This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines, assessing medical necessity, appropriateness, and reimbursement eligibility. Key duties include reviewing complex claims, appeals, and fraud referrals, and providing well-documented rationales for service approvals or denials.
Remote Jobs & Work From Home Positions in United States (122,590)
Remote in = United States
The Associate Medical Director will engage in medical activities such as peer review, prior authorizations, peer-to-peer conversations, and providing testimony for Medicaid Fair Hearings, while also guiding the Utilization Management team on clinical decision-making.
Clinical Accounts Manager, Central Region - Western PA, OH, MI, IN, IL
Centinel Spine, LLC
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Full Time
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9 Weeks Ago
Centinel Spine, LLC
The role is responsible for ensuring excellent clinical outcomes with surgeon partners by planning, coordinating, and executing cross-functional strategies to exceed growth goals across the assigned territory. Key duties involve providing clinical support to new users, managing ongoing training needs for various staff, and collaborating with marketing and sales teams on commercial initiatives and educational content.
Territory Sales/Account Management
VAS Dairy Management software
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Full Time
·
9 Weeks Ago
VAS Dairy Management software
The role involves being the face of the brand, achieving customer goals, and building strong relationships through various interactions including phone, email, and on-site visits. Responsibilities include using Salesforce for tracking, partnering with internal teams, demonstrating platform developments, and attending industry events.
The primary responsibility involves providing support and training for Job Order Contracting (JOC) products and services to various clients, focusing on maximizing efficiency and cost savings in construction projects. Key duties include preparing schedules, implementing project procedures from identification through execution, reviewing proposals, and training contractors on software and procedures.
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This role involves owning the day-to-day execution and continuous optimization of paid acquisition campaigns across various channels, focusing on hitting CPA, CAC, ROAS, and volume targets for both Member and Host growth funnels. Responsibilities also include managing budgets, coordinating creative testing with external partners, analyzing full-funnel performance, and delivering actionable insights through reporting.
Policy & Research Advisory Committee
University of Illinois - Education Justice Project
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Full Time
·
9 Weeks Ago
University of Illinois - Education Justice Project
Advisors will provide guidance to the Policy & Research Team by offering feedback on division goals, input on policy agenda and strategy, and consultation on specific legislation and policies. They are also required to attend quarterly advisory committee meetings, monthly team meetings, and ad hoc meetings as needed.
This role involves owning day-to-day customer contracting, including drafting, reviewing, and negotiating subscription agreements, BAAs, and data use agreements, while also supporting strategic initiatives and channel partnerships. The counsel will also be responsible for improving contract templates, playbooks, and contracting processes to enhance consistency and reduce friction as the business scales.
The specialist will review AI-generated customer support responses for quality, accuracy, tone, and safety, identifying issues like incorrect information or poor customer experience. Responsibilities include evaluating AI handling of customer intent, frustration, and escalation, while documenting failure patterns and risks.
Sr. Territory Sales Manager - Remote (Southern California)
Hubbell Incorporated
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Full Time
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9 Weeks Ago
Hubbell Incorporated
The Sr. Territory Sales Manager is tasked with driving revenue growth by actively prospecting and securing new clients while simultaneously nurturing relationships with existing customers across the Southern California territory. This involves identifying sales opportunities, presenting offerings, negotiating agreements, and consistently achieving or surpassing assigned sales targets.
The manager ensures the safe, efficient, and cost-effective distribution of products by serving as a resource to senior leadership and plant managers, while also mentoring distribution personnel. Major duties include supporting warehouse locations as an expert resource on operational issues and leading process improvement initiatives through SOPs and technology.
This role involves leading the design, development, optimization, and implementation of advanced control systems across critical infrastructure platforms, focusing on data center infrastructure, power management, and industrial automation. The engineer will serve as a technical leader driving system architecture, integration, and execution across PLC, IPC-based controls, SCADA/HMI, BMS, and EPMS platforms.
Sr. Principal Mechanical Integration Engineer – Data Center Liquid Cooling (REMOTE) 12 APPLICANTS
Jabil
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Full Time
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9 Weeks Ago
Jabil
This role leads early phase factory design by scoping, specifying, and integrating mechanical and cooling systems, mimicking data center infrastructure functionality where required, and translating product and process requirements into scalable factory architectures. The engineer will also lead test process implementation and equipment selection to maintain high standards of operational excellence and reliability.
The Product Manager will own the end-to-end roadmap for the Scheduler stream, focusing on defining the 'what' and 'why' based on deep customer understanding and market intelligence. This involves extensive customer interaction, competitive assessment, and close collaboration with adjacent Product Managers to ensure platform coherence.
