The specialist coordinates the tracking, documentation, and submission of stop loss claims to carriers for reimbursement. They also provide customer service to internal and external stakeholders and participate in quality assurance process improvements.
Remote Jobs & Work From Home Positions in United States (122,663)
Remote in = United States
Responsible for verifying patient insurance benefits and obtaining necessary pre-certifications from payors. Communicates financial liability to patients and ensures all pre-service processes are completed before scheduled services.
Learner Resolution Specialist
University of Maryland Global Campus
·
Full Time
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2 Days Ago
University of Maryland Global Campus
Coordinate the intake and resolution of student complaints while serving as the primary point of contact for escalations. Analyze dispute data to recommend policy changes and collaborate with internal departments to ensure impartial investigations.
Provide individual and group psychotherapy sessions via telehealth, including biopsychosocial assessments and MicroTherapy. Collaborate with psychiatric providers and maintain accurate documentation in the EHR while adhering to HIPAA regulations.
Senior Oncology Account Specialist Prostate Cancer White Plains, NY
Pfizer
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Full Time
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2 Days Ago
Pfizer
Promote Pfizer's oncology product portfolio to healthcare providers and specialists while educating the community on appropriate product use. The role involves strategic account management and building relationships with Key Opinion Leaders to improve patient care and brand presence.
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Senior Director, Oncology Field Access & Reimbursement Strategy Lead
Pfizer
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Full Time
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2 Days Ago
Pfizer
Lead the national field reimbursement strategy for Pfizer Oncology, focusing on both oral oncolytics and infused therapies. Manage a field team of 25+ members to ensure patient access and optimize the post-prescription journey through AI-enabled tools and health system partnerships.
Provide remote clinical application support for Patient Care Monitoring Systems to internal and external customers. Troubleshoot complex clinical issues, manage escalations, and participate in an after-hours on-call rotation.
Design and implement end-to-end web applications, including backend services and modern user interfaces. Collaborate with BA/QA teams to handle requirements, code reviews, and cloud deployment.
Design, build, and maintain backend services and APIs for a US-based enterprise client. Collaborate with product and QA teams within an agile delivery model to implement performance and reliability improvements.
Design, build, and operate scalable ETL/ELT pipelines and warehouse models from various data sources. Collaborate with analytics teams to ensure data quality, reliability, and the creation of curated metrics.
Develop and deploy ML and GenAI capabilities, including RAG and LLM-powered features, into production applications. Responsibilities include model integration, MLOps implementation, and collaborating on responsible AI practices.
The role involves cleaning and analyzing large datasets to develop predictive models and machine learning algorithms. The Data Scientist will communicate findings to stakeholders through data visualizations and collaborate with cross-functional teams to drive data-driven initiatives.
Generate interest in service offerings by making cold calls and qualifying leads to set appointments for Account Executives. Utilize sales tools like Outreach and LinkedIn to uncover opportunities in IT Managed Services, Cloud, and Cyber Security.
Experienced Foreclosure Paralegal - Remote
Friedman Vartolo LLP
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Full Time
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2 Days Ago
Friedman Vartolo LLP
Manage foreclosure cases from referral to conclusion, including drafting legal documents and e-filing with court systems. Maintain client files, track legal deadlines, and provide regular updates to clients and attorneys.
The attorney will represent clients in various courts to argue motions and handle mediations related to foreclosure and default services. They are also responsible for drafting complex legal documents and overseeing the work of support staff and paralegals.
Design, build, and support carrier-grade voice and messaging services, focusing on SIP trunk architecture and carrier interconnects. Manage relationships with telecom partners and ensure network reliability and compliance in emerging markets.
Associate Director, Thought Leader Liaison - Neurology (Mountain West)
Regeneron Pharmaceuticals
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Full Time
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2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key external US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and manage speaker bureau and advisory board efforts.
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Associate Director, Thought Leader Liaison - Neurology (West)
Regeneron Pharmaceuticals
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Full Time
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2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key external US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and manage speaker bureau and advisory board efforts.
Associate Director, Thought Leader Liaison - Neurology (South Central)
Regeneron Pharmaceuticals
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Full Time
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2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key US Neurology thought leaders at academic and community practices to support product strategy. Responsibilities include gathering insights, conducting business discussions on on-label information, and coordinating executive engagements.
Associate Director, Thought Leader Liaison - Neurology (Southeast)
Regeneron Pharmaceuticals
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Full Time
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2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and manage speaker bureau and advisory board efforts.
Associate Director, Thought Leader Liaison - Neurology (Great Lakes)
Regeneron Pharmaceuticals
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Full Time
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2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and managing speaker bureau and advisory board efforts.
Associate Director, Thought Leader Liaison - Neurology (NY Metro)
Regeneron Pharmaceuticals
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Full Time
·
2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and manage speaker bureau efforts.
Associate Director, Thought Leader Liaison - Neurology (Northeast)
Regeneron Pharmaceuticals
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Full Time
·
2 Days Ago
Regeneron Pharmaceuticals
The role focuses on enhancing interactions with key external US Neurology thought leaders to gather insights and share clinical information. It involves collaborating with cross-functional teams to execute marketing strategies and manage speaker bureau and advisory board efforts.
The Customer Success Manager serves as the primary post-sales contact to drive customer satisfaction, retention, and growth for Clinical Solutions. They focus on guiding customers through onboarding and adoption to ensure they achieve strategic outcomes and long-term value.
The SNP Lead Care Manager is responsible for onboarding, mentoring, and coaching the SNP care management team to ensure clinical excellence. They oversee compliance with CMS and NCQA standards while managing high-risk member cases and coordinating with interdisciplinary care teams.
Lead the development of healthcare policy and reimbursement strategies for oncology and emerging therapeutic areas to optimize patient access. Drive the strategic business response and readiness regarding drug pricing policies under the Inflation Reduction Act.
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AI Product Engineer Lead Consultant (Copilot & Power Platform) (Remote - US)
Allstate
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Full Time
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2 Days Ago
Allstate
Design, implement, and operate enterprise AI experiences and automations using Microsoft Copilot and Power Platform. Partner with security and compliance stakeholders to deliver scalable, safe solutions that enhance employee productivity.
The Conflict Analyst is responsible for reviewing proposed engagements to identify and resolve potential conflicts that could risk the firm's finances or reputation. This includes conducting in-depth research using online resources and maintaining data integrity within the client intake system.
Supervise and train staff to ensure high-quality, cost-effective delivery of case management services for a specific business line. Act as a liaison between telephonic and onsite case management while managing client relationships and unit financial goals.
Manage and grow strategic accounts within the Industrial Water Treatment business by delivering value-based solutions and technical expertise. Develop strategic account plans to achieve revenue targets while maintaining strong relationships with customer stakeholders.
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