The role involves assisting Conduent Staff with inquiries about plan language, benefits, and claims while accurately recording interactions. Additionally, the position requires providing support for escalated calls and delivering real-time coaching to ensure provider satisfaction.
Browse Remote Jobs in USA (122,956)
Remote in = United States
As a Developer II, you will design, develop, test, and debug applications while collaborating with cross-functional teams to deliver high-quality software solutions. You will also take technical ownership of applications and manage tasks using project management tools.
The Research Analyst will design and conduct custom consumer and market research, supporting key project execution tasks. Responsibilities include building surveys, analyzing data, creating presentations, and managing project logistics.
Customer Service Representative - August 2026 Start - Inbound Only
Principle Choice Solutions LLC
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Full Time
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1 Week Ago
Principle Choice Solutions LLC
The representative will answer incoming calls and assist customers with their questions while providing excellent service. They will document call details and help customers find solutions.
Manage high-volume inbound calls for various clients while adhering to specific protocols and scripting. Maintain professional demeanor and meet KPIs regarding schedule adherence and quality assurance scores.
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Manage high-volume inbound calls for various clients while adhering to specific protocols and scripting. Maintain high quality assurance scores and meet KPIs regarding schedule adherence and wrap time.
Manage high-volume inbound calls for various clients while adhering to specific protocols and scripting. Maintain professional demeanor and meet KPIs regarding schedule adherence and quality assurance.
Manage high-volume inbound calls for various clients while adhering to specific protocols and scripting. Maintain professional demeanor and meet key performance indicators including schedule adherence and quality assurance scores.
Manage the end-to-end tendering process and bid lifecycle for the Americas business unit. Maintain Salesforce CRM accuracy and provide commercial coordination and reporting to support business development.
The Platform Engineer is responsible for the reliability, scalability, and deployment automation of the AI platform and data infrastructure on AWS. This includes managing CI/CD pipelines, implementing observability frameworks, and ensuring production stability for AI-powered capabilities.
Lead the design, deployment, and operationalization of secure Google Cloud environments for enterprise clients. Translate technical security findings into business risks and actionable roadmaps for senior leadership.
Lead the design, deployment, and operationalization of secure Google Cloud environments for enterprise clients. Translate technical security findings into business risks and actionable remediation roadmaps for senior leadership.
Develop high-performing visual assets for paid media campaigns across platforms like Meta, LinkedIn, and Google to drive student enrollment. Collaborate with marketing teams to translate strategies into creative executions while adhering to university brand standards.
Senior Sales Executive - National Payer Services
Quest Analytics
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Full Time
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1 Week Ago
Quest Analytics
Identify and develop business opportunities by establishing relationships with national commercial health plans and payers. Responsibilities include delivering software demonstrations, drafting proposals, and collaborating with the product team to identify market opportunities.
Lead the design and implementation of scalable backend systems and RESTful APIs using Node.js and Next.js. Provide technical leadership through mentorship, code reviews, and performance optimization of SQL databases.
Lead SEO strategy, keyword research, and performance reporting for a diverse portfolio of eCommerce and B2B clients. Collaborate cross-functionally with development and content teams to implement technical recommendations and maintain site health.
Solutions AI Architect, Healthcare Provider in North America
NTT DATA Services
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Full Time
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1 Week Ago
NTT DATA Services
Define the industry strategy and multi-year roadmap for AI solutions within the Healthcare Provider segment. Lead the development of AI-native offerings across clinical, operational, and administrative domains while partnering with C-suite leaders to drive growth.
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AI Solutions Architect, SLED focused for North America
NTT DATA Services
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Full Time
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1 Week Ago
NTT DATA Services
Define the AI industry strategy and multi-year roadmap for the SLED segment across government and education systems. Lead the development of AI-native solutions and partner with C-suite leaders to drive growth and win large-scale transformation deals.
Healthcare Payer and Life Science AI Architect
NTT DATA Services
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Full Time
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1 Week Ago
NTT DATA Services
Define the AI industry strategy and multi-year roadmap for the Healthcare Payer segment to drive growth and digital transformation. Lead the development of AI-native solutions across clinical and administrative domains while acting as a trusted advisor to C-suite leaders.
Claims Examiner - Xcelys Remote, Temporary
NTT DATA Services
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Part Time
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1 Week Ago
NTT DATA Services
Review and resolve written dispute requests from healthcare providers regarding denied or incorrect payments based on contractual arrangements. Ensure accurate claim processing by identifying system configuration issues and maintaining detailed documentation in the Provider Dispute Database.
The role manages day-to-day Minimum Advertised Price (MAP) operations, enforcement, and governance to protect brand value. It involves analyzing complex datasets to provide actionable recommendations and maintaining sales policy documentation across various stakeholders.
The role involves applying mathematical and statistical techniques to evaluate financial instruments and design analytical models for complex financial systems. Key duties include supporting hedge fund risk managers with risk reports and collaborating with development teams to validate pricing models.
Senior Business Intelligence Analyst
Fairbanks Morse Defense
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Full Time
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1 Week Ago
Fairbanks Morse Defense
The Senior Business Intelligence Analyst will design, build, and maintain scalable data models and pipelines to support enterprise analytics. This role will also develop dashboards and visualizations to translate complex data into actionable insights for stakeholders.
Design and implement backend services and APIs used by Oracle Health product teams. Collaborate with cross-functional stakeholders and participate in code and design reviews.
Counselor - Telehealth CA
Pinnacle Treatment Brand
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Full Time
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1 Week Ago
Pinnacle Treatment Brand
As a Telehealth Counselor, you will ensure the completion of patient documentation and provide counseling to patients in crisis. You will also participate in case reviews and develop knowledge of relevant regulations.
Manage the end-to-end credentialing and enrollment process for dental providers to ensure compliance with regulatory and insurance requirements. Maintain accurate provider records and coordinate with licensing boards and insurance carriers to facilitate network participation.
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The role involves acquiring new customers and assisting organizations in transforming their operations using NetSuite's cloud-based applications. The focus is on consultative sales and leveraging Oracle's comprehensive solutions.
Support the ongoing development and enhancement of the enterprise CRM platform built on Dynamics 365 Customer Engagement, Dataverse, and the Microsoft Power Platform. Focus on hands-on delivery across Dynamics 365 CE workloads including Customer Service, Sales, and/or Marketing.
2D Motion Designer (Freelance) für Simplicissimus & fern
Electrify
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Full Time
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1 Week Ago
Electrify
The role involves conceptualizing and creating high-quality 2D animations and stylizing visual material for YouTube channels. You will collaborate with editorial and production teams to transform stories into expressive animations with a unique visual style.
The Supervisor of Quality Assurance manages day-to-day QA operations, overseeing a team of auditors to ensure compliance with federal and investor guidelines. Key duties include monitoring production metrics, reporting loan deficiencies, and managing external vendors to maintain high quality standards.
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