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Tags = insurance

Account Manager

United States 5-10 yrs exp Sales Account Manager

The Account Manager provides day-to-day service and support to commercial clients, including managing renewals, claims, and policy-related inquiries. They also analyze risk exposures, develop coverage recommendations, and negotiate with carriers to ensure client retention and growth.

Travel Advisor

United States 2-5 yrs exp Others

The Travel Advisor is responsible for arranging domestic and international travel services for business clients, including air, hotel, and ground transportation. They must ensure compliance with travel policies, manage reservations, and provide high-quality customer service while maintaining accurate passenger profiles.

Network Relations Support

United States 2-5 yrs exp Support

The Network Customer Service Support Specialist acts as a primary point of contact for clients, providers, and partners to resolve complex inquiries. They are responsible for investigating multifaceted issues across various systems to provide effective, long-term solutions while maintaining high service standards.

Payor Specialist - LOA, SCA, Third-Party Payors - Healthcare

United States $30 - $41 per hour 2-5 yrs exp Healthcare

The Payor Specialist verifies patient insurance coverage, submits authorization requests, and manages Letters of Agreement and Single Case Agreements. They coordinate with the Case Management Team to ensure timely payor determinations and maintain accurate documentation of insurance requirements.

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Sr Team Member Relations Specialist

United States $83670 - $161K per year 5-10 yrs exp Others

The specialist will provide consultation to leaders on team member relations, conduct thorough investigations, and analyze data to implement strategic workforce improvements. They will also ensure legal compliance, maintain company policies, and leverage AI tools to streamline administrative processes.

Care Advocate

United States $50000 per year 0-2 yrs exp Others

The Care Advocate serves as the primary point of contact for patients and providers, managing appointments, records, and care coordination. They also act as the voice of the patient by surfacing data trends and resolving issues to ensure efficient operations.

Quality Assurance Automation Engineer

United States $85000 - $90000 per year 2-5 yrs exp Software Development

The QA Automation Engineer will design, implement, and maintain automated testing solutions to improve software quality across the claims processing platform. They will collaborate with cross-functional teams to develop test strategies, execute test suites, and manage the organization's automation framework.

Territory Manager, Sales, Upstate New York

United Kingdom, United States $100K - $115K per year 2-5 yrs exp Sales

The Territory Manager is responsible for driving revenue and order growth for Mass Spectrometry products within Upstate New York. This role involves managing the sales funnel, providing technical expertise on analytical workflows, and collaborating with internal teams to meet sales targets.

Field Service Engineer - Chicago, IL

United States $39 - $43 per hour 2-5 yrs exp Software Development Field Service Engineer

The Field Service Engineer is responsible for providing exceptional customer service and managing customer accounts while maintaining a diverse technical product portfolio. They will proactively build professional relationships and propose process improvements to enhance internal and external operations.

Enterprise Technical Architect – Warehouse Management Systems (WMS)

United States $96182 - $163K per year 10+ yrs exp Software Development Architect

The Enterprise Technical Architect leads the design and implementation of scalable, secure technical solutions for enterprise-scale Blue Yonder WMS transformation programs. This role governs technical strategy, manages complex integrations, and partners with stakeholders to ensure successful project delivery from discovery through go-live.

Python & Java Full Stack Developer (AI-Assisted)

United States $100K - $180K per year 10+ yrs exp Software Development Full Stack Developer

Design and build end-to-end AI-assisted platforms for manufacturing, including cloud infrastructure, backend microservices, and modern web frontends. Develop and evolve agentic AI workflows using Amazon Bedrock while maintaining robust backend services and infrastructure as code.

Prior Authorizations Supervisor - Pain Interventions - REMOTE

United States $64000 - $96000 per year 2-5 yrs exp Others

The supervisor will lead a team responsible for prior authorization and reimbursement support operations for pain intervention therapies. They will monitor performance metrics, resolve complex coverage issues, and implement process improvements to enhance patient access.

Psychiatric Nurse Practitioner (PMHNP)

United States $160K - $165K per year 2-5 yrs exp Healthcare Nurse Practitioner

The Psychiatric Nurse Practitioner will assess, diagnose, and treat patients across the lifespan while collaborating with physicians and behavioral health professionals. Responsibilities include implementing therapeutic regimens, providing mental health education, and developing comprehensive treatment plans.

