Perform evidence-based medical necessity reviews for pathology cases using specialized case management software. Conduct peer-to-peer consultations with referring providers to discuss treatment appropriateness and recommend alternative services.
Work From Home Jobs (229,149)
Build and maintain a network of hearing acousticians and ENT doctors to increase referrals for cochlear implant candidates. Collaborate with internal teams to promote brand preference through communication, training, and strategic projects.
Build and maintain strong relationships with clinics and rehabilitation centers to increase brand awareness and business opportunities. Manage regional accounts and analyze market trends while collaborating with technical and marketing teams.
Specialist Sales Manager, NG SIEM - Central Region (Remote)
CrowdStrike
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Full Time
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1 hour ago
CrowdStrike
Drive the growth of the Next-Gen SIEM and Log Management business by identifying and executing account strategies to close new business. Collaborate with cross-functional teams and partners to maximize market adoption and exceed revenue targets.
Managing Director, Sales - Southeast Region
Credit Acceptance
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Full Time
·
1 hour ago
Credit Acceptance
Lead and develop a team of Directors of Sales to drive regional performance and execute market-level strategies. Manage P&L outcomes, strengthen dealer relationships, and ensure consistent execution of company priorities across assigned districts.
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Manheim Vehicle Mobile Inspector Houston, TX
Cox Enterprises
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Full Time
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1 hour ago
Cox Enterprises
Conduct detailed on-site vehicle condition inspections for dealer clients to ensure marketplace transparency and accurate documentation. Build and maintain strong relationships with dealers to grow participation in mobile inspection services.
Design, build, and scale end-to-end data pipelines and backend APIs to power data ingestion and AI-driven insights. Collaborate with multi-disciplinary teams to integrate AI services into production systems while ensuring high standards of reliability and scalability.
Revenue Cycle Representative I
Jefferson Health Plans
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Full Time
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1 hour ago
Jefferson Health Plans
Responsible for following up with third-party payers and patients to resolve outstanding account balances and payment discrepancies. This includes analyzing denied claims, reconciling adjustments, and ensuring full payment according to regulatory requirements.
Design and document scalable technical solutions and custom workflows that integrate WideOrbit products with third-party tools. Act as a strategic advisor to clients to align technology ecosystems with business goals and drive long-term success.
The eBilling Specialist manages all aspects of electronic billing for e-clients, including implementation, invoice submission via eBillingHub, and resolving rejections. The role involves collaborating with attorneys and billing staff to ensure compliance with client guidelines and maximize recovery.
Lead a small team of SEO professionals to execute organic search strategies and manage client deliverables. Responsibilities include monitoring KPIs, creating client-facing reports, and mentoring team members to improve their technical skills.
Troubleshoot and resolve customer-reported issues within the ACH Alert Fraud Prevention platform using SQL and log analysis. Collaborate with cross-functional teams to escalate complex issues and improve operational documentation.
The role focuses on resolving At Risk Customer (ARC) cases through inbound and outbound calls to retain prospective customers in the sales pipeline. Responsibilities include overcoming objections, educating customers on solar processes, and managing a pipeline of cases efficiently.
Drive content strategy and execution for an assigned portfolio to increase awareness, pipeline, and revenue growth. Partner with cross-functional teams to translate product positioning into high-impact assets across the customer journey.
The role involves resolving technical issues for clients via phone, email, and help desk tickets. It focuses on providing exceptional customer service and guided troubleshooting to ensure device functionality.
The intern will assist engineers with special projects focused on improving facility efficiency and final product quality. Key tasks include troubleshooting, performing mass and energy balances, and creating process flow diagrams.
The representative serves as the frontline image of MTM Health, primarily handling 60-80 inbound calls daily from members, clients, and facilities. Responsibilities include managing tasks of increasing complexity to remove barriers to care for the community.
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Drive patient impact by serving as the primary scientific contact for healthcare customers within an assigned territory. Develop and execute business plans while collaborating with internal teams to deliver patient-focused cardiovascular solutions.
The Digital Editor manages the Massachusetts cluster's websites, social media, and email products to drive engagement and convert readers into subscribers. This includes optimizing content for SEO, managing homepage layouts, and monitoring real-time analytics to inform editorial strategies.
Software Engineer (Salesforce) (US REMOTE)
Motorola Solutions
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Full Time
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1 hour ago
Motorola Solutions
Design and implement scalable Salesforce solutions using Apex and LWC, focusing on Revenue Cloud, Sales, and Service Clouds. Develop integrations between Salesforce and other enterprise systems while maintaining platform performance and data integrity.
VP, Product Management Underwriting Performance - Excess & Surplus/Specialty and Commercial Lines
Nationwide
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Full Time
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1 hour ago
Nationwide
Leads product execution, governance, and regulatory filings for the Commercial and Excess & Surplus/Specialty insurance portfolios. Drives operational excellence and the adoption of AI and automation to improve speed to market and productivity.
Develop and maintain a customer base for mortgage products by targeting referrals from realtors, builders, and financial planners. Manage a personal sales pipeline using a specialized management system to achieve professional growth and business targets.
Oversee the investigation and resolution of complex appeals and complaints across multiple business units while ensuring compliance with federal and state regulations. Identify emerging trends and provide coaching to team members to maintain quality and timeliness in case resolution.
Associate Manager, Complaint & Appeals - Work From Home
CVS Health
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Full Time
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1 hour ago
CVS Health
Oversee the investigation and resolution of appeals and complaints for various health products while ensuring compliance with federal and state regulations. Identify emerging trends and serve as the primary point of contact for plan leadership and state regulators.
Oversee key strategies to improve patient responsiveness and reduce attrition by optimizing the patient journey and digital engagement. Lead the development of operational frameworks, such as First Call Resolution workflows and QA frameworks, to standardize support across the organization.
Serves as a subject matter expert managing complex leave cases and ensuring compliance with FMLA, ADA, and MAPFML regulations. Partners with state agencies and internal stakeholders to oversee leave workflows, conduct audits, and provide guidance to employees and managers.
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Principal Data Scientist Insights & Intelligence
Northrop Grumman
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Full Time
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1 hour ago
Northrop Grumman
Lead analytical projects to drive high-impact business decisions by developing rigorous data science models and production-grade applications. Collaborate with stakeholders to translate complex business challenges into scalable analytical pipelines and strategic recommendations.
IT Software Developer - Associate (Local Hybrid Or Remote with Experience)
UMC Health System
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Full Time
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1 hour ago
UMC Health System
The role involves researching, designing, developing, and maintaining software systems to meet client requirements. Responsibilities include analyzing programming requests, resolving tickets, and communicating project status to management.
Lead the provision of patient care using the nursing process and manage nursing team resources to achieve optimal outcomes. Implement teaching strategies for diverse patient needs and ensure compliance with regulatory standards.
Provide second-level technical support to resolve software, hardware, and network issues while maintaining high first-contact resolution rates. Document all troubleshooting steps, manage ticket lifecycles, and contribute to the team knowledge base.
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