The role involves overseeing provider data, reimbursement rules, and operational workflows to ensure contractual compliance across various health products. The individual will serve as a subject matter expert, managing provider escalations and collaborating with internal departments to optimize claims processing and network reporting.
Remote Insurance Jobs (22,680)
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The Community Educator promotes health programs through site visits and community events while identifying and enrolling potential Medicaid candidates. They are responsible for building relationships with community agencies and providing educational presentations to members and organizations.
Manage and support the Salesforce development and delivery team while overseeing the technical aspects of Member CRM projects. Lead and mentor developers to ensure successful implementation of complex system integrations and Salesforce features.
You will build and scale the System Integrator (SI) implementation program by defining operating models, certification standards, and technical readiness. You will also serve as the primary technical strategist for partners, ensuring high-quality delivery and alignment with Ramp's product and commercial goals.
The Financial Controller serves as a key partner for the Operations P&L Manager, translating business strategy into measurable plans and targets. They are responsible for overseeing financial planning, forecasting, internal controls, and ensuring the accuracy of financial data and reporting.
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The Cell Therapy Account Manager is responsible for driving demand and ensuring the successful adoption of Kite CAR T therapies within assigned academic hospitals and community networks. This role involves strategic account ownership, cross-functional collaboration, and building trusted relationships with key clinical stakeholders.
The Functional Data Lead Analyst will coordinate large-scale ERP data migration activities and document conversion requirements for the SAP S/4 HANA implementation. They will drive execution tasks, manage cross-functional stakeholders, and ensure project milestones are met through proactive risk management.
Bilingual Junior Healthcare Fraud Investigator-Miami Work at Home
Cigna Healthcare
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Full Time
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2 Weeks Ago
Cigna Healthcare
The Junior Fraud Investigator will conduct audits and investigations into potentially fraudulent claim activity by healthcare providers. They are responsible for analyzing gathered information, preparing evidence packages for law enforcement, and supporting on-site inspections.
The associate will handle civil litigation matters including depositions, hearings, mediations, and drafting legal documents such as pleadings and motions. They are also responsible for investigating claims, developing case strategies, and reporting to insurance carrier clients.
The Provider Relations Manager is responsible for building and maintaining effective relationships with transportation providers to ensure service quality and operational performance. They will monitor provider metrics, resolve issues, and conduct training to support safe and compliant transportation services.
Principal / Sr Principal Systems Field Test Engineer (CONUS)
Northrop Grumman
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Full Time
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2 Weeks Ago
Northrop Grumman
The role involves performing system integration, testing, and operational maintenance for electronic warfare systems at customer sites. You will serve as the primary technical point of contact, managing field logistics and generating detailed progress reports.
The Customer Support Engineer is responsible for installing, maintaining, and repairing laboratory instrumentation at customer sites while providing technical support and familiarization. They also support sales representatives by identifying service agreement opportunities and ensuring high levels of customer satisfaction.
The Field Specialist is responsible for building customer relationships and providing technical product support to stores and contractors. They will lead product knowledge events, generate sales leads, and assist in creating project material lists.
The Peer-to-Peer Fundraising Manager is responsible for leading the Race4EveryKid virtual fundraiser and managing all peer-to-peer and crowdfunding campaigns. This role involves developing growth strategies, securing corporate sponsorships, and managing participant engagement to meet revenue targets.
Aerospace Supplier Quality Engineer (FAI REVIEWER)
TRIGO ADR Americas
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Full Time
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2 Weeks Ago
TRIGO ADR Americas
The Supplier Quality Engineer will execute supplier quality initiatives including compliance audits, FAI witnessing, and MRB activities. They will also provide technical guidance to suppliers to solve quality issues and optimize performance through continuous improvement techniques.
The Owner Relations Specialist serves as the primary point of contact for property owners, managing relationships and resolving inquiries across multiple communication channels. They coordinate with internal departments to ensure operational efficiency and maintain accurate records within the CRM system.
The Landowner Relations Team Member serves as the primary point of contact for landowners, managing relationships from late-stage development through construction and operations. This role ensures clear communication, coordinates issue resolution across internal teams, and maintains accurate records of agreements and project milestones.
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The Account Manager is responsible for driving sales growth, onboarding new clinics, and ensuring the seamless integration of the aprevo technology platform. They will maintain strong relationships with healthcare providers and collaborate with sales directors to execute marketing and outreach initiatives.
Strategic Communications Manager - Remote
Global Energy Monitor
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Full Time
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2 Weeks Ago
Global Energy Monitor
The Strategic Communications Manager will manage the editorial calendar and support communications across the organization's portfolio. They will collaborate with program teams to translate complex data into compelling narratives for media releases and reports.
The Infrastructure Engineer III is responsible for the strategy, design, and management of secure digital fax services and telephony infrastructure. This role involves administering Active Directory, Azure environments, and ensuring system availability and security across the enterprise.
Senior Account Executive - Healthcare Marketing
Precision Medicine Group
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Full Time
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2 Weeks Ago
Precision Medicine Group
The Senior Account Executive acts as an internal team leader responsible for managing client communications, project timelines, and budgets while ensuring the success of marketing programs. They also support new business initiatives and facilitate the medical-legal-regulatory review process for promotional materials.
The Strategic Account Manager will identify, develop, and manage high-volume commercial insurance partnerships to drive profitable growth. They are responsible for executing strategic plans, monitoring performance metrics, and collaborating cross-functionally to improve partner workflows and outcomes.
The Coding Auditor and Educator ensures coding accuracy and clinical documentation compliance within health records. They also conduct chart reviews and provide education to the interdisciplinary team regarding CMS risk adjustment guidelines.
Growth Solutions Architect (Remote)
Bryant Park Consulting
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Full Time
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2 Weeks Ago
Bryant Park Consulting
The Growth Solution Architect manages post-go-live customer relationships to drive system optimization, roadmap execution, and account expansion. They serve as a dedicated technical advisor responsible for aligning clients with managed services packages and identifying new revenue opportunities.
The manager will provide operational and analytical support to the community strategy team by standardizing processes and tracking escalation metrics. They will also collaborate with internal teams and community partners to drive customer retention and engagement.
The Patient Engagement Specialist manages inbound and outbound patient communications to facilitate scheduling and new patient conversion across multiple dental practices. They are responsible for maintaining accurate documentation in practice management systems while meeting performance standards for call quality and responsiveness.
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The Engineering Technology Lead serves as the corporate Subject Matter Expert for plant utilities, overseeing the design, maintenance, and optimization of critical infrastructure. This role involves leading capital projects, ensuring regulatory compliance, and providing technical mentorship to local plant teams.
Sr Workers Comp Claims Adjuster - California
The Hanover Insurance Group
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Full Time
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2 Weeks Ago
The Hanover Insurance Group
The Senior Casualty Claims Consultant manages moderate to complex, high-value casualty claims by leading investigations, assessing coverage, and negotiating resolutions. They also coordinate with internal and external stakeholders, ensure regulatory compliance, and mentor junior staff members.
The Sr. Engineer will design, configure, and maintain scalable Salesforce solutions to support sales, service, and marketing operations. They will also manage system integrations, ensure data quality, and collaborate with stakeholders to deliver effective platform enhancements.
Maintenance Controller
George J. Priester Aviation
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Full Time
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2 Weeks Ago
George J. Priester Aviation
The Maintenance Controller manages and coordinates all scheduled and unscheduled maintenance activities to ensure fleet airworthiness and minimal operational downtime. They serve as the primary liaison between flight operations and maintenance teams while ensuring strict compliance with FAA regulations and company manuals.
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