The role involves investigating complex liability and coverage issues to determine claim value and negotiate settlements. Responsibilities include setting reserves, identifying subrogation opportunities, and mentoring other staff.
Browse Remote Jobs in USA (122,735)
Remote in = United States
Senior Director, Human Resources Business Partner Corporate
Danaher Corporation
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Full Time
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Yesterday
Danaher Corporation
Provide strategic people solutions and lead global corporate projects in organization design, talent planning, and performance management. Serve as a trusted partner to senior executives to enable corporate functions and drive enterprise-wide transformation initiatives.
Lead the planning and execution of software implementation projects, managing timelines, resources, and technical configurations. Serve as the primary client contact to ensure successful deployment and high user adoption through training and support.
Precertification Specialist WMCG
Wellstar Health System
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Full Time
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Yesterday
Wellstar Health System
The specialist is responsible for obtaining pre-authorizations for outpatient infusions to drive volume and increase revenue while minimizing denials. They coordinate between physicians' offices, patients, and insurance carriers to ensure all medical necessity requirements are met.
Product Experience Owner - Quality, Analytics & Performance Management
Gainwell Technologies LLC
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Full Time
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Yesterday
Gainwell Technologies LLC
Own and manage the operational roadmap for Verint Quality Management, Analytics, and Performance Management capabilities. Serve as the primary liaison between technology teams and business leadership to translate operational needs into platform configurations.
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The Scheduler serves as the primary point of contact for patients, managing appointment scheduling for providers and midlevel providers. Responsibilities include maintaining daily treatment schedules, verifying patient demographics, and facilitating communication between patients and clinical staff.
Operational Analyst - Verint Analytics & Performance Configuration
Gainwell Technologies LLC
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Full Time
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Yesterday
Gainwell Technologies LLC
Configure and optimize Verint Performance Management and Speech & Text Analytics capabilities to translate business requirements into system configurations. Partner with operational leaders and technology teams to ensure performance insights are accurate and actionable.
Manage and grow existing industrial coatings accounts through strategic planning and deep customer engagement. Coordinate internal resources to provide technical solutions and drive incremental revenue and profitability.
Revenue Cycle Specialist- Collections
St. Elizabeth Healthcare
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Full Time
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Yesterday
St. Elizabeth Healthcare
Responsible for managing the revenue cycle by handling patient calls, working A/R reports, and filing insurance claims. The role involves updating patient demographics, processing payments, and resolving billing discrepancies with insurance companies.
Senior Security Engineer
First Advantage Global operating Centre
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Full Time
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Yesterday
First Advantage Global operating Centre
Implement and maintain security controls across AWS and Azure environments while integrating security checks into CI/CD pipelines. Collaborate with DevOps and development teams to conduct architecture reviews, threat modeling, and incident response efforts.
Lead end-to-end product design from discovery to launch across web and mobile platforms, focusing on healthcare access. Responsibilities include creating intuitive workflows, maintaining design systems, and leveraging AI tools to accelerate production.
Provide full accounting oversight for three divisions, managing financial strategy, ledger accounts, and month-end close processes. Supervise internal and international AP/AR teams while collaborating with the parent company on financial reporting and audits.
Support the development of scopes, budgets, and pricing for bioanalytical studies while collaborating with cross-functional teams. Manage the financial lifecycle of awarded projects, including forecasting, invoice preparation, and project close-out activities.
Associate DIrector - Integrations, Separations & Carve- Outs (Private Equity)
CrossCountry Consulting
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Full Time
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Yesterday
CrossCountry Consulting
Lead complex M&A integrations, carve-outs, and divestitures for Private Equity clients, including the creation of target operating models and TSA management. Responsible for client delivery, team leadership, business development, and mentoring junior staff.
Drive revenue growth within a defined territory of payer accounts through strategic account planning and consultative selling. Lead the end-to-end execution of complex sales opportunities, including new logo acquisition and expansion motions.
Manage world-class partnerships with enterprise clients to optimize the value of PointClickCare's solutions. Act as a trusted advisor to executive leadership while implementing success plans and churn mitigation strategies.
Act as a subject matter expert to support sales discovery calls, RFP responses, and executive-level meetings for public sector opportunities. Provide domain guidance to product teams and represent the company at industry conferences and through thought leadership content.
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Analyze medical and pharmacy claims data to predict healthcare provider prescribing behavior and develop AI-powered synthetic personas. Build scalable data pipelines and backend APIs on AWS to deliver market intelligence and forecasting insights.
Originate and develop sustainable energy and decarbonization solutions for commercial and industrial customers. Build and execute go-to-market strategies, starting with the healthcare sector and expanding into other industries.
Responsible for originating, structuring, and closing long-term contracts for district energy and on-site energy solutions for new clients. The role involves managing the full development process, including permitting, interconnection, and coordination with internal engineering and finance teams.
Sr Manager, Strategic Technical Operations
Peak Technologies
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Full Time
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Yesterday
Peak Technologies
Serve as the primary technical and operational leader for strategic enterprise customers to ensure service delivery performance and contractual compliance. Drive customer satisfaction and retention by managing relationships, overseeing technical resources, and leading continuous improvement initiatives.
Drive business growth through strategic lead generation, new client acquisition, and the management of existing customer relationships. Oversee the end-to-end customer journey from onboarding and pricing negotiations to operational implementation and satisfaction.
Senior Lead Sales Data and Analytics - Kelsey Seybold Clinic
UnitedHealth Group
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Full Time
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Yesterday
UnitedHealth Group
Lead the Sales Data & Analytics team to maintain the data foundation and reporting used across Sales and Marketing. Act as the primary liaison between business stakeholders and the IT Business Intelligence team to ensure data needs are aligned and delivered.
Senior Account Manager, Client Services - Remote
UnitedHealth Group
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Full Time
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Yesterday
UnitedHealth Group
Serve as the primary strategic advisor for employer clients to drive success, growth, and retention. Oversee the delivery of financial solutions including HSA, HRA, FSA, and COBRA while managing relationships with consultants and internal partners.
Sr. Account Manager, Client Services - Remote
UnitedHealth Group
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Full Time
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Yesterday
UnitedHealth Group
Serve as the primary strategic advisor for employer clients to drive success, growth, and retention. Oversee the delivery of financial solutions including HSA, HRA, FSA, and COBRA while managing relationships with consultants and internal partners.
Outpatient Coding Specialist II (Remote)
University Hospitals
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Full Time
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Yesterday
University Hospitals
Responsible for the accurate and timely coding of moderately complex outpatient encounters, including same day surgery and emergency department visits. Ensures compliance with CMS regulations, hospital guidelines, and official coding standards to optimize reimbursement.
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Provide personalized, coordinated healthcare to seniors in long-term care facilities to improve quality of life and prevent hospitalizations. Responsibilities include assessing medical needs, prescribing medications, and collaborating with integrated care teams.
Oversee the enterprise fraud program by managing policies, risk assessments, and serving as a liaison for complex fraud cases. Lead incident response, manage fraud reporting, and provide oversight for both first and second-line fraud operations for retail and fintech partners.
Manage relationships with high-value strategic clients to ensure satisfaction, product adoption, and value realization. Drive revenue growth through the renewal and expansion of the assigned customer portfolio.
Lead client relationships and engagements for restaurant partners to drive retention and revenue growth. Manage campaign setup, performance analytics, and strategic reviews while leveraging AI tools for operational efficiency.
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