Sr. Platform Software Engineer, Prepared
Design, build, and maintain scalable, reliable, and secure infrastructure to support Prepared’s platform. Architect and implement core systems while contributing to the long-term strategy of the platform.
Browse Remote Jobs in United States (136,178)
Medical Director - Spine
The Medical Director (Spine) will expand Aetna's medical management programs to address member needs across the continuum of care and support the Medical Management staff. They will lead utilization review and quality assurance, providing clinical expertise and business direction in support of medical management programs.
Medical Director - Medicaid Northeast 12 applicants
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Care Management Associate OhioRISE, must live in OHIO
The Care Management Associate manages enrollment for the Children’s Specialty program and supports comprehensive coordination of medical services. This role involves developing wellness plans, engaging community resources, and ensuring effective utilization of healthcare services.
Medical Director - Kentucky Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
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Global Transfer Pricing Manager 21 applicants
The Global Transfer Pricing Manager will oversee the execution of operational transfer pricing processes and ensure compliance with international tax laws. They will also analyze financial data, prepare reports, and collaborate with cross-functional teams to align forecasts with business objectives.
Medical Director - Heartland
The Medical Director will oversee medical policy implementation and participate in the development and evaluation of clinical programs. They will focus on utilization review and quality assurance, ensuring effective execution of medical services programs.
Medical Director - Medicaid (IL) 12 applicants
The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review.
Medical Director - Medicare Appeals
The Medical Director will direct daily work on Part C appeals and provide support to appeal nurses. They will also monitor IRE and collaborate with Medicare Quality and Compliance.
Medical Director - West Virginia Medicaid
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and pre-certification as well as concurrent review.
Medical Director-Medicaid (ABH TX) 13 applicants
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and concurrent review.
Medical Director-Medicaid (ABH TX)
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests. This position is primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review.
Client Solutions Manager - Major Accounts (Autotrader)
The Major Accounts Client Success Manager will manage relationships with high-profile automotive dealer clients, focusing on client retention and revenue growth. They will provide ongoing analytics, consultation, and support to maximize clients' return on investment from Cox Automotive products.
Sr. Software Dev Engineer - IBMi
Lead the design and development of solutions for complex technical projects while acting as a subject matter expert. Collaborate with various stakeholders to solve technical problems and ensure timely progress of system design and development tasks.
Provider Escalation & Education - Senior Manager 12 applicants
The senior manager will lead the development of a new team focused on managing group escalations and centralizing issue intake. They will engage directly with critical provider groups to build trust and resolve issues effectively while driving operational initiatives to improve performance.
Case Manager – Registered Nurse – Field – Southwest Michigan + Bonus Available 38 applicants
The Case Manager is responsible for assessing, planning, implementing, and coordinating case management activities to evaluate the medical needs of members. They develop proactive care plans and collaborate with various stakeholders to enhance member wellness and address health and social challenges.
SFE Training Manager - Chronic and Post Acute Wound Care
The SFE Training Manager will design and develop sales enablement training for the Advanced Wound Care US Business Unit, focusing on onboarding, advanced account selling skills, and new product launches. This role involves partnering with various stakeholders to enhance field effectiveness and ensure compliance with regulatory guidelines.
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Lead Analytics Engineer - 10855
As a Lead Analytics Engineer, you'll architect the data foundation that powers strategic decisions across the organization. You'll transform raw data into trusted, reusable data products using DBT and modern data tools.
Staff Software Development Engineer
The Staff Software Development Engineer will design, build, and deploy infrastructure capabilities for database technologies in various cloud environments. They will collaborate with multiple teams to create automation and improve customer experiences.
Manager - Strategic Financial Planning & Investments 12 applicants
The Manager will support key financial initiatives through financial modeling, capital planning, and business case development. This role involves collaboration across teams to drive data-informed decisions and operational efficiency.
Remote Operation Center Generation Operator
The Remote Operations Center Generation Operator is responsible for maintaining daily logs of system events, monitoring real-time power output, and ensuring the safe and reliable operations of renewable energy assets. This role involves preparing daily power nominations and reports while coordinating load levels to maintain system integrity.
Senior Backend Engineer
As a Senior Backend Engineer, you'll design and develop scalable back-end systems and APIs for high-impact applications. You'll own the full software development lifecycle and resolve production issues with urgency.
Case Manager Registered Nurse- San Antonio, TX 54 applicants
The Case Manager RN is responsible for assessing, planning, implementing, and coordinating case management activities with members to evaluate their medical needs. This role involves developing proactive strategies to enhance members' overall wellness and facilitate smooth transitions to Aetna programs and plans.
Care Management Associate - OhioRISE - Must live in Ohio 19 applicants
The Care Management Associate will interface with various groups providing care coordination services for eligible children and young adults receiving Medicaid services in Ohio. They will handle administrative tasks, including managing inbound care management inquiries and processing referrals.
Care Coordinator II
Supports care management activities and ensures services are delivered by healthcare providers. Engages members through outreach to discuss care plans and coordinates care activities as needed.
P&O Business Partner- PrettyLitter
The P&O Business Partner will drive business results through targeted people strategies and support day-to-day people operations. This role will also manage talent planning, performance management, and organizational design.
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Clinical Specialist - San Diego, CA
The Clinical Specialist provides comprehensive engineering, sales, educational, and technical support for Cardiac Rhythm Management products. This role acts as a clinical interface between the medical community and the business, responding to inquiries and facilitating training sessions for healthcare professionals.
Senior Business Analyst - SAS Coder 14 applicants
The Senior Business Analyst - SAS Coder will perform analysis, development, and evaluation of complex reports related to Medicaid and FoodShare programs. This role involves determining report specifications, meeting with stakeholders, and ensuring compliance with federal and state regulations.
Lead Mobile Diesel Mechanic
The Lead Mobile Diesel Technician will perform licensed DOT inspections, preventative maintenance inspections, and advanced repairs on various types of vehicles in a mobile environment. This role also involves mentoring other technicians and managing customer interactions effectively.
Creative Project Manager (Contractor)
The Creative Project Manager will develop project timelines and ensure deadlines are met while coordinating between various teams. They will also assist in managing creative workflows and serve as a day-to-day contact for marketing and creative teams.
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