Serve as a trusted technical advisor providing guidance on mainframe modernization, cloud migration, and enterprise architecture. Design scalable data pipelines and implement governance standards across the IT portfolio.
Work From Home Jobs (202,105)
Provider Enrollment Specialist ( OH, MI, KS) LOOKING FOR KANSAS INSURANCE KNOWLEDGE/EXPERIENCE
Eye Care Partners Career Opportunities
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Full Time
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6 Days Ago
Eye Care Partners Career Opportunities
Manage the full lifecycle of provider enrollments with Medicare, Medicaid, and commercial payers to ensure timely revenue cycle activation. Coordinate hospital privileging applications and maintain accurate provider data across various payer portals and internal systems.
Provider Enrollment Specialist ( OH, MI, KS) - LOOKING FOR KANSAS INSURANCE KNOWLEDGE/EXPERIENCE
Eye Care Partners Career Opportunities
·
Full Time
·
6 Days Ago
Eye Care Partners Career Opportunities
Manage the full lifecycle of provider enrollments with Medicare, Medicaid, and commercial payers to ensure timely revenue cycle activation. Coordinate hospital privileging applications and maintain accurate provider data across various portals and internal systems.
Provider Enrollment Specialist ( OH, MI, KS) LOOKING FOR KANSAS INSURANCE KNOWLEDGE/EXPERIENCE
Eye Care Partners Career Opportunities
·
Full Time
·
6 Days Ago
Eye Care Partners Career Opportunities
Manage the full lifecycle of provider enrollments with Medicare, Medicaid, and commercial payers to ensure timely revenue cycle activation. Coordinate hospital privileging applications and maintain accurate provider data across various payer portals and internal systems.
Provide day-to-day servicing for commercial client accounts and maintain strong long-term relationships through proactive communication. Coordinate with the sales team to handle new business placements, renewals, endorsements, and billing inquiries.
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Manage the annual operating budget and acquisition execution for the product line, including developing Budget Operating Plans and tracking spend. Monitor funds, prepare unfunded requirement spreadsheets, and support project leads with cost calculations and reporting.
Serve as the primary technical authority for geotechnical solutions in the US, ensuring project deliverables meet safety and industry standards. Bridge the gap between field challenges and R&D by translating client needs into technical product requirements.
Freelance Project Manager - Medical Communications
The Lockwood Group, LLC
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Full Time
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6 Days Ago
The Lockwood Group, LLC
Manage all aspects of medical communications projects from inception to completion, including content development and advisory boards. Responsible for budget maintenance, resource management, and facilitating multidisciplinary teams to meet client expectations.
Provide executive leadership for biostatistics activities, focusing on the statistical framework for the pipeline from IND through NDA submission. Lead the design of clinical trials, manage CRO relationships, and interact with global health authorities.
Remote-Patient Account Representative
Tenet Healthcare Corporation
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Full Time
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6 Days Ago
Tenet Healthcare Corporation
Responsible for resolving patient accounts by following up on claim submissions and pursuing disputed balances from government and non-government entities. The role involves researching accounts, updating insurance information, and ensuring timely revenue collection while maintaining productivity standards.
Junior Marketing Assistant - Pub Crawl Experience (EN / PT) - Remote
Herrera Headhunters.
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Full Time
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6 Days Ago
Herrera Headhunters.
As a Marketing Assistant, you will support the daily execution of marketing and branding activities across multiple digital channels. You will work closely with the Brand Manager to enhance the visibility and success of the new Pub Crawl experience brand.
Lead engagement with federal and state regulators and elected officials to shape a positive regulatory environment for tokenized funds and securities. Develop policy positions, draft official comment letters, and advise executive leadership on regulatory risks and opportunities.
Solution Engineer (ETL, Cloud)
Precisely International Jobs
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Full Time
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6 Days Ago
Precisely International Jobs
The Solution Engineer supports Sales Engineering by designing and maintaining reusable product demos, environments, and technical assets. They collaborate with Solution Architects to build innovative solutions and communicate technical value to customers.
