The Care Connector supports daily operations of integrated care and utilization management programs within a contact center environment. They process calls from members and providers to provide educational materials and strategies to increase healthcare adherence.
Remote Operations Jobs (18,827)
Tags = operations
The Care Connector supports integrated care and utilization management operations within a contact center environment. They process calls from members and providers while providing educational materials to increase healthcare adherence.
Prepare and submit electronic court filings while monitoring status and resolving any rejected documents. Track critical court deadlines and maintain organized records of filing confirmations for legal clients.
Provide technical leadership in designing and evolving a modern data platform and lakehouse architecture. Lead the creation of scalable data models and reusable data products to power reporting, analytics, and AI initiatives.
The role focuses on optimizing commercial operations processes across contracting, billing, and sales support to ensure data integrity. Responsibilities include validating commercial requests, managing the quote-to-signature lifecycle, and coordinating with Finance to resolve invoicing discrepancies.
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Clinical Director- Substance Use Disorders
Spring Leaf Solutions
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Full Time
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1 Week Ago
Spring Leaf Solutions
The Clinical Director provides strategic oversight and regulatory compliance for all behavioral health and substance use disorder services. They are responsible for establishing clinical standards, overseeing quality assurance, and leading the clinical workforce to ensure exceptional client outcomes.
Lead the evolution of the QA program by defining frameworks, processes, and operational strategies to ensure high-quality customer support. Leverage AI-powered tooling to analyze interactions and drive continuous improvements across human and AI-generated customer experiences.
Deliver high-impact, synchronous online marketing courses using student-centered instructional strategies. Manage course administration, provide timely student feedback, and collaborate with Teaching Assistants to ensure student success.
Own full-cycle recruiting across sales, operations, engineering, and clinical functions to scale the company. Build and optimize hiring systems, employer branding, and AI-driven workflows while reporting on pipeline health.
The role involves architecting and maintaining AWS cloud-native solutions across various teams and platforms. The goal is to ensure scalable and resilient EVP/TSP services for intelligent mobility.
Medicare & Medicaid Enrollment Analyst
Curana Health, Inc.
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Full Time
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1 Week Ago
Curana Health, Inc.
Oversee and manage Medicare and Medicaid enrollment revalidations for individual providers and provider groups to ensure uninterrupted billing and compliance. Collaborate with cross-functional teams to resolve enrollment-related billing delays and maintain audit-ready documentation.
Manage the full lifecycle of credentialing and re-credentialing for physicians, nurses, and allied health professionals. Ensure provider compliance with federal, state, and accreditation standards while maintaining accurate databases and reports.
Design, develop, and maintain backend services and integration solutions using Java and Kafka. Collaborate with cross-functional teams to modernize enterprise applications and optimize database components.
Lead the design, development, and modernization of enterprise-grade applications using Java and Angular for a global automotive client. Provide technical leadership, mentor development teams, and implement scalable integrations and event-driven architectures.
Design and maintain CI/CD pipelines and Infrastructure as Code modules to support AWS cloud-native applications. Drive the adoption of GitOps standards and optimize cloud environments for performance, scalability, and cost efficiency.
Intragovernmental Trading Partner Analyst | Management Consultant II (MC-II)
BizFirst
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Full Time
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1 Week Ago
BizFirst
The analyst maintains and validates trading partner data to support OneStream implementation for intragovernmental accounting and federal reporting. They collaborate with stakeholders to standardize attributes and support UAT and post-go-live stabilization.
Deliver real-time weather intelligence and actionable forecasts for clients in the energy, commodities, and utilities sectors. Collaborate with product and engineering teams to refine forecasting tools and maintain operational desk procedures.
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Chaplain (Part-Time) - Guntersville/Albertville, AL | Bilingual Spanish Required
Marketplace Chaplains
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Full Time
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1 Week Ago
Marketplace Chaplains
Provide spiritual care and Christian ministry to company employees and their families through site visits and confidential pastoral discussions. Coordinate specialized assistance and support individuals during crises, such as illness, death, or termination.
Responsible for ongoing safety surveillance of investigational and marketed products, including signal detection and benefit-risk assessment. Leads cross-functional teams to prepare high-quality safety deliverables and ensure compliance with global reporting requirements.
Lead the strategic direction of the Thought Leader Liaison (TLL) organization to identify and cultivate relationships with key opinion leaders for KRYSTEXXA. Oversee a national team of TLLs, driving alignment with brand objectives and collaborating cross-functionally to ensure long-term product adoption.
Develop and enhance security strategies to protect against emerging threats using SIEM, EDR, and cloud security technologies. Lead security incident handling, SOC operations, and support AI governance initiatives to safeguard company data.
Develop and enhance security strategies to protect against emerging threats using SIEM, EDR, and cloud security technologies. Lead security incident handling, SOC operations, and support AI governance initiatives to safeguard company data.
Develop and lead regional marketing strategies for the K-12 segment to drive awareness and adoption of products among school districts and educators. Partner with Sales and cross-functional teams to execute multi-channel demand generation programs and manage regional events.
Fleet Client Services & Billing Specialist II
Cox Enterprises
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Full Time
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1 Week Ago
Cox Enterprises
Manage the billing process and maintenance transaction lifecycle from origination to technician custody. Coordinate service scheduling and preventative maintenance while maintaining professional rapport with internal and external customers.
The Outbound Planner manages customer order flow, processing daily releases and resolving issues related to suspended or outstanding orders. The role serves as the primary customer-facing contact for frontline regions, ensuring efficient logistics flow and performance analysis.
Serve as the subject matter expert and technical lead for outpatient, retail, and specialty pharmacy workflows within Epic. Responsible for the support, configuration, and optimization of the Epic Willow Ambulatory module.
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Acts as a strategic advisor to healthcare customers in Houston to improve textile management, total cost of ownership, and operational performance. Collaborates with sales teams to design solutions and ensures the successful adoption of textile management software and best practices.
Develop and execute global sourcing and category strategies for the Biochemicals commodity with a spend responsibility of approximately $234m. Partner cross-functionally to optimize the supply base, driving cost, quality, and supply chain continuity.
Design, develop, and deploy customized Salesforce solutions focusing on Service Cloud and Experience Cloud. Collaborate with cross-functional teams to translate business requirements into scalable technical solutions within an Agile environment.
Global Commercial Demand Planning Director
Danaher Corporation
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Full Time
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1 Week Ago
Danaher Corporation
Lead the global commercial demand planning process to translate commercial priorities and market dynamics into an aligned demand signal. Partner with cross-functional teams to align demand with capacity, inventory, and financial commitments while driving continuous improvement via the Danaher Business System.
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