36,039 Medical jobs available for remote work from home. Apply for positions such as AIMS Editor, Senior Engineer, Full Stack, Claim Processor-1, and more! Discover the best work-from-home or hybrid, full- and part-time jobs.
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Review unmanned surveillance footage, identify claim-relevant activity, and write clear, accurate, objective reports documenting what the footage shows. Meet quality and turnaround standards, escalate notable or time-sensitive activity, and handle claim information confidentially.
You will design and deliver medium-to-large features while reducing technical debt and ensuring system scalability. Additionally, you will contribute to the development of APIs, data models, and user interfaces while maintaining high standards for data integrity and security.
Process insurance claims accurately and on time, correct claim errors, maintain accounts, and resolve denied or unanswered claims through electronic billing systems, payer websites, and direct payer or patient contact. Research accounts, monitor payer rule changes, meet quality and productivity standards, and escalate slow-payment issues and operational trends to management.
Communicate with patients and internal clinical staff, handle high-volume calls and email, schedule appointments, and direct inquiries to the appropriate department. Explain treatment procedures, provide follow-up education, protect privacy under HIPAA, and resolve patient complaints while maintaining organized work areas.
Manage and grow strategic DSO/OSO partnerships across North America, including executive relationships, account performance, renewals, pricing, contracts, and resolution of operational or billing issues. Lead and develop the Special Markets team, maintain account-health and pipeline reporting, and represent the company at industry events.
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Leads complex medical economics projects, including contract rate modeling, reimbursement pricing, and development of market-specific provider reimbursement schedules. Partners with Network Management to analyze medical costs and contracted rates, oversee reporting and forecasting, coordinate rate approvals, and communicate strategic plans.
Build and maintain centralized dashboards, standardized KPIs, and data pipelines that integrate organizational systems into a reliable source of truth. Analyze business performance, identify trends and operational improvements, and present actionable recommendations to stakeholders and senior leadership.
Lead customer-facing strategic pilots and proof-of-concept deployments, coordinating customer stakeholders and internal teams to define success criteria, manage execution, and gather feedback. Assess pilot outcomes with Business Intelligence and commercial partners, then share evidence-based recommendations to support go-to-market strategy and market expansion.
Build financial and commercial models to assess product investments, pricing, margins, and market expansions, and conduct market research to inform go-to-market decisions. Define pilot success measures and track launch performance, while collaborating with internal teams and external stakeholders to validate assumptions and align commercial strategy with clinical value.
Develop clinically relevant training and enablement materials, including workflow scripts, job aids, e-learning modules, video tutorials, and interactive simulations. Advise internal teams on clinical education and best practices, and support the analysis, implementation, evaluation, and optimization of medical software products and strategic projects.
Educate departments, clinics, and providers on professional revenue cycle workflows, and analyze charging, coding, documentation, and billing trends to identify revenue integrity issues. Develop performance analyses and recommendations, support training programs, and help operational leaders improve revenue cycle performance.
Execute inbound and outbound prospecting, qualify leads, meet activity and meeting targets, and hand qualified opportunities to Business Development with relevant account context. Maintain CRM records, report pipeline and conversion results, share market insights, and collaborate with Growth, Marketing, and Business Development on campaigns and AI-enabled lead generation.
Conduct outreach and follow-up with D-SNP members, support enrollment and health assessments, and coordinate appointments, transportation, referrals, and community resources. Maintain accurate care-management records, support interdisciplinary team activities, and escalate clinical or complex psychosocial concerns to licensed staff.
Audit claims, referrals, group configurations, benefit schedules, and provider fee schedules for accuracy and compliance with contracts, policies, and regulations. Analyze and report findings, identify trends, recommend improvements, and collaborate with operational teams to resolve issues and meet audit deadlines.
Oversee and support billing and collections team processes by monitoring quality, productivity, aging accounts, and claim appeals, while resolving or escalating issues. Train and guide team members, communicate process updates, maintain billing procedures, and collaborate with management and quality assurance while protecting confidentiality and ensuring HIPAA compliance.
