The pharmacist performs medical necessity and comprehensive medication reviews for pre-authorization requests. They also analyze medication care plans and intervene with providers to ensure cost-effective, high-quality patient outcomes.
Remote Compliance Jobs (25,506)
Tags = compliance
Manage a portfolio of complex grants and contracts by overseeing both pre-award proposal development and post-award financial reconciliation. Ensure all activities comply with federal, agency, and university regulations while advising faculty on budget adjustments and administrative requirements.
The Measure Technician performs in-home measurements and provides professional customer service to support sales and installation coordination. They are responsible for maintaining accurate records, conducting quote reviews, and meeting service goals within a designated geographical area.
The Business Affairs Counsel will provide legal and commercial support for major infrastructure projects, including contract negotiation and risk management. The role involves liaising with corporate legal teams and overseeing dispute litigation to ensure compliance with statutory legislation.
The Flex Nurse Educator provides remote and occasional in-field educational support and medication training to patients with chronic diseases. They facilitate connections to resources, maintain accurate documentation, and collaborate with leadership to ensure program compliance and patient adherence.
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The Flex Nurse Educator provides remote and occasional in-field educational support and medication training to patients with chronic diseases. They facilitate patient-provider dialogue, maintain accurate documentation, and ensure compliance with program protocols and KPIs.
The PDS Sourcing & Procurement Lead will direct strategic sourcing and vendor management processes for construction projects to meet cost, quality, and performance targets. This role involves leading sourcing teams, developing category strategies, and managing supplier relationships to drive value and innovation across the business.
The Claims Senior Supervisor leads a team of adjusters to ensure efficient claims resolution while maintaining adherence to company guidelines and industry regulations. This role involves providing technical guidance, monitoring workflow, and analyzing claims data to manage risk and improve processes.
The Complex Claims Manager is responsible for investigating, evaluating, and resolving high-severity construction defect claims while ensuring compliance with company standards. They also provide technical expertise to staff and collaborate with legal counsel and brokers to achieve optimal claim resolutions.
The Senior Workers' Compensation Claims Examiner will independently manage complex California workers' compensation claims from initial assignment through final resolution. Responsibilities include investigating claims, determining compensability, managing litigation, and coordinating with stakeholders to ensure positive claim outcomes.
The Agreement Associate II is responsible for negotiating, administering, and maintaining complex research contracts and subcontracts. They also serve as a primary resource for contract needs and assist in training junior staff members.
The District Sales Manager oversees sales activities within a specific geographical district, managing a team of sales representatives to achieve sales and budget targets. They are responsible for coaching staff, developing sales strategies, and collaborating cross-functionally with other business units.
The Medical Science Liaison acts as a primary scientific resource to healthcare providers and opinion leaders to communicate clinical data and improve patient outcomes. Responsibilities include executing medical strategy, supporting clinical research, and providing field insights to internal stakeholders.
Directs the implementation, deployment, and maintenance of vehicle management software systems while providing technical leadership across cross-functional teams. Advises stakeholders on system-level design, architecture, and test strategies to ensure compliance with industry standards.
Manager, SIU Intelligence & Innovation
Centene Corporation
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Full Time
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2 Days Ago
Centene Corporation
Leads the strategic direction and development of SIU capabilities to detect and prevent fraud, waste, and abuse within healthcare programs. Manages analytics personnel and collaborates with cross-functional stakeholders to drive data-informed strategies and actionable intelligence.
Develops, assesses, and facilitates complex care management activities for members with mental and behavioral health needs. Coordinates care plans between members, families, and providers to ensure high-quality, cost-effective healthcare outcomes.
The Strategic Product Manager is responsible for the overall growth, profitability, and strategic vision of assigned product lines. This role involves conducting technical analysis, managing budgets, and collaborating with cross-functional teams to launch innovative financial solutions.
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Director, Global Commercial Systems Training & Onboarding
Siemens Healthineers
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Full Time
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2 Days Ago
Siemens Healthineers
The Director is responsible for improving commercial productivity by leading global onboarding frameworks and CRM training initiatives. They partner with commercial leaders to diagnose performance gaps and develop scalable learning solutions that enhance tool adoption and sales proficiency.
The Compliance Testing Data Analyst supports the compliance program by developing automated testing solutions, analyzing large data sets, and identifying trends or risks. They are responsible for producing accurate reporting and maintaining documentation to ensure effective compliance oversight and governance.
Lead and motivate a channel sales team to drive incremental revenue through value-added reseller partners. Develop and execute effective strategies for partner recruitment, onboarding, and relationship management to support company growth.
Senior Regulatory Affairs Specialist
iRhythm Technologies, Inc.
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Full Time
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2 Days Ago
iRhythm Technologies, Inc.
The Senior Regulatory Affairs Specialist will develop global regulatory strategies for medical devices and manage international and domestic filings. They will also provide regulatory guidance to cross-functional teams and ensure compliance throughout the product lifecycle.
The Senior Data Engineer designs, builds, and maintains large-scale data infrastructure, including data warehouses and pipelines. They ensure seamless data integration, optimize performance, and implement security measures to protect sensitive information.
ASSE 12080 Legionella Water Safety & Management Specialist
I-2-I Solutions, Inc.
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Part Time
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2 Days Ago
I-2-I Solutions, Inc.
The Water Management Planner will develop, implement, and maintain healthcare water management programs in compliance with ASHRAE 188 and CDC guidelines. Responsibilities include performing onsite risk assessments, creating water system schematics, and coordinating with facility engineering and infection prevention teams.
Accountability and Safeguarding Coordinator - 2025821
World Relief
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Full Time
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2 Days Ago
World Relief
The Accountability and Safeguarding Coordinator provides project management, case management, and administrative support to strengthen accountability and safeguarding systems across international programs. This role involves monitoring complaint mechanisms, ensuring policy compliance, and facilitating organizational learning through training and data reporting.
The HRBP will support the operations organization by managing performance processes, career pathing, and employee engagement for approximately 275 non-exempt employees. They will also coach front-line managers on employee relations, conduct investigations, and analyze HR metrics to drive organizational improvements.
Cloud Security Engineer – Oracle
Bright Vision Technologies
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Full Time
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2 Days Ago
Bright Vision Technologies
The Cloud Security Engineer will design, implement, and operate security controls across Oracle Cloud Infrastructure and hybrid environments. Responsibilities include managing identity strategies, vulnerability programs, incident response, and security automation.
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The Senior Tax Accountant will review complex tax returns, conduct in-depth tax research, and develop strategies to optimize client tax liabilities. Additionally, the role involves mentoring staff, maintaining quality control procedures, and actively participating in business development.
The software engineer will design and develop new features for healthcare revenue management software while maintaining existing products. They will also perform code reviews, ensure unit test coverage, and collaborate with teams to resolve production issues.
The Coder Physician is responsible for abstracting, sequencing, and assigning accurate diagnostic and procedural codes to medical records for billing and reimbursement. They must ensure compliance with regulatory standards while maintaining high quality and productivity levels.
The Nurse Manager will oversee clinical operations, ensure regulatory compliance with Florida AHCA requirements, and provide guidance to agency staff. Responsibilities include reviewing care plans, conducting assessments, and maintaining necessary nursing documentation.
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