Physician ED Claims Reviewer
Conduct clinical reviews of claims and utilization management authorization requests to determine clinical necessity. Perform reviews specifically for emergency department and internal medicine cases.
Remote Jobs in United States
Looking for remote jobs open to candidates based in United States and want to work from home? Explore top remote jobs in Software Development, Design, Support, Product, and Other categories. Apply now and start telecommuting & working from home today!
Trusted by 300,000+ remote workers worldwide.
Conduct clinical reviews of claims and utilization management authorization requests to determine clinical necessity. Perform reviews specifically for emergency department and internal medicine cases.
Act as the first point of contact for patients and providers by handling high-volume inbound calls and general inquiries. Collaborate with internal clinical and non-clinical teams to ensure seamless care delivery and first-call resolutions.
The Director of Sales Operations manages the operational infrastructure of the sales organization, focusing on metrics reporting, BDR management, and compensation frameworks. They partner with Finance and Leadership to translate data into insights that drive revenue growth and forecasting accuracy.
Perform high-quality alterations on suits, tuxedos, and women's formalwear including gowns and cocktail dresses. Conduct professional fittings, take precise measurements, and manage client timelines.
Analyze complex medical and pharmacy claims data to measure the financial impact of medication rebate contracts. Develop and maintain analytics to ensure reporting accuracy for annual rebates and identify process improvements.
Tell us what you’re after and we email you new remote jobs that match. Free. Unsubscribe in one click.
Identify and develop new business opportunities for custom retail fixtures and branded environments across the Northeast and Midwest. Lead the full sales cycle from prospecting and proposal to negotiation and contract closure.
Oversee the Bank's Compliance Management System and serve as the primary HMDA and CRA Officer. Lead regulatory oversight across deposit and lending operations while ensuring adherence to federal and state laws.
Oversee the Bank's Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending regulations. Lead second-line oversight for deposit and lending operations while ensuring adherence to federal and state laws and OCC expectations.
Oversee the Bank's Compliance Management System and serve as the primary HMDA and CRA Officer. Lead regulatory oversight across deposit and lending operations while ensuring adherence to federal and state laws.
Oversee the Bank's Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending activities. Lead regulatory oversight across deposit and lending operations while partnering with senior leadership to manage compliance risk.
Oversee the Bank's Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending across deposit and lending operations. Lead regulatory reporting, manage compliance policies, and partner with business lines to ensure adherence to federal and state laws.
Oversee the Bank’s Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending across deposit and lending operations. Lead regulatory reporting, manage compliance risk, and partner with business leadership to ensure adherence to federal and state laws.
Oversee the Bank's Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending regulations. Lead second-line oversight for deposit and lending operations while ensuring adherence to federal and state laws and OCC expectations.
Oversee the Bank's Compliance Management System with a specific focus on HMDA, CRA, and Fair Lending activities. Lead regulatory oversight across deposit and lending operations while ensuring adherence to federal and state laws and OCC expectations.
Manage a caseload of lost time workers' compensation claims from assignment through resolution. This includes investigating liability, managing litigation and medical activity, and negotiating settlements with claimants and attorneys.
The BDR is responsible for identifying and qualifying leads from existing Docker users to drive commercial license acquisition. They will schedule discovery meetings for sales representatives and partner with cross-functional teams to share customer feedback.
Build and ship end-to-end intelligence features with a strong focus on frontend craft and smooth user experiences. Collaborate with product and design teams to translate loosely defined specs into production-ready AI features while owning the outcome metrics.
Tell us what you’re after and we email you new remote jobs that match. Free. Unsubscribe in one click.
Drive sales growth and expand the customer base by acquiring new accounts and building strong relationships within the cybersecurity sector. Manage the full sales lifecycle from qualification and proof of value to negotiation and deal closure.
Design and optimize automated workflows to streamline data migrations from legacy software to the Archy platform. Monitor and execute complex ETL processes while utilizing AI tools to accelerate development velocity.
Serve as the primary contact for clients by managing inbound and outbound communications via phone, email, chat, and social media. Resolve customer inquiries, process payments, and track call information for auditing purposes.
The VP of Revenue Operations defines and scales the operating model for predictable revenue growth, overseeing strategy, forecasting, and analytics. This leader partners with executive leadership to optimize the go-to-market organization and manage the revenue technology ecosystem.
Responsible for supporting the Nadcap certification compliance program and providing quality support to global Honeywell Aerospace sites. This includes developing audit strategies, performing risk analysis, and mentoring sites on QMS processes.
Independently conduct detailed investigations to determine the origin and cause of fires and explosions in commercial and residential structures. Provide expert testimony in depositions and trials while collaborating with multidisciplinary teams and government agencies.
Provide onsite technical engagement and support for large-scale NVIDIA AI datacenter deployments. Act as a technical specialist for GPU and networking products to support sales account managers and establish relationships with customer architects.
Proactively identify and qualify new business opportunities while re-engaging lost accounts to drive revenue growth. Act as a liaison between Marketing and Sales to refine go-to-market strategies and maintain CRM data integrity in Salesforce.
The Territory Manager is responsible for executing business plans to achieve sales quotas by providing clinical and technical information to healthcare professionals. Key duties include conducting in-service training, managing sample inventory, and navigating large business opportunities within integrated delivery networks.
Tell us what you’re after and we email you new remote jobs that match. Free. Unsubscribe in one click.
The role involves designing, implementing, and administering enterprise identity, authentication, and PKI services across a global environment. The engineer will serve as the technical owner for Microsoft Entra ID and automate identity lifecycle management processes.
The Applications Programmer is responsible for designing, coding, testing, and refining software to meet user needs and design specifications. They also enhance existing software for efficiency and provide technical direction to other programmers to meet project deadlines.
Develop detailed 3D BIM models up to LOD 400 for complex mechanical systems, including piping, plumbing, and ductwork. Coordinate multi-discipline collision detection and manage the flow of digital information to support construction and fabrication teams.
Lead a cross-functional team of software engineers to develop and scale the Salesforce platform. Responsible for technical direction, architectural decisions, and fostering a collaborative environment through mentorship and Agile practices.
Stop the endless job search. Our AI finds and applies to the best jobs for you.