26,921 Reporting jobs available for remote work from home. Apply for positions such as Senior Investigative Counsel, Biologics Payer Audit and Accreditation Specialist, Sr Customer Support Manager/System Manager - QUEBEC, Canada, and more! Discover the best work-from-home or hybrid, full- and part-time jobs.
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Conduct and report on complex, sensitive compliance investigations across North America, safeguarding company interests while ensuring impartiality and due process. Advise the North American business on relevant compliance laws, monitor enforcement and regulatory developments, and communicate updates to compliance leadership.
Supports PBM and payer audit intake, research, responses, appeals, and risk mitigation across Biologics sites. Maintains URAC and ACHC accreditation by coordinating standards reviews, evidence submissions, performance reporting, survey readiness, and continuous quality improvement.
Manage assigned customer service contracts and relationships, ensuring service delivery meets contractual scope and service-level agreements while resolving customer concerns and coordinating subcontractors and vendors. Oversee renewals, contract changes, reporting, service improvements, customer support plans, and revenue growth and forecasting.
Manage regulatory activities and client projects involving marketing authorizations, renewals, variations, scientific advice, and regulatory documentation across human and veterinary medicines and other product categories. Advise clients and colleagues on regulatory strategy, maintain client relationships, coordinate project delivery, share regulatory knowledge, and contribute to process improvement and business development.
The Manager, Response Marketing oversees the day-to-day operations of the offline direct response program, including agency management and campaign quality control. They also collaborate across departments to drive revenue growth and expand the donor acquisition pipeline.
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Build and maintain standardized finance reporting, analytics, and data assets for Medicaid markets, using automation to streamline recurring workflows. Develop templates and documentation, support adoption of standardized processes, and assist with data quality, controls, governance, and ad hoc analysis.
Design, build, and maintain scalable data infrastructure, pipelines, and models, including automated insurance reporting pipelines for actuarial and bordereaux reports. Consolidate siloed datasets into unified models and enable secure, governed self-service analytics while promoting engineering quality and reliability.
The Patient Navigator supports behavioral health population management by identifying at-risk patients, developing care plans, and facilitating communication between patients, providers, and community resources. They conduct daily outreach to schedule appointments, provide patient education, and ensure accurate documentation within healthcare systems.
Lead the interpretation and implementation of U.S. GAAP for complex transactions, including digital asset and blockchain-related activity, and prepare well-supported accounting positions and policies. Partner with senior leaders, auditors, Legal, Finance, and business teams on reporting, M&A, controls, new standards, and the development of accounting capabilities across the organization.
Lead and coordinate Finance, Delivery Assurance & Administration, IT, and Procurement, ensuring operational continuity, clear accountability, effective controls, and timely escalation of risks. Oversee financial planning and reporting, improve operational systems and processes, and advise the Executive Director and leadership team on operational and financial decisions.
Own end-to-end delivery of complex, multi-site healthcare customer programs, including integrated plans, scope, dependencies, risks, technical integrations, third parties, and executive governance. Lead cross-functional teams and customer stakeholders through change and adoption, validate program outcomes, and transition customers to ongoing services and support.
Oversee general ledger accounting, treasury, accounts payable, financial reporting, reconciliations, budgets, and forecasts across multiple business units and legal entities. Lead audit and statutory reporting activities, maintain accounting policies and internal controls, mentor the accounting team, and support acquisitions, system implementations, and other strategic initiatives.
Support and implement the U.S. prior authorization program by managing patient information, verifying insurance, submitting authorization requests, and tracking requests and appeals through external medical review. Train participating sites, guide patients and providers through authorization and appeals, provide coding information, and improve program processes.
Oversee general ledger accounting, treasury, accounts payable, reconciliations, budgets, forecasts, and financial reporting across multiple business units and legal entities. Lead audit and statutory reporting activities, maintain accounting policies and internal controls, mentor the accounting team, and support acquisitions and other strategic initiatives.
Oversee general ledger accounting, treasury, and accounts payable across multiple business units and legal entities, including financial close, reconciliations, budgets, forecasts, and spend analysis. Lead audit and statutory reporting activities, maintain accounting policies and internal controls, develop the accounting team, and support acquisitions and other strategic initiatives.
