Oversee multiple site installation projects and manage schedules while ensuring strict adherence to safety and OSHA guidelines. Coordinate with project managers, vendors, and installers to monitor work progression and ensure quality control.
Remote Critical Thinking Jobs (840)
Tags = critical-thinking
Review inpatient medical records to prepare evidence-based appeal letters for DRG downgrades and clinical validation denials. Collaborate with physicians and CDI professionals to ensure accurate clinical representation and high-quality documentation.
Own the end-to-end customer relationship from onboarding and activation to training and expansion. Translate customer workflows into product configurations to drive adoption and measurable ROI within the federal ecosystem.
Senior Claims Representative (BI, GLPD, PIP)
West Bend Insurance Company
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Full Time
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13 hours ago
West Bend Insurance Company
Manage a portfolio of moderate to complex bodily injury, PIP, and general liability property damage claims from investigation through resolution. Responsibilities include evaluating coverage, determining liability, maintaining accurate reserves, and negotiating fair settlements.
The HR Assistant manages employee contacts and resolves benefits-related inquiries using a high degree of problem-solving and customer obsession. They collaborate with partner teams to improve policies and ensure proper documentation of employee-impacting issues.
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Serve as the primary point of contact for employee benefits inquiries and provide holistic case management. Ensure compliance with benefit plans while collaborating with partner teams to resolve cross-functional issues.
Design and develop machine learning-powered solutions to enhance large-scale software products. This includes managing the full lifecycle from data manipulation and model training to integration and technical support.
Good Hands Repair Network - Repair Consultant - Remote (EST/CST)
Allstate
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Full Time
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17 hours ago
Allstate
The Repair Consultant manages the repair process for the Good Hands Repair Network, handling moderately complex repair issues and documenting claim files. They serve as the primary liaison between shops, customers, and adjusters to resolve coverage and quality issues.
Develop and implement machine learning and statistical models to identify and mitigate credit, collections, and fraud risk. Collaborate with stakeholders to transform large datasets into actionable insights that drive business decision-making.
Manage assigned accounts to meet quotas by building executive relationships and developing consultative strategies for customer success. Responsible for client renewals, incremental growth through cross-selling, and monitoring customer health metrics.
Sr Staff Technical Product Manager - Oracle WMS
GE Aerospace
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Full Time
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17 hours ago
GE Aerospace
Lead the end-to-end architecture and delivery of Oracle WMS inbound distribution processes, translating product vision into technical requirements. Manage the product backlog and collaborate with cross-functional teams to implement scalable warehouse management solutions.
Lead sections of the Understanding Television course, focusing on media literacy and the representation of race, ethnicity, and gender. Collaborate with faculty to execute the syllabus and collect data for program assessment.
Provides professional nursing care including triage, patient assessment, and care coordination to ensure optimal health outcomes. Manages indirect patient work such as medication refills, prior authorizations, and provider support.
Serve as the first point of contact for employee inquiries regarding benefits via phone, chat, and HR cases. Provide holistic case management and collaborate with partner teams to resolve cross-functional issues and improve policies.
Payment Accuracy Specialist 1 (Coordination of Benefits)
Cotiviti
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Full Time
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20 hours ago
Cotiviti
Responsible for reviewing and analyzing complex member data to identify recoverable Coordination of Benefit claims and establish the correct order of liability. The role involves using proprietary software to input recovery information and managing audit projects while ensuring compliance with regulatory guidelines.
Manage administrative, commercial, and technical components of power delivery projects, focusing on upfront development and planning. Responsibilities include developing scopes of work, estimating costs, and monitoring project metrics and financial performance.
Lead business process re-engineering by analyzing as-is processes and creating to-be process maps. Collaborate with stakeholders and SMEs to identify gaps and implement operational improvements aligned with strategic objectives.
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Clinical Director, Global Operations
ComPsych Corporation
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Full Time
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20 hours ago
ComPsych Corporation
Lead the clinical quality, operational performance, and service delivery of behavioral health and EAP solutions across global markets, primarily in Europe. Act as the primary clinical voice for global sales, customer success, and industry representation while managing global intake operations.
Directeur Clinique, Opérations Mondiales (Clinical Director, Global Operations)
ComPsych Corporation
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Full Time
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20 hours ago
ComPsych Corporation
The Clinical Director oversees clinical quality, operational performance, and service delivery for behavioral health and EAP solutions globally, with a focus on Europe. This role involves acting as the primary clinical voice for sales and client engagements while managing global intake operations and clinical staff.
EHR Applications Analyst I
University of Rochester
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Full Time
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22 hours ago
University of Rochester
The analyst translates clinical practices and policies into electronic workflows and configures the EHR system to improve patient care and operational efficiency. They collaborate with stakeholders to resolve system issues, implement enhancements, and participate in system upgrades.
EHR Applications Analyst I
University of Rochester
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Full Time
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22 hours ago
University of Rochester
The analyst optimizes and supports the electronic health record by translating clinical and operational needs into system modifications. Key duties include performing functional design, building reports, and collaborating with stakeholders to improve patient care workflows.
The designer creates 2D and 3D low voltage system designs, including wiring diagrams and calculations, for field installation. They coordinate with various trade teams and management to ensure design accuracy and adherence to schedules and budgets.
Drive new business growth and meet annual sales targets by prospecting Fortune 1000 companies and channel partners. Manage the sales pipeline using Salesforce and represent the company at industry events and tradeshows.
Assess, plan, and coordinate holistic care for members with complex health needs to improve overall wellness. Collaborate with multidisciplinary teams and use clinical data to identify risks and remove barriers to care.
Serve as a trusted resource for members navigating healthcare, insurance, and employee benefit decisions via inbound calls. Research complex benefit issues and guide members through enrollment periods and coverage changes to ensure resolution.
The Patient Liaison serves as the primary contact for patients and clinics, managing travel arrangements and expense reimbursements for clinical trials. They are also responsible for supporting study site personnel in using the online portal and coordinating with vendors.
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The role involves conducting in-depth research on the corporate landscape to identify trends and philanthropic interests. Findings are translated into actionable marketing strategies to enhance corporate outreach and engagement.
Define and drive the technical direction of enterprise engineering platforms to build scalable design and content enablement capabilities. Act as a force multiplier by mentoring senior engineers, establishing engineering standards, and collaborating with leadership to align technical strategy with business objectives.
PAS Insurance Verification II
Wellstar Health System
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Full Time
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23 hours ago
Wellstar Health System
The specialist verifies patient insurance coverage, benefits, and payer plans while managing self-pay balances and financial arrangements. They also coordinate prior authorizations and maintain accurate patient account documentation within the Epic system.
PAS Insurance Verification II
Wellstar Health System
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Full Time
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23 hours ago
Wellstar Health System
The specialist verifies patient insurance coverage, confirms payer plans, and manages self-pay balances and financial arrangements. They also coordinate with various departments to ensure accurate authorizations and maintain productivity benchmarks in a fast-paced environment.
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