Perform clinical reviews of prior authorizations, step therapy, and quantity limits to manage pharmacy utilization. Participate in the appeals process and provide expertise in managing member care in compliance with NCQA and CMS standards.
Work From Home Jobs (224,395)
The CSR is responsible for collecting and documenting First Notice of Loss (FNOL) details from customers experiencing stressful events. They must provide empathetic support and accurately enter claim information into designated systems following client-specific instructions.
Collect and document First Notice of Loss (FNOL) details while providing empathetic support to customers during stressful events. Ensure accurate data entry into account management systems and resolve customer issues according to client instructions.
The Customer Engineer architects and delivers technical solutions while serving as a liaison between business, product, and development teams. They are responsible for troubleshooting complex system outages and providing technical support during implementation and post-sales stages.
Responsible for enrolling prospective members into Medicare plans via telephone while providing superior sales service. The role involves educating members on benefits and enrollment rules in compliance with CMS and state regulations.
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The Medical Director serves as the medical expert for clinical research trials in neurological diseases, focusing primarily on medical monitoring and scientific advising. They provide medical support to investigative sites, review adverse events, and contribute to the development of client proposals and medical strategies.
Specialty Testing Billing Customer Service Support Representative II– Remote
Labcorp
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Full Time
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2 Days Ago
Labcorp
Handle high-volume inbound and outbound calls to resolve patient billing inquiries and open accounts receivable. Assist patients with payment plans and utilize multiple systems to research and resolve financial issues in real time.
Manage lease administration functions, client relationships, and reporting for small to mid-sized commercial real estate accounts. Oversee rental obligations, billing, and database integrity while ensuring service delivery aligns with client contracts.
Manager, Benefits Design Administration & Testing
MedImpact Healthcare Systems, Inc.
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Full Time
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2 Days Ago
MedImpact Healthcare Systems, Inc.
Lead the administration, validation, and maintenance of benefit plan designs and pricing across multiple lines of business. Oversee a team of testing professionals to ensure accurate client implementation and regulatory compliance.
Build a talent pipeline for various roles across Risk, GRC, Customer Success, Sales, and Technology. Contribute to the growth of the Protecht.ERM cloud-based SaaS platform.
Research Project Manager (Health, Behavior and Society)
Johns Hopkins University
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Full Time
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2 Days Ago
Johns Hopkins University
Manage the administrative and scientific implementation of complex research projects focusing on women's health and nutrition in LMIC settings. Responsibilities include overseeing grant administration, regulatory compliance, budget management, and supervising research staff.
The AP Administrator is responsible for processing, tracking, and recording payments while performing 3-way matching to ensure billing accuracy. They also manage vendor relationships and assist the finance team with regular reconciliations and audit preparation.
Manage end-to-end accounting and subscription revenue recognition for multiple US-based SaaS and AI startups. Design and implement automated financial workflows and scalable infrastructure to optimize client operations.
Manage and reconcile customer payments and remittance entries while investigating trade spend and compliance deductions. Collaborate with US-based managers to resolve disputes and implement workflow enhancements to recover lost revenue.
Develop and execute end-to-end Amazon advertising strategies across multiple brands to balance profitability and growth. Manage various Amazon Ads formats while collaborating with creative and operations teams to optimize overall business performance.
The Amazon Account Manager will manage Amazon accounts, ensuring efficient operations and contributing to overall success. Responsibilities include account health monitoring, issue resolution, catalog management, inventory coordination, and performance reporting.
The role involves designing and updating product packaging and print materials while ensuring brand consistency and production readiness. The designer will manage projects from concept to final print-ready file preparation, collaborating with internal marketing and product teams.
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Act as the primary contact between customers and field technicians, managing inbound calls and scheduling jobs. Handle CRM updates, basic billing tasks, and operational coordination to ensure efficient service delivery.
The role involves managing inbound customer tickets, emails, live chats, and outbound calls to support customers on their health journey. Additionally, the specialist will coordinate with pharmacies and assist internal stakeholders with customer service tasks.
Provide administrative and operational support to business development and commercial teams to manage lighting projects from inception to completion. Coordinate between clients, warehouses, and procurement to ensure seamless order fulfillment and customer satisfaction.
The role focuses on managing day-to-day financial and administrative operations, including accounts payable, payroll preparation, and owner statements. It also involves maintaining compliance calendars for state sales tax returns and permit renewals.
Manage high-volume B2B customer communications, including quotations and order confirmations. Coordinate with suppliers and warehouses to ensure seamless end-to-end logistics and order fulfillment.
The role focuses on converting warm inbound leads into long-term clients through a consultative sales approach for premium pest control services. Additionally, the representative will partner with ownership to implement business development strategies and manage the sales pipeline using CRM tools.
Manage the full-cycle recruitment process for US-based positions across various technical and administrative departments. Partner with hiring managers to define requirements, source candidates, and maintain a strong talent pipeline.
Promote and sell Medtronic's healthcare products and services to meet sales targets within assigned accounts and geographic areas. Build long-term relationships with healthcare professionals and distributors while implementing market development strategies.
MyanCor - Senior Technical Sales Representative - Taiyuan
Medtronic
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Full Time
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2 Days Ago
Medtronic
Promote and sell Medtronic products and services within a designated geographic area to achieve sales targets. Develop long-term relationships with healthcare professionals and distributors while providing market feedback to internal R&D and marketing teams.
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MyanCor - Senior Technical Sales Representative - Beijing
Medtronic
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Full Time
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2 Days Ago
Medtronic
Promote and sell Medtronic products and services within a designated geographic area to meet or exceed sales targets. Develop long-term relationships with healthcare professionals and distributors while providing market feedback to internal R&D and marketing teams.
Lead and develop the cybersecurity function to execute enterprise priorities and protect sensitive information and technology assets. Partner with business leaders to integrate security into key decisions and oversee threat detection and incident response.
Advisor, Talent Acquisition (12-months contract)
Danaher Corporation
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Full Time
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2 Days Ago
Danaher Corporation
Provide full-cycle recruitment support across multiple subsidiaries in the Life Sciences, Diagnostics, and Biotech industries. Develop comprehensive recruitment strategies and manage the end-to-end process from sourcing to candidate placement.
Coordinate internal resources and external vendors to ensure the successful execution of multiple concurrent global network deployment projects. Maintain project tracking systems and generate status reports to monitor deliverables and mitigate risks.
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