Palliative Care Social Work Case Manager

United States $70000 - $80000 per year 2-5 yrs exp Healthcare

The Palliative Care Social Work Case Manager provides supportive counseling and care coordination for patients with complex needs and life-limiting illnesses. Responsibilities include conducting psychosocial assessments, facilitating goals of care discussions, and collaborating with an interdisciplinary team to eliminate socioeconomic barriers.

Case Manager, Client Paid Customer Operations

Canada 2-5 yrs exp Healthcare

The Case Manager coordinates complex prescription processing, manages prior authorizations, and ensures regulatory compliance for specialty medications. They also perform inventory activities, resolve technical pharmacy system issues, and conduct quality assurance to maintain operational standards.

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Senior Nurse Case Manager – Rare Disease

Canada 76200 - 119K per year 5-10 yrs exp Healthcare

Manage case support for assigned physicians and patients by coordinating care, reimbursement, and clinical monitoring. Provide medical education and maintain accurate case documentation while collaborating with healthcare providers and pharmaceutical partners.

Staff Software Defined Infrastructure Engineer

China $177K - $265K per year 10+ yrs exp Software Development

The Staff Software Defined Infrastructure Engineer will lead the design and implementation of automated infrastructure using Infrastructure as Code and modern software-defined platforms. They will also develop automation services, manage containerized environments, and mentor junior engineers within an Agile framework.

HIM Coder - Remote/Willingboro (PT) CCS Required

United States $28.63 - $44.54 per hour 2-5 yrs exp Software Development

The HIM Coder is responsible for accurately coding and abstracting hospital medical records across various departments using established federal and state guidelines. They collaborate with medical staff and clinical documentation improvement teams to ensure documentation accuracy and proper DRG assignment.

Benefits Analyst

United States $68000 - $91333 per year 2-5 yrs exp Finance

The Benefits Analyst provides operational support for employee benefits programs across North America and Latin America, including health, welfare, and leave administration. This role manages day-to-day enrollment transactions, vendor operations, and ensures compliance with regional reporting requirements.

Cyber Underwriter (West Coast)

United States $75000 - $135K per year 2-5 yrs exp Finance Underwriter

The Cyber Underwriter will build a profitable book of specialty lines business by managing wholesale broker relationships and driving submission flow. They will be responsible for evaluating risks of various industries and sizes while maintaining high standards of underwriting quality and efficiency.

Case Manager - Healthcare Appeals & Patient Access Advocate

United States $40 - $54 per hour 5-10 yrs exp Healthcare

The Case Manager oversees the authorization and appeal process for patients to ensure timely access to care and secure payment channels. They act as a primary point of contact between patients, providers, and insurers while managing complex clinical documentation.

Technical Customer Support Representative

United States $58000 - $67000 per year 0-2 yrs exp Support Customer Support Representative

The role involves managing technical support inquiries via phone and email while maintaining detailed case records in the tracking system. Additionally, the representative will support sales and marketing teams with study management and quality assurance tasks.

Customer Service Representative

United States $18 - $20 per hour 2-5 yrs exp Support Customer Service Representative

The Customer Service Representative provides high-quality support across multiple channels while maintaining accurate documentation of customer accounts. They also troubleshoot issues, manage email inboxes, and provide frontline feedback to improve internal processes and AI responses.

Clinical Pharmacist- FL license required

United States 0-2 yrs exp Healthcare

The Clinical Pharmacist will provide integrated patient support by developing personalized care plans, managing medication adherence, and performing medication therapy management. They will also oversee pharmacy technicians, handle prior authorizations, and ensure compliance with state and federal pharmacy regulations.

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Customer Success Manager

Canada, United States 2-5 yrs exp Sales Customer Success Manager

The Customer Success Manager will manage a portfolio of accounts to drive retention, revenue growth, and cross-selling opportunities. They will act as a trusted advisor to senior stakeholders while collaborating with internal teams to deliver tailored solutions and ensure project success.

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