Perform discreet mobile and stationary surveillance of claimants to verify activities and capabilities for insurance claims. Document observations and collaborate with law enforcement or other investigators to gather necessary information.
Remote Jobs & Work From Home Positions in United States (122,704)
Remote in = United States
Perform discreet mobile and stationary surveillance of claimants to verify activities and capabilities for insurance claims. Document observations and collaborate with law enforcement or other investigators to gather necessary information.
Lead operational functions for the technical organization with a heavy focus on integrating AI-powered automation and intelligent workflows. Drive operational excellence through KPI establishment, budget management, and cross-functional collaboration to support company growth.
The role involves researching and implementing novel ML-based solutions for Cyber Defense and developing agentic solutions for Cyber Incident Response. The engineer will solve complex security architecture challenges with a focus on real-time performance and scalability.
Lead revenue generation and commercial growth for AI partnership offerings across corporate customers in the Eastern US. Develop AI sales pipelines, define value propositions, and collaborate with internal teams to scale early customer success.
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Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases for medical necessity and conducting peer-to-peer discussions with providers. Ensure compliance with URAC and NCQA guidelines while providing clinical rationale for appeals.
Design and implement core RESTful APIs and backend infrastructure using Ruby on Rails and Terraform. Collaborate with cross-functional teams to integrate platform services, optimize API scaling, and maintain high-quality technical products.
Manage engineering teams in the implementation of new systems while overseeing software accuracy and regulatory compliance. Responsible for personnel management, including hiring, performance appraisals, and budget preparation.
Deliver technical automotive training to shop employees to improve diagnostic skills and reduce parts returns. Develop training schedules, design curriculum, and collaborate with major accounts to implement Autotech programs.
Establish and govern the Azure DevOps platform to ensure consistent work item hierarchies, workflows, and reporting across value streams. Manage user access, automation pipelines, and develop analytics solutions to provide visibility into delivery metrics.
Lead and direct field sales representatives to optimize performance, profitability, and customer satisfaction. Develop strategic sales plans and manage large national accounts while spending over 60% of the time in the field.
Workers Compensation Authorization & Verification Specialist
Ivy Rehab
·
Full Time
·
6 Days Ago
Ivy Rehab
Manage the authorization and verification process for Workers Compensation claims to minimize revenue loss and ensure efficient reimbursement. Collaborate with front office teams and external vendors to standardize workflows and resolve insurance-related queries.
The professional is responsible for identifying, assessing, and mitigating medical and financial risks resulting from failed processes or systems. They must balance risk mitigation with operational efficiency while following established organizational guidelines.
Provide medical, clinical, and scientific advisory expertise for clinical trials, focusing on medical monitoring and patient safety. Support business development activities by developing medical strategies and contributing to client proposals and bid defenses.
The role involves managing SAP user access, role development, and ensuring compliance with security policies through audits and reviews. It also includes supporting system upgrades, patching, and providing security direction to business units.
Operate and maintain core production and development applications while troubleshooting complex issues across various environments. Collaborate with cross-functional teams to improve operational processes and lead initiatives to enhance product performance.
Lead a cross-disciplinary team to evolve financial accounting products through the entire development lifecycle using lean and agile principles. Drive product strategy, manage backlogs, and collaborate with stakeholders to deliver user value and business outcomes.
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The Supervisor is responsible for coaching and developing customer service representatives to meet and exceed client KPIs and CPIs. They manage employee performance through monitoring tools, handle escalated customer claims, and drive continuous improvement efforts within the call center.
Drive sales by deepening relationships with existing clients and developing new business across the full suite of investment products. This includes distributing Mutual Funds, ETFs, and Private Placements while providing capital markets insights to financial advisors.
Lead the commercial execution of GAPA growth strategies to increase revenue and market share in the Central Region. Coach and develop a team of seven field sales representatives while managing forecasting and cross-functional collaboration.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and payments in compliance with ARC, DOT, and AAA policies.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and payments in compliance with ARC, DOT, and AAA policies while promoting AAA benefits.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and payments in compliance with ARC, DOT, and AAA policies.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and payments in compliance with ARC, DOT, and AAA policies.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and documentation in compliance with ARC, DOT, and AAA policies.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and payments in compliance with ARC, DOT, and AAA policies.
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Peer to Peer Utilization Management Nurse RN (32 Hours)
Mass General Brigham
·
Full Time
·
6 Days Ago
Mass General Brigham
The role focuses on identifying and preparing complex clinical cases for peer-to-peer engagement with payers to resolve level-of-care denials. It involves applying InterQual or MCG criteria to evaluate medical necessity and collaborating with Physician Advisors to support appeal and reconsideration pathways.
Craft domestic and international travel experiences including cruises, flights, and hotels while building long-term client relationships. Process bookings and documentation in compliance with ARC, DOT, and AAA policies.
Lead commercial execution for the Infectious Disease portfolio across key U.S. retail partners including Amazon and Walgreens. Drive revenue growth through joint business planning, omnichannel optimization, and expansion into new retail channels.
Provide expert technical and clinical support for intracardiac echocardiography (ICE) technology during cardiac ablation and structural heart procedures. Educate healthcare professionals on product usage and collaborate with internal teams to improve the product portfolio based on customer feedback.
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