The coordinator will oversee all aspects of payer authorization, including the timely submission and tracking of initial requests, managing 485 and add-on authorizations, and monitoring ongoing patient eligibility.
Remote Jobs & Work From Home Positions in United States (119,632)
Remote in = United States
Full Time Provider (OH, AZ, UT, VA, ND, DE, ME, HI, PA, ID)
Spring Health
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Full Time
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11 Weeks Ago
Spring Health
Providers will focus on care delivery for the member network by conducting mental health counseling sessions, including clinical risk assessments, and responding to critical incidents as needed. They must also adhere to policies, complete required training, and utilize data-driven decision making to monitor client care quality.
The role involves leading the development of a platform for large-scale ML models, designing end-to-end model lifecycle patterns (MLOps) to increase ML engineer development velocity. This includes zero-to-one development of a graph ML codebase and optimizing model training efficiency in a distributed environment.
The Staff ML Infrastructure Engineer will lead the development of a platform for large-scale ML models, designing end-to-end MLOps patterns for data preparation, model management, and experiment tracking. This role involves zero-to-one development of a graph ML codebase and platform, collaborating on performance tuning, and architecting pipelines for massive graph data structures.
Senior Business Development Manager, AI Native Ecosystems & Strategic Influence
Everpure
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Full Time
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11 Weeks Ago
Everpure
The role centers on architecting the 'Pull-Through' strategy to mandate Everpure as the foundational data layer for influential AI Native startups, securing its place within major GPU contracts across cloud providers. This involves establishing deep partnerships with executive and engineering leadership to integrate Everpure into standard reference architectures and cloud service offerings.
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Regional Business Development Manager
Skyports Deliveries Limited
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Full Time
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11 Weeks Ago
Skyports Deliveries Limited
The manager will lead full-cycle sales, serving as the primary contact for a major client while expanding the commercial footprint across the US, focusing on utilities and construction sectors. Key tasks include managing client communications, growing the sales pipeline, responding to public procurement processes, and developing high-quality commercial proposals.
Observation Coder - Health Information Management
McLeod Health
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Full Time
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11 Weeks Ago
McLeod Health
The role involves observation coding within a dynamic environment. The successful candidate will join a stellar team of professionals.
This senior individual contributor and people manager role is responsible for owning the Business Intelligence (BI) practice end-to-end, leading a team of 2-4 employees and contractors in managing conversion tracking infrastructure across numerous client accounts. Key duties include owning the conversion tracking strategy, architecting data pipelines, designing GA4/GTM configurations, overseeing offline tracking integrations, and building client-facing dashboards.
The primary responsibility involves chairing and/or serving as a second member on doctoral dissertation committees, acting as a methodologist and/or content expert for Forensic Psychology PhD students. Contributing Faculty members must educate students proficiently using online technology, providing thoughtful, well-written, and timely feedback within a respectful environment.
The Principal Product Manager will set and drive the long-term vision and multi-year strategy for Upstart’s Agentic Platform, owning the roadmap and leading development of user experiences for non-technical agent builders. This role involves establishing safety frameworks, defining architectural strategy for agentic systems, and driving company-wide adoption through cross-functional partnership.
The Security Team is responsible for protecting patient data and the platform's technology, working closely with Engineering and Product teams to integrate security into the company culture. A key focus in this role will be enhancing the security of cloud infrastructure.
The Director will lead and motivate the Phorum team, develop and execute the business plan to ensure tangible member outcomes, and oversee the delivery of high-quality industry events. This includes managing budgets, monitoring KPIs like NPS and retention, and driving thought leadership opportunities.
Behavioral Health Psychologist
Health Care Service Corporation
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Full Time
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11 Weeks Ago
Health Care Service Corporation
This position oversees clinical reviews for Applied Behavior Analysis (ABA) services, acting as a subject matter expert on autism spectrum disorder cases and ABA services within the Behavioral Health clinical team. Responsibilities include conducting and documenting peer-to-peer reviews with external ABA providers, consulting on cases reviewed by appeals staff, developing team training, and presenting data to leadership.
The Senior Benefits Consultant is primarily responsible for retaining clients and their existing book of business by overseeing strategy, financial analysis, benefit design, plan renewals, benchmarking, and overall service delivery. They must also effectively communicate the company's value proposition and industry trends to active clients.
The Senior Key Channel Executive is responsible for owning and developing an account strategy in coordination with distribution partners within the non-acute market, focusing on positioning Beckman Coulter products to meet customer needs. This role involves promoting install base revenue growth, utilizing key influencers to close sales in various settings, and managing business reviews and account plans.
