The Payment Integrity Analyst investigates payment errors by reviewing claims, validating contract terms, and applying coding guidelines to prevent improper payments. This role also involves analyzing claim inventory, documenting findings, and recommending process improvements to enhance data quality and accuracy.
Remote Jobs & Work From Home Positions in United States (124,162)
Remote in = United States
The Field Supervisor will lead nationwide O&M activities for BESS assets, ensuring system performance, safety compliance, and accurate reporting. They will oversee field technicians and contractors while managing maintenance schedules, budgets, and client relationships.
The Principal Software Engineer will provide technical leadership across multiple backend teams to shape architecture and strategy for complex, business-critical systems. They will also drive operational excellence and mentor senior engineers while remaining hands-on with critical system design and implementation.
The Risk Adjustment CDS performs prospective, concurrent, and retrospective medical record reviews to ensure accurate clinical documentation and risk adjustment capture. They also manage physician queries and conduct pre-visit planning to improve patient outcomes and support value-based care performance.
Design, deploy, and manage scalable and secure cloud solutions on Azure while aligning with the Well-Architected Framework. Provide advisory services and support migration efforts to transition workloads from on-premises environments to the cloud.
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HOA Business Development Officer I
Western Alliance Bank
·
Full Time
·
7 Weeks Ago
Western Alliance Bank
The Business Development Officer is responsible for developing new business opportunities within the Community Association Industry and managing existing client relationships. This includes conducting sales presentations, cold calling, attending industry trade shows, and acting as a liaison between operations and clients.
The Global Integrated Campaigns Senior Manager owns the end-to-end strategy, execution, and performance of multi-channel campaigns across the B2B buyer journey. This role bridges go-to-market strategy and execution by aligning cross-functional teams to drive demand and measurable business impact.
Investigate the origin and cause of structural failures in residential, commercial, and industrial settings through field inspections. Prepare detailed technical reports and manage multi-disciplinary teams on complex assignments.
The Senior Python Engineer will design, develop, and deploy reliable, production-ready software solutions within enterprise environments. This role involves managing the full software development lifecycle, including testing, post-release support, and continuous system optimization.
The teacher is responsible for delivering synchronous and asynchronous instruction in an online environment while monitoring student progress through a learning management system. They must maintain positive rapport with families, differentiate instruction based on student needs, and manage academic records.
The teacher is responsible for delivering course content in an online environment while monitoring student progress and providing personalized support. They must maintain regular communication with students and parents while managing the learning process through the school's management system.
The Spanish Teacher is responsible for delivering course content in an online environment while monitoring student progress and providing individualized support. They must maintain positive rapport with families and collaborate with colleagues to use student data to drive instructional decisions.
The Business Teacher is responsible for delivering course content in an online environment while providing instruction, support, and guidance to students. They must monitor student progress, maintain grade books, and communicate regularly with parents and learning coaches to ensure academic success.
The Sales Executive will originate, structure, and close strategic financial institution partnerships to scale Zact's bank distribution channel. They will manage the full sales cycle, navigate complex procurement processes, and collaborate cross-functionally to ensure successful implementation and long-term revenue growth.
The Executive Account Director is responsible for strategically managing and growing key client accounts while driving new business opportunities. They serve as the primary point of contact and trusted advisor, ensuring high levels of client satisfaction and long-term partnership success.
Quality Assurance Registered Nurse (RN) - Home Health
Seaport Home Health Care Services
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Full Time
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7 Weeks Ago
Seaport Home Health Care Services
The role involves reviewing OASIS assessments and ICD-10 coding to ensure clinical accuracy, regulatory compliance, and documentation integrity. The nurse will collaborate with clinical teams to identify documentation gaps and support quality improvement initiatives.
Remote Afternoon General Radiologist
Radiology Partners
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Full Time
·
7 Weeks Ago
Radiology Partners
The radiologist will provide high-quality diagnostic imaging services to patients across various healthcare facilities. They will contribute to the practice's mission of transforming radiology through clinical innovation and service excellence.
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Act as the primary point of contact for families, providing ongoing support, academic planning updates, and personalized recommendations throughout the study abroad journey. Collaborate with internal teams, including admissions coaches and operations, to ensure service quality and alignment with student goals.
The Senior Area Sales Manager is responsible for driving profitable sales growth and executing marketing initiatives for the Foamular business within the Midwest region. This role involves building and maintaining strong customer relationships while developing strategies to meet growth targets.
The Account Manager is responsible for owning and driving the overall email marketing strategy, including managing flows, campaigns, and performance-driving initiatives for clients. They act as the primary client liaison, ensuring operational excellence, strong communication, and consistent revenue growth.
Lead the migration of legacy RPA solutions into modern, agent-based architectures using AWS-native services. Design, develop, and deploy intelligent AI agents while orchestrating multi-step workflows integrated with enterprise systems.
Represent issuers and investment banks in public and private securities offerings. Advise publicly traded companies on compliance with the Securities Exchange Act of 1934, exchange listing standards, and corporate governance.
The Senior Actuarial Analyst will build models and perform actuarial analysis to support financial forecasting, risk management, and value-based contracting initiatives. They will also extract and validate healthcare data to generate actionable insights for business strategy development.
Data Entry & Sales Representative (Work at Home) Now Hiring
Jobconversion, LLC
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Full Time
·
7 Weeks Ago
Jobconversion, LLC
The role involves performing accurate data entry tasks and managing sales-related communications with clients. Employees are expected to maintain productivity while working remotely without distractions.
The analyst will strengthen enterprise portfolio decision-making through advanced analytics, resource utilization insights, and the development of portfolio dashboards. They will also lead automation and modernization initiatives to improve governance efficiency and data quality across the project lifecycle.
Sr. Solutions Architect | Security (Remote in Northern California)
Trace3
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Full Time
·
7 Weeks Ago
Trace3
The Security Architect provides thought leadership and strategic guidance on cybersecurity solutions to regional clients while partnering with sales teams to drive business objectives. They are responsible for designing technical roadmaps, managing RFP/POC lifecycles, and ensuring successful implementation of security solutions.
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The Senior Manager will own financial strategy and partner with cross-functional leaders to drive business outcomes for personal loans. They will lead end-to-end financial modeling, forecasting, and the creation of actionable insights for executive decision-making.
You will design and implement robust ETL pipelines to process large-scale customer data and build tools to streamline integration workflows. Additionally, you will collaborate with cross-functional teams to deliver data solutions and mentor engineering team members.
Bilingual Outbound Enrollment Specialist (Arizona)
Pomelo Care
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Full Time
·
7 Weeks Ago
Pomelo Care
The specialist will conduct high-volume outbound calls to enroll patients in services and educate them on available clinical and social resources. They are also responsible for documenting patient interactions, scheduling appointments, and collaborating with healthcare stakeholders to ensure quality care.
The specialist will conduct high-volume outbound calls to enroll patients in services and educate them on available clinical and social resources. They are also responsible for documenting interactions, managing inbound calls, and collaborating with healthcare providers to ensure patient needs are met.
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