Oversee the Provider Enrollment Department by managing staff, optimizing workflow processes, and ensuring consistent implementation of policies. Maintain client relationships and coordinate with leadership to resolve held claims and complete the enrollment process.
Work From Home Jobs (202,105)
Accounts Receivable Escalation Specialist
Ventra Health, Inc.
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Full Time
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2 Weeks Ago
Ventra Health, Inc.
Analyze collections, resolve non-payables, and handle complex billing inquiries to ensure appropriate reimbursement. This includes following up on claim rejections, writing appeals, and communicating with insurance companies regarding outstanding claims.
The Training Representative facilitates virtual and in-person training for customer store personnel on cash-handling technology. Responsibilities include executing scheduled training events and tracking completion using tools like Zoom and PowerPoint.
Lead end-to-end project management for Facilities Management procurement and invoicing technology initiatives to advance the procure-to-pay ecosystem. Partner with Finance and Supply Chain leaders to drive ERP transformations and ensure alignment between business processes and system capabilities.
Outbound Central Consumer Loan Officer
Marine Credit Union
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Full Time
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2 Weeks Ago
Marine Credit Union
Conduct outbound calls to solicit loan applications and guide members through the application process. Analyze financial data to recommend loan approvals, denials, or modifications based on creditworthiness and risk.
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The Project Executive manages project teams and financial performance for large-scale energy infrastructure projects. They are responsible for contract execution, client relationship management, and mentoring project managers and superintendents.
Drive enterprise-wide transformation by implementing continuous improvement, standardization, and scalable growth strategies. Focus on enhancing safety, service efficiency, and profitability through lean methods and data-driven process improvements.
The Technical Lead will provide technical vision and architectural integrity while remaining hands-on in the codebase. They will mentor developers and bridge the gap between business objectives and technical execution.
Lead and scale the Luxury Fashion category on eBay Live, managing a team of three Category Managers across Handbags, Watches, and Jewelry. Drive GMV growth by sourcing top luxury sellers, optimizing live programming, and developing scalable playbooks.
The Customer Success Manager serves as the primary contact for key organizations, focusing on user training, product briefings, and customer retention. They are responsible for resolving technical and editorial issues while advocating for customer feedback to internal product teams.
Lead the establishment and evolution of strategic pricing frameworks for FICO's Software and Scores business segments. Collaborate with cross-functional leaders to design scalable pricing models that support land-and-expand growth and sustainable profitability.
Provide subject matter expertise on aging resources and conduct consultations to guide older adults and caregivers through long-term care options. Collaborate with digital product teams to integrate patient-centered knowledge into the design of user experiences for care-seekers.
Provide subject matter expertise on aging resources and conduct consultations to guide older adults and caregivers through the caregiving journey. Collaborate with digital product teams to integrate patient-centered knowledge into the design of user experiences for care-seekers.
Managing Consultant – Data Architect (Commercial Health)
Guidehouse
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Full Time
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2 Weeks Ago
Guidehouse
Lead the design and delivery of modern healthcare data platforms to enable trusted analytics and AI/ML use cases. Translate business requirements into scalable architecture designs and oversee data governance and quality standards.
The District Sales Manager is responsible for achieving gross profit and sales targets within their geographical area to build market share and brand awareness. This involves delivering the value proposition to various customer segments, including dental offices and laboratories, while managing the sales funnel via CRM.
Supports pharmacists in the preparation and dispensing of specialty medications while handling inbound member and provider calls. Provides education and resources to new members and ensures adherence to operational processes for healthy outcomes.
Responsible for the quality review of OASIS documents and Plan of Care to ensure CMS program compliance and accurate reimbursement. Provides education and feedback to clinical staff to improve documentation accuracy and patient outcomes.
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The role focuses on executing sponsor oversight responsibilities and maintaining inspection-readiness for clinical studies. Key tasks include managing the Trial Master File (TMF), coordinating with CROs, and supporting study start-up activities.
The specialist executes sponsor oversight activities to maintain inspection-readiness and manages Trial Master File (TMF) quality control. They collaborate with CROs to develop oversight plans and support key study start-up and compliance deliverables.
Lead the end-to-end product lifecycle for Seeking.com using an agent-augmented operating model to drive strategy, design, and execution. Manage and develop a small team of product associates while personally owning the highest-impact product bets.
The specialist serves as the primary contact for patients and providers to facilitate access to therapy through benefit investigations and insurance verification. They provide clinical education on injectable devices and coordinate patient adherence and assistance program enrollment.
Facilitates patient access to therapy by managing benefit investigations, insurance eligibility, and prior authorizations. Provides clinical support and education to patients regarding disease states and injectable device usage.
Acts as the primary contact for patients and providers to facilitate access to therapy through benefit investigations and insurance verification. Manages patient caseloads, supports prior authorizations, and ensures compliance with HIPAA and regulatory requirements.
Develop and manage occupancy plans, move sequencing, and space solutions while acting as a trusted advisor to the client's real estate organization. Utilize CAFM/IWMS data to drive productivity and ensure alignment with corporate workplace strategies.
Predicts future risks and develops policies to minimize costs while formulating investment strategies. Designs and maintains insurance, financial, and pension plans based on data-driven probability estimations.
Associate Actuary - Healthcare
Public Consulting Group
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Full Time
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2 Weeks Ago
Public Consulting Group
Predict future risks to help create cost-minimizing policies and formulate investment strategies. Design and maintain insurance, financial, and pension plans while analyzing data to estimate event probabilities.
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Responsible for the end-to-end design, implementation, and technical oversight of scalable solutions for new and existing clients. This includes translating business requirements into technical plans and maintaining long-term solution roadmaps.
The District Sales Manager provides tactical and administrative management to increase sales and market share for pediatric nutrition brands. Responsibilities include coaching territory managers, managing hospital contracts, and overseeing recruitment and performance appraisals.
Develop and manage a training and quality management program to ensure medical record integrity. Perform data audits, track performance outcomes, and collaborate with stakeholders to implement quality improvement projects.
Lead the design and evolution of scalable frontend architectures and microfrontend ecosystems using Module Federation. Develop complex user interfaces with React and TypeScript while optimizing application performance and modernizing legacy platforms.
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