Coordinate care for Dual Eligible Special Needs Plan members by collaborating with interdisciplinary teams and healthcare providers. Conduct annual Health Risk Surveys and address social determinants of health to close gaps in preventive care.
Remote Jobs & Work From Home Positions in United States (121,784)
Remote in = United States
Responsible for the initial review, triage, and processing of medical claims while verifying eligibility and coverage. The role involves coordinating with medical staff and ensuring all documentation meets regulatory and risk management standards.
Provide day-to-day project support to the Senior Manager of Customer Strategy & Enablement by developing and maintaining tools for customer-facing teams. Responsibilities include creating marketing materials, managing the Highspot platform, and tracking adoption via Salesforce reports.
The specialist is responsible for submitting medical billing to payers and following up to ensure the adjudication and payment of individual claims. This includes performing comparative analysis for accuracy and communicating with insurance providers and patients to manage accounts receivable.
The Trauma Registrar is responsible for collecting, abstracting, and reporting data from trauma patient medical records. This role ensures accurate data management and validation within the trauma registry system.
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Lead large-scale complex projects for the New Equipment business, ensuring timelines, profitability, and customer expectations are met. Coordinate design efforts, material procurement, and partner with international teams to drive strategic planning and process improvements.
Drive revenue growth by promoting U.S. Bancorp Asset Management capabilities to local government prospects and clients in New York State. Manage existing accounts and interface directly with the program's Board of Directors and sponsoring associations.
The Director provides therapeutic area expertise and executes medical strategies by engaging external medical stakeholders within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with internal teams to improve patient care and support clinical research.
The Director provides therapeutic area expertise to external medical stakeholders and executes independent medical strategies within an assigned territory. They serve as a scientific resource, lead advisory boards, and collaborate with R&D to identify clinical trial sites.
The Senior Security Advisor designs tailored cybersecurity solutions and strategic roadmaps to help clients build scalable security programs. They drive business growth by identifying cross-sell opportunities and maintaining trusted advisor relationships with client stakeholders.
Evaluate and determine the approval or rejection of product performance claims using technical expertise and data analysis. Partner with Legal and vendors to ensure claims are compliant with regulatory standards and improve substantiation quality.
Execute sales strategies to maximize performance and meet quotas within the assigned geography for the US Petcare Division. Build strong relationships with veterinary hospitals and implement territory business plans to drive product growth.
Lead editorial and subject matter expert teams to deliver AI-enabled case law content initiatives aligned with product strategy. Design, pilot, and scale new AI-driven capabilities while ensuring legal accuracy and editorial quality.
Lead editorial and subject matter expert teams to deliver AI-enabled case law content initiatives that support research and product strategy. Design, pilot, and scale new AI-driven capabilities while ensuring legal accuracy and editorial quality across multiple jurisdictions.
The Account Executive is responsible for generating new business opportunities and retaining existing customer relationships through consultative selling to C-level executives. Key duties include conducting cold calls, delivering high-level presentations, and collaborating with internal teams to close deals.
The specialist reviews clinical documentation to assign diagnoses and procedure codes for inpatient hospital-based claims. They are also responsible for validating MS-DRG and APC calculations and mitigating claims scrubber edits.
Review clinical documentation to assign and sequence diagnostic and procedural codes for various patient types to ensure accurate billing and reimbursement. Validate MSDRG and APC calculations while performing documentation reviews to meet regulatory and compliance requirements.
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The associate is responsible for expediting the customer service claims application process and ensuring correct case assignment. They act as a liaison to assist customers with inquiries and maintain accurate data entry in the claims management system.
Analyze and resolve complex professional liability claims, including errors and omissions and directors and officers cases. Manage total claim costs and coordinate legal defense while maintaining high levels of customer service and client relationships.
Lead a team of Sales Executives to achieve sales and profitability targets for healthcare customers in the Western US. Develop growth plans, manage regional performance via KPIs, and collaborate with distributors to deliver value-added solutions.
Assist in implementing security architecture methodologies across network, cloud, endpoint, and email domains. Support the development of global security technical standards and research emerging technologies and threats.
Support attorneys in intellectual property disputes by managing case calendars, drafting legal filings, and coordinating court submissions. The role involves organizing electronic case files and preparing exhibits for hearings, depositions, and trials.
Oversee a caseload of students to remove barriers to academic success through regular conferences and parent contact. Serve as a liaison between students, teachers, and administration to monitor progress and initiate support interventions.
Small Business Chief Financial Officer (Fractional)
How to Manage a Small Law Firm
·
Full Time
·
2 Days Ago
How to Manage a Small Law Firm
Act as a fractional CFO for a roster of up to 30 small law firms, providing financial analysis and strategic guidance. Responsibilities include meeting with clients to review financial reality and collaborating with internal advisor teams to drive business growth.
The Senior Client Executive is responsible for driving net-new logo acquisition and territory development for Unified Commerce solutions. This involves partnering with cross-functional teams to identify prospects, lead strategic sales calls, and manage the full sales cycle through Salesforce.com.
Senior Airline Field Service Engineer – Commercial Field Service
GE Aerospace
·
Full Time
·
2 Days Ago
GE Aerospace
Serve as the primary on-site technical representative for airline customers, leading the operation, maintenance, and repair of jet engine product lines. Provide strategic leadership by mentoring other engineers and driving continuous improvements in fleet reliability and maintenance planning.
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The Clinical Risk Coordinator manages the scheduling of RN Assessor visits and provides essential administrative support to the Clinical Risk department. Key duties include maintaining client databases, conducting paperwork audits, and communicating with members to arrange appointments.
Coordinates and manages care for patients with chronic or complex conditions through assessment, planning, and monitoring. Collaborates with interdisciplinary teams to promote high-quality, cost-effective outcomes and prevent hospital readmissions.
Lead business growth for the ultrasound portfolio by managing distribution partners and influencing sales agents across the Midwest region. Responsible for shaping channel strategy, driving revenue growth, and ensuring strong market execution through joint business planning.
The role involves managing online community engagement and executing content calendars across various social media platforms. Responsibilities include tracking KPIs, handling community escalations, and collaborating with clients to improve digital experiences.
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