Lead the delivery of sales objectives by managing direct retail relationships and a Direct Store Delivery (DSD) distribution network. Develop branded and private label business while collaborating cross-functionally to drive innovation and market expansion.
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Remote in = United States
Investigate allegations of healthcare fraud, waste, and abuse through claims audits and data mining. Prepare detailed investigative reports for referral to state and federal agencies and coordinate resolutions with health plans.
Administrative Coordinator
Center for Autism and Related Disorders
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Full Time
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3 Days Ago
Center for Autism and Related Disorders
Provide administrative and operational support for the onboarding and initial training of newly hired clinical staff. This includes coordinating logistics, maintaining trainee records, and facilitating communication between clinicians and internal departments.
Perform calculations for patient accounts receivable valuation and manage monthly settlements using the Kodiak RCA tool. Support the month-end close process by generating journal entries and analyzing net patient revenue for finance leadership.
Clinical Investigator I (Special Investigation Unit)
Centene Corporation
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Full Time
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3 Days Ago
Centene Corporation
Audit medical records and claims data to identify inappropriate billing practices, abuse, and fraud. Prepare findings summaries and recommend policy changes to prevent future fraudulent activities.
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Clinical Investigator - Behavioral Health
Centene Corporation
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Full Time
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3 Days Ago
Centene Corporation
Conduct comprehensive reviews of medical records and claims to identify potential fraud, waste, and abuse in behavioral health care. Collaborate with the Special Investigations Unit to analyze billing patterns and recommend preventative measures to internal policies.
Senior Pharmacy Technician - Freedom Fertility Pharmacy - AZ, MA or IL
Cigna Healthcare
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Full Time
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3 Days Ago
Cigna Healthcare
Coordinate fertility plans and medications by handling inbound patient calls and accurately entering prescription and insurance data. Ensure a high-quality patient experience by resolving issues and processing claims efficiently.
Manager, Payment Integrity - Platform Management
Centene Corporation
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Full Time
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3 Days Ago
Centene Corporation
Develop and manage strategic fraud, waste, and abuse activities to ensure billing integrity and compliance with state and federal requirements. Lead teams of analysts in investigating referrals and preparing saving reports for stakeholders.
Lead the design and execution of clinical programs focused on quality metrics and Stars improvement within a value-based care model. Oversee cross-functional projects, manage stakeholder relationships, and translate complex data into actionable strategic recommendations for senior leadership.
Act as a subject matter expert to guide prospects through complex sales cycles by delivering technical expertise and tailored solution recommendations. Collaborate with sales, product, and engineering teams to translate customer needs into measurable business value and technical specifications.
The Title Express Processor assists insurance companies with the procurement of vehicle titles and paperwork while coordinating with financial institutions and owners. Responsibilities include managing call queues, creating total loss packets, and ensuring document compliance per state guidelines.
The Analyst supports Integrated Kidney Care initiatives by managing care gaps and monitoring clinical performance to improve quality metrics. They collaborate with payor partners to ensure data alignment and lead pilots to innovate the model of care.
Lead the end-to-end revenue recognition and patient accounting processes for Aspen Dental, ensuring compliance with GAAP and accounting standards. Establish internal controls, build allowance and collection models, and serve as a strategic liaison between RCM, IT, and external auditors.
Lead and manage a team of multispecialty account managers to build relationships with key customers in community healthcare settings. Develop strategic account plans to drive revenue growth and ensure customer satisfaction through a consultative business advisory approach.
Drive patient impact by serving as the primary contact for healthcare customers in the Dallas South territory. Develop and execute territory business plans while maintaining product knowledge to align customer needs with company solutions.
Drive patient impact by serving as the primary contact for healthcare customers in the San Antonio territory. Develop and execute territory business plans while collaborating with internal teams to deliver patient-focused solutions.
Drive patient impact by serving as the primary scientific contact for healthcare customers within the Dallas North territory. Develop and execute territory business plans while maintaining strong relationships with cardiologists and other healthcare professionals.
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Drive patient impact by serving as the primary contact for healthcare customers within the Waco, TX territory. Develop and execute territory-level business plans while maintaining strong relationships with cardiologists and other healthcare professionals.
Drive patient impact by serving as the primary contact for healthcare customers within the assigned Texas territory. Develop and execute business plans while collaborating with internal teams to deliver patient-focused cardiovascular solutions.
The UM Nurse Consultant assesses and coordinates healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. They collaborate with providers and internal constituents to facilitate treatment and promote quality effectiveness of benefit utilization.
Responsible for submitting accurate billing to payers and following up on claims to ensure timely reimbursement. The role involves resolving denials, underpayments, and payment delays while maintaining compliance with regulatory standards.
Manage a book of business for Concierge and Advisory customers to drive retention and strategic growth. Partner with clients to define success, monitor health via usage data, and collaborate with internal teams to deliver maximum value.
The UM Nurse Consultant assesses and coordinates healthcare services for members by applying clinical criteria and guidelines to render coverage determinations. They collaborate with providers and internal constituents to facilitate appropriate treatment and promote quality effectiveness of benefit utilization.
The role focuses on acquiring new small business accounts through prospecting, cold-calling, and networking within a specific territory. Responsibilities include analyzing customer needs to provide tailored wireless solutions and managing the sales funnel via automation tools.
Lead the growth of the Federal Physical AI ecosystem by driving the adoption of NVIDIA's AI and computing platforms through strategic partnerships. Collaborate cross-functionally to develop go-to-market resources and provide actionable field insights to influence internal product roadmaps.
The role involves creating detailed roadmaps and defining future capabilities for digital and telehealth products. The manager will drive product prioritization and serve as the voice of the customer to enable new ways of patient care.
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Power Infrastructure Category Management Senior Director, NA
Vantage Data Centers
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Full Time
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3 Days Ago
Vantage Data Centers
Own and execute the global category strategy for power infrastructure, including generation plants, substations, and emerging energy technologies. Lead supplier qualification, long-term contracting, and risk management to ensure supply continuity and cost efficiency for data center deployments.
Medical Science Liaison, CNS - AZ, CO, NE, NM, UT
Otsuka Pharmaceutical Co., Ltd.
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Full Time
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3 Days Ago
Otsuka Pharmaceutical Co., Ltd.
The MSL serves as a scientific expert providing clinical and health economic information on CNS disease states to key stakeholders. They collaborate with ecosystem partners to execute local medical strategies and gather customer insights to improve patient outcomes.
Medical Science Liaison - Pennsylvania/New Jersey
Otsuka Pharmaceutical Co., Ltd.
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Full Time
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3 Days Ago
Otsuka Pharmaceutical Co., Ltd.
The MSL serves as a scientific expert providing clinical and health economic information on CNS disease states to key stakeholders. They collaborate with ecosystem partners to execute local medical strategies and improve patient outcomes through evidence-based solutions.
Labor and Employment Legal Analyst, Practical Guidance
Reed Technology
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Full Time
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3 Days Ago
Reed Technology
Lead the development and maintenance of Practical Guidance content for a specific legal practice area to ensure accuracy and relevance. Integrate AI technologies into editorial workflows and partner with internal stakeholders to improve content strategy and customer experience.
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