The RCM Operations Lead manages end-to-end billing operations, including claim submission, denial resolution, and reporting. This role also involves leading an offshore support team and overseeing vendor relationships and payer setups.
Remote Other Jobs in United States (33,332)
Remote in = United States
Job category = Others
Engage potential patients via phone to educate them on healthcare services and enroll them in the program. Provide technical support for the program app and maintain accurate patient records and clinical updates.
Lead and mentor a team of IT Engineers to oversee day-to-day operations and the delivery of enterprise IT services. Drive strategic initiatives to improve identity, endpoint management, and SaaS platforms while serving as the final escalation point for technical issues.
Establish and lead the configuration management function from the ground up, focusing on software, infrastructure, and cloud environments. Partner with cross-functional teams to manage baselines, facilitate Configuration Control Boards, and ensure audit readiness for government programs.
Lead the strategic roadmap for GTM data capabilities, including the Customer Data Platform, identity graph, and real-time data layers. Partner with IT and Security to architect a governed customer data spine that powers predictive AI and GTM decision-making.
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Medication Assistance Program Team Lead
Community Health Systems Professional Services Corporation
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Full Time
·
1 Week Ago
Community Health Systems Professional Services Corporation
Provides operational guidance and workflow oversight for medication assistance and patient support programs. Collaborates with pharmacy and clinical stakeholders to ensure compliant medication access and efficient processing of reimbursement activities.
Perform HVAC service, general repairs, and preventive maintenance for commercial facilities to ensure flawless operation. Troubleshoot and maintain various building systems and equipment using a fully equipped service vehicle.
The Virtual Field Representative commercializes Vertex Pharmaceuticals therapies through teleconferences and telephone engagements with healthcare providers. They are responsible for delivering clinical information, executing business plans, and fostering growth for client products in a virtual territory.
The Director will drive network-wide strategies to improve 9th grade GPA and ACT/SAT performance across 47 high schools. This includes developing high-leverage resources, coaching regional leaders, and conducting site visits to ensure academic excellence.
Quantitative Analyst, Applied Biomechanics
Philadelphia Phillies - Baseball Operations
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Full Time
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1 Week Ago
Philadelphia Phillies - Baseball Operations
Build statistical models and metrics using biomechanical and high-performance data to support player evaluation and development. Translate complex data into objective insights for coaches and decision-makers while maintaining scalable research pipelines.
Install, troubleshoot, and repair electrical systems and circuits in retail, commercial, and industrial settings according to NEC standards. Manage project documentation, including as-built drawings, work orders, and resource logs while adhering to strict safety protocols.
Install, terminate, and label structured cabling networks in retail, commercial, and industrial settings according to BICSI standards. Manage project documentation, troubleshoot connectivity issues, and maintain company assets while adhering to strict safety protocols.
Lead the installation, termination, and labeling of structured cabling networks in various commercial and industrial settings. Manage project documentation, resource logging, and ensure strict adherence to safety standards during nationwide deployments.
Install, troubleshoot, and repair electrical systems and circuits in retail, commercial, and industrial settings according to NEC standards. Manage project documentation, including as-built drawings, work orders, and resource logs while adhering to strict safety protocols.
Install, terminate, and label structured cabling networks in retail, commercial, and industrial settings according to BICSI standards. Manage project documentation, troubleshoot connectivity issues, and maintain company assets while adhering to strict safety protocols.
Lead the installation, termination, and labeling of structured cabling networks in retail, commercial, and industrial settings. Manage project documentation, field resources, and ensure strict adherence to safety standards during nationwide deployments.
Install, troubleshoot, and repair electrical systems and circuits in retail, commercial, and industrial settings according to NEC standards. Manage project documentation, including as-built drawings, work orders, and resource logs while adhering to strict safety protocols.
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Remote BCBA (Board Certified Behavior Analyst)
Lighthouse Autism Center
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Full Time
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1 Week Ago
Lighthouse Autism Center
Oversee a caseload of learners by creating and evaluating individualized behavior intervention plans and goals. Establish rapport with caregivers through monthly training and collaborate with a multidisciplinary clinical team for center management.
Provide technical support and resolve repair issues using BOTIS ticketing and Fleet Intelligence reports. Identify failure patterns to recommend product improvements and support Production and PDI departments with critical diagnostics.
Manage energy and water analysis services for multiple clients to help them reduce utility costs and carbon emissions. This includes compliance reporting for Local Laws and maintaining data within the EnergyScoreCards software.
Lead and manage engineering teams in executing strategic recovery playbooks for victims of ransomware attacks. Oversee engagement scoping, workload distribution, and the development of technical runbooks to minimize business interruption.
PRN Admissions Coordinator
ODYSSEY BEHAVIORAL GROUP
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Full Time
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1 Week Ago
ODYSSEY BEHAVIORAL GROUP
The Admissions Coordinator manages front-end functions including fielding inquiries, conducting clinical screenings, and scheduling client admissions. They act as a concierge to facilitate smooth transitions into PHP, IOP, and Virtual IOP levels of care.
The role focuses on developing and maintaining strong relationships with key clients to enhance the overall client experience. Responsibilities include implementing retention strategies, analyzing customer feedback, and collaborating with internal teams to optimize service delivery.
(Remote) Director of Enrollment Technology
West Virginia University
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Full Time
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1 Week Ago
West Virginia University
Provide strategic leadership and operational oversight for all information technology systems and CRM platforms supporting enrollment management. This includes managing system integrations, overseeing CRM maintenance, and aligning technology initiatives with institutional recruitment and admissions goals.
(Remote) Director of Enrollment Technology
West Virginia University
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Full Time
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1 Week Ago
West Virginia University
Provide strategic leadership and operational oversight of all IT systems and CRM platforms supporting enrollment management. This includes managing system integrations, optimizing recruitment and admissions workflows, and supervising IT staff to align technology with institutional goals.
Investigate and manage the full life-cycle of workers' compensation claims while maintaining accurate reserves and documentation. Coordinate with external vendors and stakeholders to resolve claims in compliance with state laws and company standards.
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Epic Senior Consultant - Quality Reporting & Value-Based Care
Nordic Healthcare Group (NHG)
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Full Time
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1 Week Ago
Nordic Healthcare Group (NHG)
Support the design, build, and delivery of EHR solutions for clients through data analysis and project coordination. Partner with stakeholders to optimize clinical and quality workflows while providing operational support for quality reporting initiatives.
Lead a remote team of Dialysis Coordinators and manage operational programs across multiple hospital partner sites. Responsible for territory P&L, strategic growth initiatives, and maintaining strong relationships with hospital partners.
Fraud, Waste & Abuse (FWA) Investigator – No Surprises Act (NSA)
CVS Health
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Full Time
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1 Week Ago
CVS Health
Conduct complex investigations into healthcare fraud, waste, and abuse with a specific focus on the No Surprises Act. Analyze claims data to identify anomalies and collaborate with internal partners and law enforcement to mitigate financial losses.
The role focuses on the identification and proactive risk management of quantitative assets, including models, EUCs, and AI techniques. It involves partnering cross-functionally to ensure compliance with regulatory requirements and providing governance over issues management.
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