Oversee general ledger, treasury, and accounts payable activities across multiple business units and legal entities, including financial reporting, reconciliations, budgeting, cash flow, and internal controls. Lead audit and statutory reporting processes, support GAAP implementation and business integrations, and develop the accounting team through training and mentoring.
Oversee general ledger, treasury, and accounts payable activities across multiple business units and legal entities, including financial close, reconciliations, budgets, forecasts, and internal controls. Lead audit and statutory reporting processes, support GAAP compliance and business integrations, and develop the accounting team through training and mentoring.
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Map, research, validate, and enrich payer, plan, and provider records within governed hierarchies, documenting rationale and quality-checking mappings. Maintain data governance standards and quality tools, resolve exceptions, collaborate across product and operations teams, and support process improvements and AI/ML-assisted mapping.
Map, research, validate, and enrich payer, plan, and provider records within governed hierarchies, documenting rationale and confidence while reviewing junior analysts’ work and resolving exceptions. Maintain data quality and governance practices, develop reporting and management tools, collaborate across product and operations teams, and support process improvements and AI/ML-assisted mapping with human oversight.
Analyze US healthcare claims and related datasets using SQL, Power BI, and Excel to identify data-quality issues, assess business impact, investigate product issues, and recommend improvements. Support product delivery and validation through documentation, testing, dashboard development, stakeholder collaboration, and feasibility assessments.
Analyze US healthcare claims and related datasets using SQL, Power BI, and Excel to identify data-quality issues, investigate product problems, assess business impact, and recommend improvements. Validate product outputs and analytical processes, document requirements and business rules, support testing and client data delivery, and collaborate with product, engineering, machine-learning, and account teams.
Assess the functional and technical feasibility and risks of allowing VF11 cancellations after successful KSeF submission, and recommend a justified path forward. Develop solution approaches for debit note mapping and JPK_V7M invoice references, estimate effort and timelines, and support potential implementation.
Support commercial claims from intake through closure by preparing carrier notices, gathering documentation, tracking deadlines and responses, and coordinating with clients, carriers, counsel, and vendors. Maintain complete claim files, assist with coverage and litigation support, prepare claims reporting, and help improve claims processes and automated workflows.
Manage retailer relationships and business development, including responding to inquiries, identifying prospects, pitching services, finalizing contracts, and supporting retailer needs. Coordinate testing and quality activities across global laboratories, monitor testing performance and compliance, advise on product development and safety requirements, and provide technical support, training, and reporting.
Manage commercial claims end to end for assigned accounts, including loss intake, carrier reporting, adjuster follow-up, reserve and resolution discussions, and client claim reviews. Develop claims procedures and reporting materials, advocate for progress with carriers, TPAs, and defense counsel, and provide claims insights to support renewals and new business.
Design and improve scalable, reliable data architectures, pipelines, ETL processes, and data migration solutions, while overseeing technical design, implementation reviews, testing, and production deployment. Lead and mentor engineers, gather and clarify requirements, coordinate software development lifecycle activities, and document technical designs and processes.
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Lead healthcare quality operations across clinical, coding, third-party liability, and operational audits, ensuring consistent audit standards and performance against KPIs, SLAs, and client expectations. Develop quality leaders and teams, improve and scale audit processes through data-driven initiatives and automation, and align quality practices across global and cross-functional partners.
Lead company-wide operations, translate strategy into measurable plans, and coordinate execution across departments. Establish operating cadences, governance, performance reporting, and processes while managing stakeholders, vendors, and organizational effectiveness.
Provide hands-on technical leadership across Alpha and Delta, designing, building, modernizing, and supporting secure, scalable software and cloud solutions. Establish reusable engineering and AI-assisted development practices, improve reliability and delivery quality, and mentor engineers while influencing technical direction without direct people-management responsibility.
Provide evidence-based behavioral health interventions to pediatric and/or adult patients through the Collaborative Care Model, including screening, treatment planning, symptom monitoring, and relapse prevention. Coordinate care with primary care providers, psychiatric consultants, and other members of the care team, while tracking outcomes and documenting recommendations in the registry and electronic health record.
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