The Sales Development Representative will be responsible for building the top of the sales funnel by identifying, researching, and executing outbound prospecting strategies to generate and qualify new business opportunities in the U.S. market. This involves engaging with prospects to understand their needs, collaborating with internal teams, and maintaining accurate records within the CRM system.
The role involves assisting with all phases of AI Delivery projects, including designing, building, deploying, and tuning AI solutions for contact center agents and virtual agents. This requires close collaboration with cross-functional teams and potentially direct customer engagement to align solution designs.
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The role involves designing and implementing front-end components and user experience for MetaMask Debit Card interactions across clients, alongside developing robust backend services and APIs for card lifecycle management and transaction processing. Responsibilities also include ensuring secure integration with financial partners, payment networks, and optimizing the performance and security of all Card features.
Federal Territory Account Manager- Civilian Agencies
Tenable, Inc.
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Full Time
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11 Weeks Ago
Tenable, Inc.
The Federal Territory Manager is tasked with establishing and developing business within existing and new clients in Federal Civilian Agencies through regional marketing and direct sales activities. This role involves managing the sales pipeline, achieving assigned sales budgets, and overseeing the day-to-day activities of dedicated sales personnel.
The Project Manager will be accountable for managing multiple Cogstate projects, overseeing the delivery of Cogstate Services across global clinical trials in all phases. Key duties include financial management, proactive risk management, leading internal project teams, and ensuring accurate reporting on service delivery and progress.
This role involves performing administrative staff work to support research and review projects focused on Hospital policies, procedures, and department operations. Key duties include participating in data collection and preparation, assisting in studies to ascertain operational efficiency, and helping management facilitate new programs.
The Account Executive is responsible for managing all phases of the sales cycle, from prospecting to closing, within an assigned territory by introducing KEV’s School Cash Suite of solutions to C-level School District Business Officials. This involves building a pipeline through various outreach methods, consistently meeting sales quotas, and acting as an evangelist for the company's brand and products.
The Manager of Integration Analysis will lead a team of System Analysts, guiding analysis, solution design, and documentation for key programs to ensure alignment with organizational objectives. Responsibilities include managing and mentoring the team, participating in agile ceremonies, and serving as the primary liaison between business stakeholders and technical teams.
Field Care Coordinator - Richmond County, VA
UnitedHealth Group
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Full Time
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11 Weeks Ago
UnitedHealth Group
The Field Care Coordinator engages members face-to-face or telephonically to conduct comprehensive needs assessments, developing and implementing person-centered care plans addressing medical, behavioral, functional, and socioeconomic needs. This role involves collaborating with teams to implement care plans, providing education, supporting discharge planning, and advocating for members' needs.
The engineer will act as the essential bridge between security and engineering teams, ensuring security is deeply integrated into development processes by participating in RFCs, PRDs, and code reviews. Key duties include providing adversarial threat analysis on features, taking ownership of code vulnerabilities, managing Cloudflare/WAF controls, and uplifting the SIEM system.
The Director of MedEcon will lead financial performance measurement and forecasting for value-based contracts, serving as a technical expert to accurately forecast performance, understand cost trends, and communicate value to partners. Key duties include owning savings forecasts, building financial models for contract performance, leading contract reconciliations, and developing underwriting frameworks.
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This role is responsible for the design, build, testing, validation, maintenance, and ongoing support of the Epic Inpatient Orders module, including handling upgrade projects, enhancement requests, and break/fix duties. The analyst will also mentor other analysts, manage complex projects independently, and foster positive business relationships across various departments and partners.
The engineer will be responsible for building cross-platform mobile applications for digital health proof-of-concepts, primarily using frameworks like React Native. Key duties include leading mobile architecture, integrating devices, and designing/integrating RESTful and event-driven APIs for secure data exchange.
V - Technical Procedure Writer 20 APPLICANTS
Penn Entertainment
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Full Time
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11 Weeks Ago
Penn Entertainment
The Technical Procedure Writer is responsible for creating, revising, and maintaining technical procedures essential for the safe and efficient operation of power generation systems. This involves converting complex engineering documents and vendor manuals into clear, step-by-step instructions while ensuring adherence to standardized formatting.
Responsibilities include conducting functional and non-functional testing for web and mobile applications, maintaining test suites, and creating detailed test cases traceable to requirements. The role also requires developing and executing automated test scripts using Playwright for UI and API validation.
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