCS guidelines. This role involves identifying discrepancies like upcoding or duplicate claims and communicating findings to recommend corrective actions to the claims processing team or management.
The District Manager leads remote, offshore defense catering and janitorial operations, ensuring excellence across all sites. This role focuses on client satisfaction, financial performance, and workforce quality.
The role involves collaborating with various teams to craft impactful experiences in farming and guiding the architecture of applications. Additionally, the engineer will participate in code reviews and mentor junior developers.
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The Information Security Specialist will develop and implement comprehensive information security compliance strategies while working closely with various teams to ensure regulatory adherence and mitigate security risks. This role includes conducting risk assessments, preparing compliance reports, and managing incident response plans.
The role involves performing site reviews of single-family and multi-family projects under construction to evaluate construction quality and ensure compliance with provincial building codes and minimum standards. This includes providing construction reviews for risk assessment and technical expertise during the claims process, requiring daily regional travel.
Machine Learning Engineer, Marketplace Optimization
DoorDash USA
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Full Time
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20 Weeks Ago
DoorDash USA
Design, build, and deploy ML models and pipelines for pacing, bidding, auction, and targeting optimization. Collaborate with Data Science and Product teams to develop and evaluate new algorithms through rigorous experimentation.
As a Senior AI Software Developer in Test, you will evolve a modern, AI-first quality strategy and integrate AI enhancements into CI/CD pipelines. You will also partner with cross-functional teams to ensure high-quality delivery of AI features and establish scalable testing practices.
Act as a strategic partner to the Director of Cybersecurity & IT, executing high-impact security initiatives and supporting compliance efforts. Lead the design and automation of identity access management and application security processes.
The Senior Analyst will maintain and enhance risk adjustment reporting and forecasting models while developing recommendations for model design and financial strategy. This role also involves stakeholder engagement and team development.
The Senior Analyst will maintain and enhance risk adjustment models and provide data-driven insights for financial planning. This role involves stakeholder engagement and compliance with applicable laws and regulations.
The Senior Analyst will maintain and enhance core risk adjustment reporting and forecasting models while developing recommendations for model design and best practices. This role also involves providing data-driven insights for financial planning and engaging with stakeholders.
The Senior Analyst will maintain and enhance core risk adjustment reporting and forecasting models while developing recommendations for model design and financial strategy. This role also involves stakeholder engagement and compliance with applicable laws and regulations.
Senior Associate, Customer Experience New Launches 35 APPLICANTS
DoorDash USA
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Full Time
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20 Weeks Ago
DoorDash USA
The Senior Associate will lead the operational preparedness for key company changes and ensure that the frontline support workforce is ready for new initiatives. This role involves translating complex changes into actionable plans and building partnerships across teams to drive alignment.
Agency Compensation Consultant
EMC Insurance Companies
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Full Time
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20 Weeks Ago
EMC Insurance Companies
The Agency Compensation Consultant serves as a high-level technical resource on agency compensation programs, responsible for designing, implementing, and maintaining competitive compensation and incentive plans. They provide analysis of compensation programs and act as a key partner to regional and field leadership.
Assist the business development manager with technical support during customer meetings and conduct technical seminars and presentations. Develop long-term relationships with key partners and analyze customer needs in collaboration with the sales department.
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Scrum Master - AI-Powered Banker(Data Acquisition & Aggregation)
HIGH BRIDGE CONSULTING LLC
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Full Time
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20 Weeks Ago
HIGH BRIDGE CONSULTING LLC
The Scrum Master will lead and support multiple Agile pods, facilitating Agile ceremonies and coaching teams on best practices. They will collaborate with various stakeholders to ensure alignment with business priorities and manage dependencies across teams.
Senior Marketing Analyst, Capital One Software (Remote)
Capital One
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Full Time
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20 Weeks Ago
Capital One
The Senior Marketing Analyst will serve as the strategic analytical engine, translating complex data into actionable insights to drive marketing strategy, customer acquisition, retention, and revenue growth for Capital One Software's B2B efforts. This role involves owning the customer journey measurement framework and analyzing the efficiency of various marketing programs using attribution models.
Design and implement Ascent’s end-to-end AI strategy, including roadmap, architecture, tooling, and governance. Lead the development of AI-driven solutions across the Microsoft ecosystem, particularly focusing on enhancing security posture and operational efficiency.
Trading Business Operations Lead, Anchorage Digital Prime
Anchorage Digital
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Full Time
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20 Weeks Ago
Anchorage Digital
Lead the operational and non-trading functions for Anchorage Digital Prime business, including complex trade vetting and process design. Oversee system integration and issue resolution while ensuring compliance with regulatory requirements.
You will oversee the demand generation strategy for Spain and support programs for Italy, planning and delivering multi-channel campaigns. Additionally, you will manage localisation strategies and lead regional PR efforts.
Financial Aid Advisor
California Institute of Applied Technology
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Full Time
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20 Weeks Ago
California Institute of Applied Technology
The Financial Aid Advisor evaluates, approves, and awards financial aid to students while advising them on financial aid options and processes. They also maintain financial aid files and ensure compliance with federal and state regulations.
Financial Aid Advisor
California Institute of Applied Technology
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Full Time
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20 Weeks Ago
California Institute of Applied Technology
The Financial Aid Advisor evaluates, approves, and awards financial aid to students while advising them on financial aid options and processes. They also maintain financial aid files and ensure compliance with federal and state regulations.
The Clinical Research Writer will build and lead a structured clinical research and outcomes function, organizing research efforts across programs and analyzing clinical and operational data. This role also involves leading the development of abstracts, manuscripts, and peer-reviewed cardiovascular publications.
HL7 Project Engineer (BILINGUAL: English & French and Emphasis is on the areas of Radiology & Cardiology)
Fujifilm
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Full Time
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20 Weeks Ago
Fujifilm
The HL7 Integration Engineer oversees all technical aspects of Synapse product HL7 integration, ensuring high-quality solutions and customer satisfaction. Responsibilities include working with project management, performing data migrations, and integrating products with third-party healthcare systems.
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Senior Manager, Global Risk Management, Enterprise Fraud Risk
Circle
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Full Time
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20 Weeks Ago
Circle
You will own Circle’s fraud risk management program and oversee fraud analytics and detection capabilities. This role involves partnering across functions to ensure fraud risk is proactively managed in line with regulatory obligations and enterprise risk appetite.
PB Cardiac Coding Educator/Auditor -Cardiac- Remote
LCMC Health
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Full Time
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20 Weeks Ago
LCMC Health
The Coding Educator Auditor will coordinate coding audits and education functions for system coding services, managing edit and denial work queues for various settings and providing feedback for educational opportunities. This role involves reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and presenting educational programs related to coding.
Licensed Medicare Sales Agent - 100% Commission Only
Financial Grade
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Full Time
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20 Weeks Ago
Financial Grade
The role involves educating Medicare-eligible clients on Medicare Advantage, Medicare Supplement, and Prescription Drug plans to help them make informed decisions based on their needs. Agents are expected to build and own their book of business while leveraging FMO support to achieve potential six-figure income.
Licensed Medicare Sales Agent - 100% Commission Only
Financial Grade
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Full Time
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20 Weeks Ago
Financial Grade
Agents are responsible for educating Medicare-eligible clients on Medicare Advantage, Medicare Supplement, and Prescription Drug plans to help them make informed decisions based on their needs. This role involves building and owning an independent book of business while leveraging the support of the Field Marketing Organization (FMO).
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