Remote Other Jobs in United States

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Remote Other Jobs in United States (34,293)

Remote in = United States Job category = Others

Vice President Provider Network Management

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 10+ yrs exp 💼 Others
The Vice President leads enterprise-wide provider contracting and network management strategy to ensure high-performing, compliant networks. This role oversees the Indiana provider network strategy and collaborates across business functions to align network growth with organizational goals.

Market President Indiana

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 10+ yrs exp 💼 Others
Lead the launch, growth, and overall operational performance of the Indiana health plan. Serve as the primary market-facing leader to build relationships with state agencies, providers, and community partners.

Director Quality and HEDIS Data Strategy

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 10+ yrs exp 💼 Others
Lead the strategic acquisition, ingestion, and integration of population health data to support enterprise quality programs. Collaborate with IS and provider partners to implement data interoperability and digital measure reporting across the healthcare ecosystem.

Network Contractor Provider Network Management

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
The Network Contractor is responsible for recruiting, contracting, and re-contracting healthcare providers to ensure a compliant and marketable network. This includes negotiating rates, managing provider satisfaction, and aligning contracts with federal and state regulations.

Payment Integrity Client & Vendor Management Manager

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Manage relationships and oversight for Population Health and Payment Integrity vendors to maximize value and minimize risk. Coordinate client meetings, track issue repositories, and ensure compliance with regulatory standards.

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Appeals & Grievance Case Resolution Specialist

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Manage the full life cycle of member and provider appeals and grievance cases through intake, investigation, and documentation. Act as a liaison between internal departments and external stakeholders to ensure timely resolution compliant with federal and state standards.

Practice Performance Advisor

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
The role focuses on producing and presenting performance reports and VBC models to improve provider network efficiencies. It involves collaborating with providers to address gaps in care and implementing quality improvement strategies based on HEDIS and TCOC metrics.

Service Coordinator

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Coordinate long-term services and supports for Medicaid participants through face-to-face assessments and participant-centered planning. Manage the delivery of medical, social, and behavioral health services while ensuring participants are aware of their rights and options.

Print Production Specialist

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Manage the end-to-end print and postage process, including mail merges, PDF conversions, and quality control of letter output. Coordinate print projects to meet client SLAs and identify opportunities for production efficiency.

Service Coordinator

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Coordinate long-term services and supports for Medicaid participants through face-to-face assessments and participant-centered planning. Manage the delivery of physical, behavioral, and social health services while ensuring participants are informed of their rights and options.

Market Readiness Manager

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Leads the development and execution of capture plans for Medicaid and related business RFX efforts. Manages cross-functional teams and external consultants to identify customer needs and develop winning strategic solutions.
SAPIENS is hiring for remote Director, Customer Value Delivery

Director, Customer Value Delivery

SAPIENS · Full Time · 3 Weeks Ago
SAPIENS
🌎 United States ⭐ 10+ yrs exp 💼 Others
The Director of Customer Value Delivery is responsible for the end-to-end execution and governance of complex insurance software programs to ensure timely value realization. This role manages program milestones, risks, and commercial outcomes like NRR and ARR while leading cross-functional delivery teams.
Fonemed is hiring for remote Client Registration Assistant

Client Registration Assistant

Fonemed · Full Time · 3 Weeks Ago
Fonemed
🌎 Canada, United States ⭐ 0-2 yrs exp 💼 Others
Act as the first point of contact for patients calling with health-related concerns to obtain demographics and register them for virtual care. Coordinate patient flow by directing callers to clinicians and monitoring biometric alerts for follow-up.

Manager Proposal Writing

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead the daily operations of the proposal writing team, managing assignments and timelines for state Medicaid managed care bids. Coach writers and personally draft high-visibility sections to ensure compliant, persuasive, and evaluable responses.

Business Intel Dev Sr

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead the development of enterprise pharmacy reporting infrastructure and foundational data assets to provide actionable analytical insights. Build and scale reporting layers for Medicare Part D datasets and automate KPI monitoring for finance and operational stakeholders.
Redis is hiring for remote Manager, GTM Systems Engineering

Manager, GTM Systems Engineering

Redis · Full Time · 3 Weeks Ago
Redis
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead the GTM Systems Engineering team to design, build, and maintain the Salesforce platform and integrated GTM systems. Establish engineering standards, manage the development workflow, and drive the adoption of AI-assisted development.

