The specialist manages the review, design, and auditing of complex provider contracts and fee schedules within management systems. They conduct research and analysis to ensure data integrity and support network growth and compliance goals.
Remote Jobs across various categories (53,391)
Job category = Others
Establish and maintain productive value-based relationships with network providers to develop innovative solutions for cost and quality goals. Manage the complete contracting cycle, from planning and negotiation to implementation and performance oversight.
Accountable for the strategic alignment and operational success of complex provider relationships and value-based care initiatives in Florida and Louisiana. This role involves supervising the Provider Performance team and driving improvements in quality of care while reducing costs.
Lead the long-term strategy, innovation, and partnership ecosystem for Target's loyalty program to drive guest growth and engagement. Collaborate across Marketing, Merchandising, and Digital teams to deliver integrated, guest-centric activations and future-proof the loyalty program.
Start Up Team Manager - FSP - Poland
Thermo Fisher Scientific
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Full Time
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2 Days Ago
Thermo Fisher Scientific
Manage complex site operations and activation for clinical studies to ensure regulatory compliance and timely delivery. Coordinate between internal teams, clients, and trial sites while managing financial and contractual aspects of the projects.
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Perform reviews of routine and complex analytical experiments on pharmaceutical compounds to ensure compliance with SOPs and GMP. Evaluate laboratory data for scientific soundness and communicate deficiencies to laboratory staff to maintain data quality.
Develop and lead global employee recognition and rewards programs to enhance employee experience and retention. Partner with HR, Finance, and business leaders to design incentive programs and communicate their value across the organization.
Patient Access Specialist (Differential Waiver)
Sanford Health
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Full Time
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2 Days Ago
Sanford Health
The Patient Access Specialist validates insurance eligibility and manages prior authorizations for medications, procedures, and medical equipment. They collaborate with providers and third-party payers to ensure medical necessity is documented and financial burdens are clarified via waivers or ABNs.
The role is responsible for designing, developing, and implementing complex Workday Payroll, Absence, and Time Tracking (PATT) solutions. This includes managing stakeholder needs, resolving configuration issues, and coordinating the implementation of new Unions and MORs.
Accountable for vendor operational delivery at the study level, acting as the single point of contact for service delivery. Responsibilities include overseeing vendor deliverables, financials, and performance to ensure alignment with study timelines and quality expectations.
Assessment Scientist: Masters in Psychology; Psychometrists
Syneos Health
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Full Time
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2 Days Ago
Syneos Health
Lead the scientific oversight of eCOA implementation and manage the licensing, translation, and integrity of clinical outcome assessment scales. Design and deliver rater training programs to ensure standardized endpoint data collection across clinical sites.
Accountable for vendor operational delivery at the study level, acting as the single point of contact for service delivery. Responsibilities include overseeing vendor deliverables, financials, and system validation to ensure alignment with study timelines and quality.
The intern will collect and analyze sales data to track KPIs and develop visualization dashboards for global and regional performance. Additionally, they will support boutique action plans and monitor retail trends and competitor activities.
The role focuses on strengthening vendor governance, contract management, and financial oversight across a technology vendor portfolio. Key duties include tracking KPIs, conducting performance reviews, and collaborating with cross-functional teams to drive vendor accountability.
Manage customer relationships and drive business growth within an assigned territory by delivering tailored solutions. Focus on achieving revenue targets, fostering long-term partnerships, and collaborating with internal teams for seamless service delivery.
Lead the Sustaining Engineering function by managing the end-to-end lifecycle of technical escalations and triaging complex system anomalies. Act as the Incident Commander during high-severity outages and coordinate responses between engineering, support, and product teams.
Supply Planning Lead
Nestle Operational Services Worldwide SA
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Full Time
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2 Days Ago
Nestle Operational Services Worldwide SA
Lead supply planning for finished goods to achieve service levels while optimizing inventory and managing bad goods. Coordinate with factories and co-manufacturers to optimize total delivered costs and respond to market demands.
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The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and updating employee data in operational systems.
The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and maintaining employee data in operational systems.
The HR Generalist manages leave of absence and benefits administration while providing customer service via the Employee Service Center. Responsibilities include handling COBRA, life event changes, and updating employee data in operational systems.
Perform daily reconciliation between platform transactions and provider statements to ensure financial accuracy. Investigate discrepancies, monitor balances, and collaborate with IT and compliance teams to resolve issues.
Lead technical operations for a cloud-native AWS data and AI platform, focusing on reliability, observability, and incident response. Coordinate with SRE leads to automate workflows and ensure production readiness for federal data products.
Lead multiple product implementations across the country, managing the full lifecycle from sales handoff to clinical success transition. Drive hardware and software delivery while maintaining high customer satisfaction and hitting project milestones.
Provide high-quality virtual tax support and guidance for complex federal and state tax scenarios via chat. Support agent readiness through training, performance data analysis, and cross-functional initiatives to improve service quality.
Regional Vice President Beacon Capital Management - Southern California Region
Sammons Financial Group
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Full Time
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2 Days Ago
Sammons Financial Group
Develop and implement sales and marketing strategies to grow Beacon Capital Management's market share within the Southern California region. Build and maintain relationships with Registered Investment Advisors through presentations, training, and strategic territory management.
Lead the Threat Detection & Response function to establish a multi-year strategy and evolve the SOC into an agentic operating model. Focus on organizational design, culture, and the automation of repetitive investigations to prioritize complex intrusion analysis.
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Acts as a strategic partner to operational leadership to drive organizational culture and align people strategies with business objectives. Manages complex employee and labor relations, performance management, and workforce planning within a unionized environment.
Lead the delivery of comprehensive ergonomic services, including on-site assessments and solution design in industrial environments. Partner with clients to identify risk factors and implement practical interventions to reduce musculoskeletal injury risk.
The analyst is responsible for monitoring security tools to detect and triage threats while implementing SOAR automations to improve efficiency. They will also manage SIEM ingestion, consume threat intelligence, and collaborate with IT and Engineering to embed security requirements into the architecture.
Interim – Hälsoekonom/Market Access Norden
Haeger & Carlsson | Executive Search & Interim AB
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Full Time
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2 Days Ago
Haeger & Carlsson | Executive Search & Interim AB
Create health economic models for TLV and manage reimbursement applications for the Nordic pharmaceutical market. Lead projects within a cross-functional environment and communicate effectively with various target groups.
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