The role involves analyzing previous hiring processes to identify improvements and defining the scope and strategies for new procurement. It also requires monitoring bidding processes and creating technical reports on adopted strategies.
The role involves defining and evolving the architecture for Intelligent MBSE projects using Cameo Systems Modeler. Key duties include eliciting user needs, performing analysis of alternatives, and simulating system dynamics via MATLAB/Simulink.
Oversee the credentialing department to ensure providers are credentialed accurately and timely while serving as a subject matter expert in commercial insurance. Lead and develop staff, implement departmental procedures, and ensure alignment with NCQA and regulatory guidelines.
The Project Manager will lead day-to-day management of integrated client projects across multiple teams and disciplines, ensuring timely and high-quality delivery. They will facilitate meetings, monitor project timelines and budgets, and communicate effectively with both internal teams and clients.
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Provide case management, intake, and assessments for children on the autism spectrum aged 2-18. Responsibilities include parent training, collaborating with clinicians, and mentoring RBTs, MLPs, and BCaBAs.
Lead the resolution of systemic engineering challenges and drive architectural decisions for high-scale platforms. Perform hands-on coding, debugging, and performance optimization while mentoring other engineers and partnering with product teams.
Develop and manage the overall strategy for GSI, CSP, and Technology partners to drive growth and performance. Lead a sales-oriented team and collaborate with executive leadership to align partner activities with company priorities.
Appeals and Grievances Medical Director - Otolaryngology (ENT) Specialty Required - Virtual - Remote
UnitedHealth Group
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Full Time
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6 Days Ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes handling regulatory responses for CMS and Department of Insurance while collaborating with medical directors on decision rationales.
The Facility Manager III is responsible for the cost-effective and safe operation of a portfolio of client facilities across Canada. This includes managing financial performance, overseeing maintenance schedules, and serving as the primary point of contact for clients and tenants.
Manage the post-sale customer experience for enterprise clients, focusing on onboarding, revenue retention, and performance optimization. Act as a strategic partner to stakeholders by leveraging data-driven narratives to meet recruiting goals.
Specialist I, Experiential Learning Placement
Nightingale Education Group
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Full Time
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6 Days Ago
Nightingale Education Group
Manage standard onboarding processes for experiential learning placements and assist learners with compliance tasks and deadlines. Maintain accurate records in CRM systems and collaborate with senior specialists to ensure alignment on learner needs.
Develop robust and scalable full-stack software applications for embedded finance capabilities including lending and bank accounts. Influence the technical roadmap, participate in architectural discussions, and mentor other team members.
Appeals Medical Director - Family Medicine Required - Remote
UnitedHealth Group
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Full Time
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6 Days Ago
UnitedHealth Group
Responsible for the clinical review and adjudication of appeals and grievances cases across various health plan products. This includes handling regulatory responses and collaborating with medical directors to ensure benefit interpretations and quality standards are met.
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The role involves architecting and maintaining the internal Salesforce platform to optimize HR service delivery and employee experience. Key duties include building scalable declarative solutions, managing data pipelines with core People systems, and ensuring strict data privacy and governance.
Lead complex, high-value sales engagements with enterprise-level property management and real estate organizations to drive revenue growth. Develop strategic territory plans and maintain executive-level relationships to position College Pads as a strategic partner.
Home Health Quality Care Manager (RN)
Mission Healthcare
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Full Time
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6 Days Ago
Mission Healthcare
Oversees all direct and indirect patient services while providing guidance to clinical supervisors to improve home health care delivery. Manages clinical teams, budgets, and personnel evaluations to ensure quality and safe delivery of services.
Provide high-quality support and troubleshooting for customers and platform administrators while managing complex escalated issues. Create custom reports and collaborate cross-functionally to improve processes and mitigate customer churn risk.
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