The representative handles client and provider inquiries via email, phone, and written correspondence while adhering to contractual and state guidelines. Key tasks include reviewing provider history in internal systems and maintaining reports and spreadsheets.
Remote Jobs & Work From Home Positions in United States (122,631)
Remote in = United States
Represent clients in pre-litigation, foreclosure, bankruptcy, and eviction matters while managing internal case processing. Prepare high-quality legal documents and provide guidance and review of work product for non-attorney staff.
Own high-impact capital projects from concept to start-up across North American manufacturing sites. Coordinate cross-functional teams and vendors to modernize process manufacturing systems while managing budgets and schedules.
Head of People & Administration
HAAS ASSOCIATES, DBA EverCare Mobile Health
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Full Time
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9 hours ago
HAAS ASSOCIATES, DBA EverCare Mobile Health
Lead the organization's people strategy by overseeing recruiting, onboarding, and employee lifecycle management. Serve as a trusted advisor to leadership while fostering a culture of trust, accountability, and professional growth.
Own financial and operational outcomes including revenue, retention, and scale for health and welfare benefits administration. Lead cross-functional execution across Product, Technology, and Finance while utilizing AI to optimize processes.
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Collaborate cross-functionally to design and build novel products for the Reddit Pro and Youth Experience teams. Manage the full development cycle from technical design and experimentation to launch and mentoring other engineers.
Lead the operational function including inventory strategy, supply planning, and fulfillment across Retail, DTC, and Amazon channels. Drive operational excellence and scalability while managing 3PL partnerships and cross-functional alignment with Sales, Finance, and Marketing.
The Vice President, Internal Audit will serve as the founding leader responsible for building and scaling the company's global internal audit function. This includes establishing the audit charter, designing risk-based audit plans, and reporting findings to the Audit Committee and Senior Management.
Post Doctorate Research Associate- Sensing & Measurement
Pacific Northwest National Laboratory
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Part Time
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9 hours ago
Pacific Northwest National Laboratory
The researcher will develop innovative approaches to address challenges in modern power system dynamics, including power electronics-interfaced loads and electrified transportation. Key duties include collaborating with diverse technical teams and contributing to peer-reviewed publications and technical reports.
The specialist is responsible for auditing the presentment of Credit Key across merchant sites to identify gaps and implement optimizations. They work directly with merchant teams to execute changes that drive adoption, conversion lift, and average order value.
Partner with Account Executives to lead technical discovery, product demos, and scientific validation for enterprise customers. Translate complex scientific workflows into scalable software solutions and collaborate with Product and Customer Success teams to drive adoption.
Lead the expansion of the creator ecosystem by identifying, recruiting, and activating high-quality creators across various social platforms. Collaborate with internal category leaders to match creators with performance-driven campaigns in the financial services sector.
The Director of Strategic Accounts is responsible for generating opportunities and positioning the Tanium platform within an assigned territory to exceed sales quotas. This includes managing complex sales cycles, nurturing C-suite relationships, and collaborating with partner and marketing teams.
Collaborative Physician, Virginia - Remote
Blackbird Health
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Full Time
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9 hours ago
Blackbird Health
Provide clinical collaboration and supervision to nurse practitioners delivering pediatric mental health care. Conduct regular patient chart reviews and virtual consultations to ensure high standards of care in accordance with state requirements.
Manage member-facing communications to provide support on benefits, authorizations, and financial responsibility. Coordinate with clinical and RCM teams to ensure members can access care through effective insurance and coverage management.
Build, iterate, and launch production models to predict sports outcomes using machine learning and statistical frameworks. Manage SQL queries for efficient data pipelines and perform rigorous backtesting to ensure prediction accuracy.
Own the end-to-end Revenue Operations function, focusing on bottom-of-funnel operations, ARR dashboard automation, and process optimization. Act as a player-coach managing a small team while partnering with Sales, CS, and Marketing to drive growth strategy.
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Manage the full sales cycle from lead generation and prospecting to closing deals and transitioning customers to success teams. Deliver tailored product demonstrations and align AI-powered CRM solutions to address specific business challenges.
The Senior Outbound Program Manager acts as a strategic architect to build a high-performing outbound sales engine by segmenting databases and creating actionable sales plays. They are responsible for architecting high-conversion messaging across multiple channels and collaborating with Growth Operations to optimize prospecting infrastructure.
The role involves managing clinical information, collecting and analyzing metrics related to trauma patient care, and reporting financial and outcome data. The analyst abstracts patient data from Epic and Medical Examiner reports to maintain the trauma registry.
Participate in a 6-month immersive learning program to master commercial claims handling and workers' compensation regulations. Gradually take ownership of an indemnity claims portfolio, managing stakeholder communication and financial reserving.
Principal AML/CFT Compliance Officer - Sanctions (Remote)
First Citizens Bank
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Full Time
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9 hours ago
First Citizens Bank
The role serves as the FCB Sanctions Officer, providing strategic direction and expert guidance on complex AML/CFT and sanctions compliance programs. Responsibilities include leading high-risk investigations, developing compliance frameworks, and maintaining relationships with regulatory agencies and OFAC.
The BDR is responsible for executing high-volume outbound prospecting campaigns to identify and qualify new business opportunities. They collaborate with Account Executives and cross-functional teams to build a healthy sales pipeline and drive company growth.
Analyze transactional and historical data to optimize fraud prevention and payment decisioning within the PlayStation ecosystem. Collaborate with data scientists and ML engineers to develop strategies and communicate findings through dashboards and reports.
Develop and manage comprehensive media plans across digital, social, programmatic, and traditional channels to meet client business objectives. Conduct deep audience research and leverage AI tools to optimize workflows and uncover consumer insights.
Design, implement, and maintain highly resilient MongoDB infrastructure across on-premises and AWS cloud environments. Automate database deployment and configuration while providing expert-level performance tuning and architectural guidance.
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Develop and scale AI-powered experiences focusing on NLP and Large Language Models. Design evaluation frameworks and safety guardrails to ensure model reliability and performance in production.
Develop and maintain scalable data tools and pipelines to provide high-quality analytical insights to business stakeholders. Act as a subject matter expert to enable data-driven decision-making through dashboards, documentation, and training.
Create engaging graphics and layouts for online training courses and marketing materials. Ensure all visual content aligns with brand guidelines and supports learning objectives.
Oversee Utilization Management activities, including prior authorizations and clinical reviews, to ensure regulatory and contractual compliance. Lead and develop a team of nurse reviewers while maintaining strong relationships with customers and stakeholders.
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