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Tags = critical-thinking

AI Response Evaluator 2553 applicants

France, Japan, Mexico +3 more $10K – $20K 0 yrs exp Others

Much of the job comes down to this: look at the image, look at what the model said about it, and decide whether the two actually match.

Senior Data Scientist

United States 5-10 yrs exp Software Development Data Scientist

The Senior Data Scientist will clean, validate, and preprocess client data while developing and tuning machine learning models to detect fraud. They will also collaborate cross-functionally with internal teams and key stakeholders to deliver effective risk prevention solutions.

Scheduling Specialist Associate

United States $15.75 - $20.9 per hour 2-5 yrs exp Virtual Assistant

The Scheduling Specialist is responsible for performing scheduling and pre-registration duties for Diagnostic Services patients while ensuring regulatory compliance. They also handle point-of-service collections, financial counseling, and accurate medical record selection to maintain patient safety.

HIM Data Integrity Specialist (REMOTE)

United States 2-5 yrs exp Others

The HIM Data Integrity Specialist ensures the accuracy and integrity of patient health information within the Epic EMR system. They are responsible for resolving duplicate medical records, managing data work queues, and collaborating with clinical teams to maintain regulatory compliance.

Senior Process Improvement Professional

United States $78400 - $107K per year 5-10 yrs exp Others

The Senior Process Improvement Professional analyzes and optimizes business processes related to provider data quality and claims resolution to improve operational efficiency. They collaborate cross-functionally to identify gaps, develop performance metrics, and implement solutions that align with government business requirements.

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Government Programs Clinical Quality & HEDIS Specialist

United States 2-5 yrs exp Healthcare

This role involves conducting telephonic care coordination and health coaching to improve quality performance and member outcomes. The specialist will also perform medical record abstraction and data analysis to support HEDIS audit activities and quality gap closures.

Financial Analyst

United States $80000 - $100K per year 0-2 yrs exp Finance Financial Analyst

The Financial Analyst supports the Accounting and Finance department by assisting with corporate annual budgets, quarterly forecasts, and monthly financial reporting. They also contribute to project analyses, system evaluations, and the development of data integrity programs to inform business decisions.

Senior Specialist, Clinical Imaging, TMTT (US Remote)

United States $108K - $153K per year 5-10 yrs exp Healthcare

The Senior Specialist will analyze 3D Computed Tomography reconstructions to support case planning for Transcatheter Mitral and Tricuspid Therapies. They are also responsible for training field teams and healthcare providers on imaging acquisition and interpretation to ensure optimal procedural outcomes.

Registered Pharmacy Technician RX To Go

United States 0-2 yrs exp Healthcare

The Registered Pharmacy Technician performs routine pharmacy functions including insurance data entry, therapy adherence documentation, and billing. They also assist with the dispensing, packaging, and shipping of oral oncology medications under the supervision of a licensed pharmacist.

Software Asset Management Analyst

United States $59150 - $106K per year 2-5 yrs exp Finance

The Software Asset Management Analyst is responsible for the lifecycle management of software assets, ensuring license compliance, and optimizing costs using the ServiceNow SAM Pro platform. This role involves performing license reconciliation, managing entitlements, and collaborating with developers to improve system automation and data quality.

Universal Fraud Agent, Remote (12 Month Contract)

Canada 0-2 yrs exp Others

The Fraud Agent is responsible for identifying, analyzing, and investigating client transactions to mitigate fraud losses across various banking channels. They must resolve complex fraud-related issues while maintaining service excellence and collaborating with internal security and strategy teams.

Strategic Consultant, Training Services

United States $107K - $145K per year 10+ yrs exp Others

The Strategic Consultant acts as a subject matter expert to design and implement training strategies for financial institutions during critical transformations like core conversions. They are responsible for managing client relationships, overseeing project execution, and ensuring operational readiness through effective training delivery.

Process Optimization Specialist

United States 2-5 yrs exp Others

The Process Optimization Specialist will analyze and document current business processes to identify inefficiencies and implement improvements using Lean Six Sigma and AI tools. They will collaborate with cross-functional teams to design target state workflows and monitor performance through data-driven KPIs.

