Lead and evolve the enterprise-wide Compliance Program for Medicare Advantage and other lines of business. Drive strategic regulatory guidance, HIPAA privacy governance, and a data-driven culture of ethics and integrity.
Remote Jobs & Work From Home Positions in United States (122,407)
Remote in = United States
Sales, Account Manager - General Imaging Ultrasound (North Carolina)
Philips
·
Full Time
·
1 Week Ago
Philips
Develop and execute territory sales plans to meet revenue targets and ensure high customer satisfaction. Manage the full sales cycle from consultative solution providing to closing deals and coordinating equipment installation.
Oversee complex pediatric professional fee coding portfolios and serve as a functional team lead through mentoring and training. Ensure compliant coding and high audit defensibility while resolving high-risk encounters and payer policy conflicts.
Respond to member and provider inquiries regarding health benefits and precertification via phone and email. Negotiate with out-of-network providers and document all interactions in the system call log.
Lead the collegiate chapter support team in managing risk, membership, and finance to enhance the member experience. Serve as a key resource for volunteers and university partners while overseeing strategic planning and educational development.
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Own and evolve the revenue tech stack by maintaining tools like Salesforce and HubSpot. Identify operational gaps and build integrations to improve GTM efficiency and data reliability.
Prototype and train learning-based models using a data-centric approach and design auto-labeling systems for multimodal data. Develop and maintain efficient data extraction pipelines and optimize SQL queries for data analysis and ingestion.
Provide accurate reconditioning estimates for body, detail, and mechanical services for various customer types. Coordinate with procurement for pricing and monitor repair status and completion timelines.
The specialist is responsible for managing a target list of physicians in the Cleveland area to grow pharmaceutical sales and build disease awareness. Key duties include developing territory plans, managing sales budgets, and collaborating with partners to support patient access and reimbursement.
Conduct expert-level vehicle condition inspections on client lots and provide accurate documentation of vehicle status. Build and maintain client relationships while mentoring junior inspectors and reporting activity via Salesforce.
Independently prepare loan offerings and risk ratings by analyzing credit, collateral strength, and financial worthiness. Serve as a subject matter expert for specific asset classes and manage ongoing credit risk for assigned portfolios.
Data Scientist - Materials R&D - Remote-Travel
Intertape Polymer Group (IPG)
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Full Time
·
1 Week Ago
Intertape Polymer Group (IPG)
The Senior Data Scientist will apply advanced data science and machine learning to experimental and process data to accelerate innovation in bio-polymers and sustainable materials. They will partner with scientists and engineers to develop predictive models and optimize material performance and formulation design.
The specialist is responsible for reviewing trip records to ensure accurate payment posting, contractual adjustments, and payer details. This includes correcting posting errors, investigating missing payments, and conducting quality assurance checks.
The Billing Manager oversees the A/R Management team to ensure accurate follow-up on outstanding accounts, denials, and appeals to maximize reimbursements. They are responsible for maintaining KPIs, managing employee performance, and optimizing the overall revenue cycle process.
The Billing Resolution Specialist ensures EMS claims are coded and billed accurately to maximize collections and maintain compliance. The role focuses on resolving issues that prevent claims from being released to payors and performing quality assurance reviews.
Data Scientist - Materials R&D - Remote-Travel
Intertape Polymer Group (IPG)
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Full Time
·
1 Week Ago
Intertape Polymer Group (IPG)
The Senior Data Scientist will apply advanced data science and machine learning to bio-polymer and sustainable materials research to accelerate innovation. They will develop predictive models for material performance and collaborate with cross-functional teams to optimize formulations and processes.
The role involves owning vulnerability management, AWS security posture, and implementing security controls for AI-powered products. You will partner with Engineering and IT to maintain HIPAA and SOC 2 compliance while building scalable security safeguards.
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The Medical Coder is responsible for assigning accurate ICD-10, CPT, and HCPCS codes based on physician documentation. They also manage billing data, communicate with physicians for clarification, and ensure department goals and HIPAA regulations are met.
The role focuses on owning end-to-end mobile application deployments for iOS and Android and managing infrastructure-as-code using Ansible and Terraform. Additionally, the engineer will optimize IIS hosting in Windows environments and support the transition toward containerized workloads.
Prospect and engage potential clients to match them with appropriate alternative funding solutions. Manage the sales pipeline via CRM and close deals to help entrepreneurs grow their businesses.
Lead strategic advisory engagements to optimize supply chain operations for Retail Hard Lines customers. Develop high-level designs, strategic recommendations, and drive the expansion of SaaS deals through cross-functional collaboration.
Registered Nurse (RN) - Transfer Center Specialist - Conduit Health Partners
Bon Secours
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Full Time
·
1 Week Ago
Bon Secours
Coordinates patient transfer logistics and bed placement by collaborating with referring facilities, physicians, and hospital staff. Ensures accurate clinical presentation and documentation to facilitate appropriate levels of care and patient throughput.
Manage and grow sales of assigned products within a defined geographic territory to meet revenue and growth objectives. Build trusted relationships with surgeons and clinicians while providing clinical support and product demonstrations.
Drive territory revenue growth through strategic account planning, prospecting, and building relationships with healthcare decision makers. Provide on-site clinical support, product demonstrations, and customer education within hospitals and physician offices.
Manage and grow sales of assigned products within a defined geographic territory to meet revenue and growth objectives. Build trusted relationships with surgeons and clinicians while providing clinical support and product demonstrations.
Independently perform complex professional coding across multiple specialties and settings to ensure compliant reimbursement and audit defensibility. Resolve coding edits and denials while providing guidance to peers and supporting documentation improvement workflows.
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Live-Stream Lead Social Media Community Moderator
Social Factor
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Part Time
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1 Week Ago
Social Factor
Develop and grow digital communities for active live stream events while managing a team of moderators. Act as the first line of defense for shift coverage and manage client workflows and escalations.
Develop and grow digital communities for active live stream events by interacting with users in real-time. Responsibilities include answering questions, engaging in discussions, and troubleshooting efforts during Sunday shifts.
Own and evolve the AWS infrastructure, CI/CD pipelines, and data services to support the Manifest product. Design platform guardrails and observability patterns to improve developer experience and system reliability.
Regulatory Specialist II (Office of Clinical Trials)
Johns Hopkins University
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Full Time
·
1 Week Ago
Johns Hopkins University
The Regulatory Specialist II facilitates the startup and maintenance of commercially sponsored clinical trials by coordinating with internal and external partners. Key duties include managing IRB submissions, tracking study milestones, and maintaining electronic regulatory binders.
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