Deployment Support Technician - Autonomous Robotics
Rockwell Automation
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Full Time
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9 Weeks Ago
Rockwell Automation
The technician will support on-site commissioning, integration, acceptance testing, and real-time troubleshooting for complex autonomous mobile robotics (AMR) systems at customer production floors. Key duties include performing preventative maintenance, minor repairs, and delivering training to customer personnel on system operations.
The Imaging Account Manager will own and drive the sales strategy for the diagnostic imaging portfolio across Long Island and NYC, focusing on cultivating relationships with healthcare stakeholders to identify leads and grow market share. Responsibilities include delivering on quarterly and annual sales targets, maximizing profit margins, and leveraging product knowledge across various imaging modalities.
The Payroll Specialist is responsible for preparing and processing multi-state U.S. and multi-province Canadian payrolls, ensuring compliance with all federal, state, and provincial labor and tax regulations. This role also involves reconciling payroll reports, supporting month-end close, preparing year-end tax forms, and responding to employee payroll inquiries.
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Natural Gas Senior Portfolio Manager
NTT Global Data Centers
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Full Time
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9 Weeks Ago
NTT Global Data Centers
The role involves leading the origination, structuring, and securing of firm, scalable natural gas supply across the United States to support data center power generation and behind-the-meter solutions. Additionally, the manager will act as a global subject matter expert, advising EMEA and APAC teams on strategy, deal structuring, and market insights.
The Staff Software Engineer will own the technical direction and architecture of the iOS platform, leading the development of advanced features using modern Swift technologies like SwiftUI and Swift Concurrency. They will also drive platform modernization initiatives, define engineering standards, and lead efforts to improve development velocity through CI/CD and tooling.
The coordinator will manage day-to-day TikTok Shop operations, including product setup and catalog accuracy, while supporting campaign launches and monitoring platform performance. Responsibilities also include maintaining weekly and monthly reporting trackers across paid media channels and consolidating performance data.
The Business Development Manager will develop regional business plans, conduct brokerage visits to drive growth and service accounts, and support distribution and underwriting teams by reinforcing product appetite and capabilities. This role also involves monitoring broker performance and supporting partnered insurance program initiatives from lead generation through Go-to-Market strategy.
Customer Support Specialist – Municipal Courts (Public Sector SaaS)
FundView
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Full Time
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9 Weeks Ago
FundView
Provide frontline support to customers using the municipal court module via phone, email, and ticketing systems, troubleshooting issues related to case management, citations, warrants, dockets, and payments. Guide users on product features, system updates, and best practices for efficient court operations and case lifecycle management.
The Outreach Specialist is responsible for conducting outbound and inbound calls to educate patients about Advanced Care Planning (ACP) and ultimately schedule appointments. This role also involves responding to patient inquiries via multiple communication channels while maintaining HIPAA compliance and meeting performance metrics.
Senior Software Engineer - AI Workflow Automation (Contract)
Concurrency
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Full Time
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9 Weeks Ago
Concurrency
The role involves partnering with stakeholders to design and implement intelligent, automated systems, focusing heavily on building and refining automated workflows for tasks like email ingestion, extraction, and exception routing.
The Project Manager will own and drive project execution and value creation for clients by planning and driving software deployment, managing scope, goals, deliverables, and resources. This involves coordinating work streams, disentangling escalations, and ensuring project timelines are met for positive client outcomes.
This role will focus on executing commercial growth efforts by supporting active customer pursuits, managing contract obligations, and ensuring rigor across the sales and delivery lifecycle as the company scales. Key duties include translating complex technical concepts into value propositions, tracking contract milestones, and building financial models for commercial decision-making.
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Handyman/Laborer
Handyman Connection of Coraopolis, PA
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Full Time
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9 Weeks Ago
Handyman Connection of Coraopolis, PA
Perform a variety of home repair tasks including plumbing, electrical, and carpentry work while providing excellent customer service to clients on job sites. Responsibilities also include inspecting and assessing home repair needs, providing accurate estimates, and maintaining a clean work environment.
The specialist prepares, reviews, and processes legal documents for filing in California state/federal courts and private arbitrations, ensuring compliance with all relevant rules and technical specifications. This includes managing electronic filings, monitoring status, troubleshooting rejections, and coordinating service of process.
The Wholesale Account Manager will be responsible for identifying, onboarding, and managing wholesale partners across various channels, ensuring successful launches and ongoing support for growth. This involves coordinating cross-functionally for product launches, promotions, and tracking partner performance to maintain smooth operations.
The Product Manager is tasked with defining, delivering, and continuously improving healthcare technology products supporting clinical, operational, and patient outcomes within an Agile framework. This involves owning the product roadmap, prioritizing features, and ensuring development aligns with regulatory requirements and organizational strategy.
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