Utilization Management Nurse Consultant

United States $29.1 - $62.32 per hour 2-5 yrs exp Healthcare

The Utilization Management Nurse Consultant reviews clinical information against evidence-based criteria to support coverage determinations and facilitate appropriate treatment plans. They also collaborate with care teams to monitor healthcare services and identify opportunities to improve quality and efficiency.

Claim Specialist-Auto Field Assignment

United States 2-5 yrs exp Others

The role involves conducting field investigations, evaluating bodily injury and property damage claims, and negotiating settlements with claimants. The specialist will also handle legal appearances and collaborate with internal and external teams to ensure efficient claim resolution.

Patient Access Specialist II (REMOTE)

United States 2-5 yrs exp Others

The specialist is responsible for managing patient registration, verifying insurance eligibility, and collecting financial obligations within the revenue cycle. They also provide price estimates, educate patients on financial options, and mentor staff while maintaining compliance and privacy standards.

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Case Managers

Canada 92248.8 - 108K per year 5-10 yrs exp Others

The Case Manager is responsible for assessing the needs of injured workers and administering benefit provisions under the Workers' Compensation Act. They lead the development of goal-oriented return-to-work plans while liaising with employers, healthcare providers, and unions.

Lead Adjudicator, Provider Claims( Remote)-closing shift

United States $17.85 - $38.69 per hour 5-10 yrs exp Legal

The Lead Adjudicator coordinates daily claims workflow, monitors staff performance, and manages escalations to ensure adherence to quality and productivity standards. They also serve as a subject matter expert, providing training, troubleshooting complex claims, and collaborating with stakeholders to improve processes.

Associate AI/ML Engineer

United States $77000 - $137K per year 2-5 yrs exp Software Development

You will design, develop, and deploy scalable AI/ML models and GenAI applications within a cloud-based healthcare environment. The role involves building robust Python APIs, managing agentic frameworks, and ensuring efficient model inference on Kubernetes infrastructure.

Manager, Denials - DDI

United States 2-5 yrs exp Others

The Manager will oversee daily operations for the denials team, ensuring productivity goals are met and high-priority accounts are resolved efficiently. They will also lead staff development, conduct performance evaluations, and collaborate with leadership to address operational trends and client expectations.

Business Planning Analyst, ES

United States 5-10 yrs exp Others

The Business Planning Analyst provides critical support through performance analytics, CRM management, and pricing strategies to drive business objectives. They collaborate with leadership to optimize territory management, develop sales metrics, and enhance account strategies.

UM Behavioral Health Nurse

United States $65000 - $88600 per year 0-2 yrs exp Healthcare

The Utilization Management Behavioral Health Professional uses clinical knowledge and critical thinking to coordinate medical services and determine appropriate treatment plans. They communicate with providers and members to facilitate optimal care while adhering to organizational policies and procedures.

Project Coordinator

United States 0-2 yrs exp Product Project Coordinator

The Project Coordinator supports Project and Program Managers by tracking project deliverables and ensuring quality standards are met across various operational groups. They are responsible for researching inquiries, providing detailed reporting, and drafting project-related documentation such as notices and procedures.

Case Entry Specialist

United States 0-2 yrs exp Others

The Case Entry Specialist is responsible for transcribing client data from Electronic Medical Records into designated electronic formats and monitoring shared inboxes for incoming communications. They also manage document uploads within the proprietary system and coordinate with internal teams or clients to gather necessary information.

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MIPS Professional Services Consultant (Remote - US)

United States 2-5 yrs exp Others

The MIPS Consultant provides virtual consultations, training, and best practice guidance to clients regarding Nextech software products. They also serve as an internal industry expert, manage recurring client services, and act as the voice of the customer for product enhancements.

Clinical Insights Analyst I

Poland 2-5 yrs exp Healthcare

The Clinical Insights Analyst supports cross-functional teams in identifying and managing clinical trial risks through the implementation of Key Risk Indicators and Quality Tolerance Limits. They are responsible for maintaining the Risk-Based Quality Management system, analyzing data anomalies, and ensuring inspection readiness.

Professional Staff Nurse, OP - CCP

United States 2-5 yrs exp Healthcare

The staff nurse will provide clinical care, formulate holistic care plans, and assist physicians while participating in quality improvement efforts. They are also responsible for teaching patients and families and maintaining comprehensive documentation of patient care.

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