Remote Medical Jobs (35,732)
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Senior Healthcare Claims Processor
The Senior Healthcare Claims Processor will serve as a subject matter expert to define claims workflows, develop standard operating procedures, and support operational readiness. They will also provide technical guidance to the claims team, conduct quality reviews, and facilitate training to ensure compliance and accuracy.
Virtual Outpatient Office Manager
The Office Manager coordinates and supports the business and operational activities of virtual programs while maintaining workflows and tracking business priorities. They also facilitate communication between departments and assist in the patient journey from intake through discharge.
Brazilian Subject Matter Expert in Sports
Create challenging, expert-level questions and answers regarding Brazilian sports to train AI systems. Break down responses into individually cited facts with sources and relevance.
Group Benefits Regional Sales Manager
The Regional Sales Manager is responsible for developing and maintaining retail broker relationships to drive revenue growth for group benefits products. They will provide consultative advice, manage broker partnerships, and utilize company tools to execute territory plans and meet sales objectives.
Enterprise Project Manager
The Enterprise Project Manager leads complex diagnostic implementation projects across large healthcare systems from pre-sales planning through project closure. They serve as the primary point of contact for customer leadership and coordinate cross-functional teams to ensure successful deployment and issue resolution.
Team Leader - Commercial Employer Market Account Team Support - Express Scripts
The Team Leader acts as a player/coach, managing individual client accounts while leading a team of Associate Account Managers and Sales Coordinators. They are responsible for monitoring team performance, driving process improvements, and ensuring client needs are met through effective coaching and operational support.
Principal, Legal Financial Operations
The role involves leading the Legal organization's budgeting, forecasting, and financial planning processes while providing strategic financial analysis to leadership. You will also establish financial governance, manage legal spend analytics, and drive continuous improvement initiatives across the department.
Provider Relations Sr. Analyst - Evernorth - Remote
The analyst will improve data quality within the Provider Book of Record system by collaborating with business partners and IT to develop automation capabilities. Responsibilities include writing business requirements, performing data analysis, and conducting root cause analyses to ensure accurate provider data ingestion.
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Legal Advisor, Healthcare Regulatory Compliance
This role oversees Medicaid compliance programs and performs second-line-of-defense audits to identify regulatory risks. The advisor provides guidance to internal stakeholders and serves as a subject matter expert on Medicaid contracts and federal regulations.
Claims Representative
The Claims Representative is responsible for accurately adjudicating Supplemental Health claims by verifying eligibility, interpreting policy provisions, and determining benefit coverage. They must maintain high standards of quality and productivity while working independently in a virtual environment.
Delegated Credentialing Specialist
The Delegated Credentialing Specialist manages the day-to-day execution of delegated credentialing programs, including payer audits, compliance reporting, and provider data reconciliation. They also serve as the operational lead for the Credentialing Committee and support the credentialing process for Nurse Practitioners and group practices.
Enterprise Account Executive
You will own the full sales cycle for enterprise accounts, from prospecting to closing new business. You will also collaborate with internal teams like Sales Development and Customer Success to drive revenue growth and deepen client relationships.
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