Prior Authorization Tech I

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 0-2 yrs exp 💼 Others
The role involves interpreting clinical criteria to review and approve prior authorization requests for pharmacy and medical claims. It also requires coordinating with pharmacists and providers while handling inbound and outbound inquiries.

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Proposal Management Director

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead the end-to-end execution of high-priority Medicaid proposal efforts, ensuring compliant and compelling responses. Coordinate between capture, solution design, and executive leadership to align strategy and manage risks throughout the RFX lifecycle.

Mgr Strategy & Planning

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
The Manager supports corporate strategy, analytics, and insights by developing deliverables for the CEO and Board of Directors. They lead strategy projects, conduct market research, and mentor analysts to identify strategic opportunities.

Mgr Med Econ & Business Proces

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead a team in delivering healthcare data and medical economics analyses to improve costs and operational performance. Partner with cross-functional teams to translate complex data insights into strategic business recommendations.

Service Coordinator

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
Coordinate long-term services and supports for Medicaid participants through face-to-face assessments and participant-centered planning. Manage the delivery of physical, behavioral, and social services while ensuring participants are informed of their rights and options.

Prior Authorization Tech I

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 0-2 yrs exp 💼 Others
The role involves interpreting clinical criteria to review and approve prior authorization requests for pharmacy and medical claims. It also requires coordinating with pharmacists and providers while handling inbound and outbound inquiries.

Payment Accuracy Analyst

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 2-5 yrs exp 💼 Others
The analyst conducts research and analysis of regulatory edits to identify and validate overpayment concepts for Medicaid and Medicare lines of business. They are responsible for implementing cost avoidance processes and ensuring payment rules are updated based on federal and state statutes.

Proposal Operations Manager

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 5-10 yrs exp 💼 Others Operations Manager
Lead the end-to-end execution of Medicaid RFX responses, translating capture strategy into compliant and high-quality proposals. Act as the central integrator across solution design, writing, and production to ensure on-time, error-free submissions.

Coord Mail Services II

Amerihealth Caritas · Full Time · 3 Weeks Ago
Amerihealth Caritas
🌎 United States ⭐ 0-2 yrs exp 💼 Others
Process service forms and distribute literature to members while managing provider directories and welcome kits. Research and correct mailing addresses using USPS tools and maintain department production statistics.

Manager, Maintenance Systems

Voyant Beauty · Full Time · 3 Weeks Ago
Voyant Beauty
🌎 United States ⭐ 5-10 yrs exp 💼 Others
Lead the enterprise strategy, governance, and continuous improvement of maintenance systems and CMMS across the manufacturing network. Establish standardized maintenance processes, OEE reporting frameworks, and reliability initiatives to improve equipment uptime and operational efficiency.

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Judicial Hearing Officer

City of New York · Full Time · 3 Weeks Ago
City of New York
🌎 United States 💵 $60.67 - $65.43 per hour ⭐ 2-5 yrs exp 💼 Others
Conduct administrative hearings to decide whether to sustain or dismiss civil summonses filed by NYC agencies. Review evidence, assess legal arguments, and issue written decisions in a timely manner.
Claroty is hiring for remote Manager, Global Order Management

Manager, Global Order Management

Claroty · Full Time · 3 Weeks Ago
Claroty
🌎 United States 💵 $115K - $130K per year ⭐ 5-10 yrs exp 💼 Others
Manage a global Order Management team to ensure accurate deal booking and commercial governance. Drive process automation across the Quote-to-Cash lifecycle and ensure compliance with revenue recognition requirements.
CDS Global is hiring for remote Digital  Media Advisor

Digital Media Advisor

CDS Global · Full Time · 3 Weeks Ago
CDS Global
🌎 United States 💵 $95000 - $145K per year ⭐ 2-5 yrs exp 💼 Others
Develop and pitch digital media strategies to drive growth for small to medium business clients. Manage the full sales cycle from prospecting and cold calling to closing and account growth.

Director, Platform Architecture

Origami Risk LLC · Full Time · 3 Weeks Ago
Origami Risk LLC
🌎 United States 💵 $175K - $222K per year ⭐ 10+ yrs exp 💼 Others
Define and govern the enterprise platform architecture strategy, focusing on scalable system design, API standards, and cloud-native infrastructure. Lead the integration of AI-first design philosophies and oversee architectural governance across backend and API services.

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