The specialist manages prior authorization requests and appeals while collaborating with healthcare providers and insurance carriers. They ensure accurate insurance benefit documentation and maintain compliance with all relevant laws and internal policies.
Remote Jobs & Work From Home Positions in United States (122,554)
Remote in = United States
Retail and Food Service Sales Representative - Columbus, OH
EURO USA
·
Full Time
·
7 Weeks Ago
EURO USA
The Sales Representative is responsible for establishing and maintaining long-term customer relationships while expanding the client base within an assigned territory. They must analyze market intelligence, conduct product demonstrations, and meet sales goals while managing customer receivables.
The Delivery Engineer manages the end-to-end data workflow for clients, including ingestion, cleaning, and validation of healthcare datasets. They also develop automation scripts and collaborate with engineering teams to ensure deliverables meet high standards for accuracy and HIPAA compliance.
The Senior Technical Sales Engineer is responsible for driving business growth and maintaining profitable customer relationships through proactive communication and project oversight. They will collaborate with cross-functional teams to manage product development timelines, pricing strategies, and technical sales support.
Own and drive the product strategy and roadmap for retail store operations, focusing on loss prevention and operational intelligence. Collaborate with cross-functional teams including AI/ML, Engineering, and Customer Success to deliver scalable, high-impact solutions.
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The reporter will assist in creating the Forbes Lists for the accounting sector. Responsibilities include conducting research, managing databases, and handling outreach to nominated CPAs.
Conduct on-site inspections and assessments of property damages for residential and commercial claims. Collaborate with policyholders and stakeholders to resolve claims efficiently while providing exceptional customer service.
Statistical Programmer II
Everest Clinical Research
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Full Time
·
7 Weeks Ago
Everest Clinical Research
The Statistical Programmer II will develop and validate SDTM and ADaM datasets while generating statistical output reports based on trial data. They will also provide support for clinical data cleaning, database integrity checks, and ensure all documentation meets regulatory and audit requirements.
The Medicare Sales Representative will assist beneficiaries in selecting and enrolling in health insurance plans via phone. They are responsible for meeting sales targets, conducting needs assessments, and ensuring compliance with CMS and HIPAA regulations.
The Senior Tax Manager is responsible for managing full-cycle tax reviews, signing returns, and maintaining direct communication with a diverse client base. They also act as a technical resource for junior staff and contribute to firm-wide process improvement initiatives.
The Outbound Specialist is responsible for reaching out to qualified leads to convert them into Sword Health members through effective phone communication. They will collaborate with internal teams to ensure a seamless enrollment process and provide comprehensive support to potential members.
Performs periodic and ongoing audits of medical records to ensure coding accuracy, billing compliance, and documentation sufficiency. Develops corrective action plans and presents educational programs to improve coding and billing outcomes.
Business Development Representative (Insurance) - CT/NY/MA/PA
Talencore
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Full Time
·
7 Weeks Ago
Talencore
The Business Development Representative will engage with brokers to promote company programs and manage agency relationships. They will also lead product webinars, conduct outreach campaigns, and represent the company at industry trade shows.
The Senior Data Architect will define and evolve the enterprise data architecture vision to support operational, analytical, and AI-driven workflows. This role involves hands-on technical design, mentoring engineering teams, and establishing governance frameworks to ensure data scalability and quality.
The appraiser will collect vehicle information and complete repair estimates via photos or in-person inspections. They will also provide technical support to claim handlers and deliver exceptional customer service throughout the claims process.
The HR Operations & Systems Specialist will manage the day-to-day administration of HR systems including HRIS, ATS, and LMS while ensuring data accuracy. They will also collaborate with cross-functional teams to maintain HR processes, update internal policies, and provide system-related troubleshooting support.
The Principal Technical Specialist provides technical support to semiconductor customers by recommending filtration solutions and managing testing plans. They act as a technical liaison between sales, marketing, and R&D to solve complex process issues and gather customer feedback.
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The Principal Systems Engineer will lead end-to-end spacecraft systems engineering, focusing on avionics integration, requirements development, and system architecture design. The role involves driving cross-functional integration across subsystems and supporting the full lifecycle of satellite programs from concept to operations.
Shape the Future of AI — English (Unites States) Talent Hub
Welo Data
·
Full Time
·
7 Weeks Ago
Welo Data
Contributors will annotate and label data to train AI systems and evaluate the quality of search results and chatbot responses. They will also create and test prompts to improve the performance and accuracy of large language models.
You will lead the technical discovery and sales process for machine learning-driven protein engineering platforms with biotech and pharma clients. Additionally, you will act as a bridge between customers and the internal product team to influence the roadmap based on market intelligence.
The Solutions Engineer will act as a technical advisor to showcase the Neo4j platform and support customers throughout their journey to value realization. They will manage technical evaluations, conduct demonstrations, and collaborate with sales teams to drive revenue and adoption.
The Sourcing Manager is responsible for managing supplier relationships, negotiating rates, and overseeing the purchasing of promotional products and materials. They will own the end-to-end sourcing process while collaborating with internal teams to build product catalogs and ensure high-quality fulfillment.
The Director of Solutions Management defines the vision, strategy, and roadmap for the product line while managing the full product development lifecycle. They lead cross-functional teams to achieve revenue and profitability targets while ensuring high-quality solution delivery and market readiness.
Assurance and Traceability Senior Director
Textile Exchange
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Full Time
·
7 Weeks Ago
Textile Exchange
The Senior Director will oversee the assurance and traceability pillars of the standards system, including certification body management and digital tool development. They are responsible for evolving strategies to ensure system integrity, scalability, and alignment with regulatory and market expectations.
Develop, maintain, and support CI/CD pipelines and automation across both cloud and on-premise environments. Collaborate with DevOps teams to provision infrastructure, automate application deployments, and improve security and monitoring.
The Director of Solutions Management defines the vision, strategy, and roadmap for the retail product line in the Americas. This role manages the full product lifecycle, leads cross-functional teams, and ensures revenue and profitability targets are met.
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The Test Engineer will design, implement, and maintain automated test suites for APIs, UIs, and integrations within containerized environments. They will also collaborate with development teams to integrate tests into CI/CD pipelines and perform root-cause analysis on failures.
Clinical Solutions Consultant - General Imaging, Ultrasound (North/South Dakota)
Philips
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Full Time
·
7 Weeks Ago
Philips
The consultant will support pre and post-sales clinical applications for General Imaging Ultrasound by providing training, demonstrations, and troubleshooting. They will act as a clinical liaison to customers while collaborating with account managers to drive sales and ensure customer satisfaction.
The HR Operations Manager leads and evolves HR operational excellence across the United States and Canada, ensuring compliance and efficient service delivery. This role manages a diverse team, oversees daily HR operations, and partners with stakeholders to implement scalable process improvements.
Tagalog Speaking Physical Therapist (PT) for Home Health
FeldCare Connects
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Full Time
·
7 Weeks Ago
FeldCare Connects
Provide one-on-one physical therapy treatment to patients of all ages in their homes. Observe, record, and report patient responses to treatment and manage the plan of care.
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