The staff pharmacist provides remote telepharmacy services, including order entry, verification, and clinical counseling for multiple hospital clients. They are responsible for maintaining clinical excellence, ensuring regulatory compliance, and documenting all interventions within various pharmacy information systems.
Acquire new accounts and grow existing customer relationships by selling Caris tumor profiling solutions, meeting territory targets, and providing clinical education. Manage the customer experience throughout the order lifecycle, advise on workflows and reimbursement, and collaborate with internal teams while maintaining accurate CRM records.
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Implements remote prescription processing and clinical pharmacy programs, including medication therapy management, immunizations, and adherence services, while ensuring safe and appropriate medication therapy. Supports patient health outcomes and pharmacy financial performance, maintains regulatory compliance, and provides consultation and expertise to patients, providers, pharmacists, and field leaders.
Manage provider enrollment and credentialing across the imaging network, including CAQH ProView administration, sanctions and NPDB review, re-credentialing, and provider roster oversight. Maintain accurate, audit-ready documentation and escalate adverse findings or compliance issues while coordinating with provider groups and internal teams.
Provide empathetic support in English and Spanish to patients and providers by handling calls and emails about accounts, billing, and payment plans. Guide patients through digital payment options, conduct outbound payment-plan conversations, resolve provider-related issues, and identify ways to improve the patient experience.
Make high-volume outbound calls to patients with overdue payment plans, helping them understand their options and take action, while also responding to inbound inquiries and providing account guidance. Educate patients about PayZen’s platform and digital payment options, track performance metrics, and identify recurring patient concerns to improve processes.
Manage the full project lifecycle, from pre-sales solution scoping and implementation through configuration, transition to support, documentation, and closure. Coordinate clients and internal engineering teams, track timelines and deliverables, manage scope changes and risks, facilitate meetings, and improve delivery processes.
Conduct psychiatric evaluations and provide individualized, evidence-based care to adults and older adults, including psychopharmacological treatment, psychotherapy, and measurement-based monitoring. Coordinate with the clinical team, manage intake and follow-up visits, identify candidates for interventional psychiatry, and maintain compliant medical records.
Lead venue sourcing for low- to medium-complexity meetings and events, including developing and distributing RFPs, negotiating contracts, and aligning venue choices with client objectives and budgets. Maintain accurate project and budget records, coordinate handoffs to meeting planners, and support financial close and ongoing team and supplier knowledge development.
Serve as the collaborating physician for nurse practitioners providing general oncology triage and palliative care, including clinical consultation and chart co-signature. Participate in collaboration meetings and conduct periodic chart reviews; the role does not involve direct patient care.
The DRG Clinical Validation Lead assesses the medical necessity of inpatient and outpatient services to ensure high-quality, cost-effective care. They also lead cross-functional teams and collaborate with medical directors to ensure accurate claims payment and compliance with medical policies.
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Leads the strategic, operational, and financial oversight of assigned clinical trial programs, ensuring trials are delivered within budget and timelines while managing risks, vendors, and regulatory requirements. Provides cross-functional leadership, guides study teams and stakeholders, contributes to clinical and regulatory documentation, and may hire, develop, and coach team members.
Integrate PLM and cost-estimating tools through APIs and file-system automation, validate CAD and BOM data, and develop cost estimates for vehicle components using production inputs such as materials, labor, and tooling. Analyze data to identify trends and process issues, while managing project milestones, risks, resources, and cross-functional updates to deliver cost models on time.
Support editorial and administrative work for scientific and clinical projects, including literature searches, manuscript and abstract submissions, author guideline research, and EndNote library maintenance. Maintain databases, track project tasks and status, support compliance activities, and coordinate with internal teams and client contacts.
Coordinate study setup and monitoring activities, prepare accurate status reports, maintain study documentation, and manage sponsor-generated queries while supporting study cost efficiency. Collaborate with investigators, site staff, and other stakeholders, and help ensure patient safety and compliance with company procedures, protocols, and regulatory requirements.
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