Lead the discovery, documentation, and configuration of client-defined requirements for StarCompliance software. Act as the primary intermediary between clients and internal teams to ensure successful deployment and adoption of the platform.
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Remote in = United States
Advisory Services Analyst - Medicare Value-Based Care (Remote Eligible)
Mathematica Inc
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Full Time
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6 Days Ago
Mathematica Inc
Provide technical assistance and operational support for Medicare payment policies, specifically focusing on value-based care and alternative payment models. Support the Centers for Medicare and Medicaid Services (CMS) in implementing new policies and managing stakeholder communications.
The role focuses on resolving aging claims, managing denials, and overseeing secondary claims to ensure timely revenue cycle resolution. Additionally, the specialist manages patient accounts, handles billing inquiries, and verifies insurance eligibility.
Medical Claims Review Medical Director-Internal Medicine - Remote
UnitedHealth Group
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Full Time
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6 Days Ago
UnitedHealth Group
The Medical Director conducts clinical coverage reviews and renders determinations based on member plan benefits and medical necessity. They collaborate with multidisciplinary teams and providers to ensure cost-effective, high-quality medical care.
Independent Contractor - Retail Food Safety Auditor - Detroit, MI
NSF International
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Full Time
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6 Days Ago
NSF International
Conduct food safety audits for restaurants, bars, and grocery stores to ensure adherence to specific standards. Educate foodservice personnel on safety protocols to protect human and planet health.
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Advise clients on asset finance and securitization transactions by structuring and negotiating complex financing instruments. Collaborate with cross-functional legal teams to support sophisticated client relationships and deal structures.
Own the end-to-end development of Rails-based backend services for social features like feeds and profiles. Contribute to architectural decisions and provide technical guidance to junior engineers through code reviews and design feedback.
The Senior Medical Writer develops high-quality scientific content, including manuscripts and congress materials, based on preclinical and clinical research data. They lead projects, interact with pharmaceutical clients, and provide editorial feedback to team members.
Enterprise Sales Development Representative (SDR) – ThriveCart
ThriveCart
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Full Time
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6 Days Ago
ThriveCart
Execute high-volume outbound outreach via cold-calling and email to target mid-market and enterprise platforms. Focus on creating a pipeline of qualified discovery meetings and providing market feedback to refine the go-to-market strategy.
The role involves partnering with advertisers to develop performance strategies and optimization recommendations to maximize customer acquisition and ROAS. You will act as a bridge between client goals and internal technical teams to ensure successful campaign execution and product improvement.
Define and execute the company-wide AI strategy to drive measurable business value across products and operations. Bridge the gap between executive leadership and technical teams to implement scalable AI solutions and governance frameworks.
Lead and supervise a Workers Compensation claims team to ensure high-quality service and adherence to best practices. Manage adjuster hiring, training, and workloads while maintaining professional communication with clients, carriers, and brokers.
Manage the full life cycle of moderately complex Healthcare Professional Liability claims, including coverage analysis, investigation, and resolution. Negotiate settlements with various parties and ensure all claims are handled according to regulatory requirements and client expectations.
Senior Workers Compensation Claims Adjuster - VA, DC, MD
Gallagher
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Full Time
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6 Days Ago
Gallagher
Manage and resolve complex workers compensation lost time and indemnity claims through investigation and analytical decision-making. Coordinate with claimants and clients to ensure effective communication and adherence to statutory and corporate policies.
TCSEPP Fatherhood Program Coordinator (East TN): Social Work Research & Public Service - UTK
University of Tennessee
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Full Time
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6 Days Ago
University of Tennessee
The Coordinator delivers direct services to fathers in East Tennessee, focusing on outreach, group facilitation, and resource navigation. The role aims to empower fathers through education and support while developing community partnerships.
The role involves owning the end-to-end funnel strategy, design, and execution. This includes managing creative assets, copywriting, and media buying to drive lead generation.
Supervise the investigation, management, and timely disposition of Workers' Compensation claims according to guidelines. Assist the VP and Assistant VP of Claims in the overall management of the Service Center.
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Deliver client-centered speech and language services based on individualized treatment plans and evidence-based models. Responsibilities include conducting screenings, maintaining patient progress documentation, and developing engaging therapy materials.
The representative manages the full life cycle of auto registration and title work to ensure timely completion for customers. This includes handling escalations, communicating with lenders and lien holders, and documenting all activity in company systems.
Design and articulate FICO Score solution configurations to help auto lenders make data-driven decisions and achieve business outcomes. Partner with sales and client success teams to lead technical discovery, develop ROI narratives, and support commercial deal enablement.
Manage enterprise-wide programs to align Product, Engineering, and Service Delivery teams while ensuring projects meet outcomes, timelines, and budgets. Oversee the product lifecycle from ideation to operational release, focusing on digital adoption and process enhancements.
Senior Contract Analyst
Johnson & Johnson Innovative Medicine
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Full Time
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1 Week Ago
Johnson & Johnson Innovative Medicine
The role involves processing contract requests, ensuring HCC compliance, and managing vendor enrollments within procurement systems. It also requires monitoring PO funding, tracking contract renewals, and providing metrics on cycle times.
Regulatory Compliance Officer - Clinical Trials Office
The Ohio State University
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Full Time
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1 Week Ago
The Ohio State University
The officer ensures that clinical trial protocols comply with university, state, and federal regulations through detailed reviews and timely submissions. They act as the primary contact for regulatory agencies and maintain essential regulatory files and tracking systems.
Collaborate with advisors to manage Work In Process (WIP) and maximize client invoice amounts through efficient billing and analysis. Monitor accounts receivable and coordinate with the Collections Manager to ensure timely payments.
Provides technical and administrative support to field and operations staff, including scheduling, coordination, and project task completion. Responsible for developing progress reports, tracking data via web-based tools, and communicating with municipalities and clients.
Performs QA/QC inspections of building systems including electrical, mechanical, and structural components to ensure quality standards. Collects field data, reviews construction documents, and prepares detailed technical reports on building conditions.
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Performs QA/QC inspections of building systems including electrical, mechanical, and structural components to ensure quality standards. Collects data, documents findings via electronic tools, and prepares detailed reports on property conditions.
Performs QA/QC inspections of building systems including electrical, mechanical, and structural components to ensure quality standards. Collects data, documents findings via electronic tools, and prepares detailed reports on building conditions.
Performs QA/QC inspections of building systems including electrical, mechanical, and structural components to ensure compliance with engineering specifications. Collects site data, documents findings via electronic tools, and prepares detailed technical reports on building conditions.
Provides technical and administrative support to field and operations staff, including scheduling, coordination, and project tracking. Responsible for collecting municipality data, preparing report deliverables, and training new project associates in technical writing.
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