Perform telephonic care management for members with complex and chronic needs by assessing and implementing optimized care plans. Coordinate internal and external resources while interfacing with Medical Directors to evaluate and modify treatment plans.
Work From Home Jobs (229,804)
Lead the pricing, product development, and profitability management of the company's annuity product portfolio. Manage reinsurance relationships and provide strategic direction on pricing assumptions and capital optimization.
Drive the product vision, strategy, and roadmap for DSPM and AI Security product lines. Manage the full product lifecycle from discovery and PRD creation to engineering execution and market adoption.
Director, Product Management - Commercial Digital
Fifth Third Bank
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Full Time
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6 Days Ago
Fifth Third Bank
Lead product development strategies to drive sales growth and profitability for commercial digital product lines. Act as a liaison between Sales, IT, Risk, and Marketing to design and launch innovative banking products.
SR Application Engineer -Hybrid/Remote
Great American Insurance Group
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Full Time
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6 Days Ago
Great American Insurance Group
Design, build, and deploy software applications to support business and insurance processes while ensuring seamless integration with existing systems. Collaborate with cross-functional teams to translate business requirements into technical specifications and optimize application performance.
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SR Application Engineer -Hybrid/Remote
Vanliner Insurance Company
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Full Time
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6 Days Ago
Vanliner Insurance Company
Design, build, and deploy software applications to support business and insurance processes while ensuring seamless integration with existing systems. Monitor application performance and provide technical support to end-users to resolve software issues.
Accounts Receivable Rep (Government Billing)
Gundersen Health System
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Full Time
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6 Days Ago
Gundersen Health System
Ensure accurate billing and reimbursement processes within the Rural Government Billing department. Support patients and internal teams while focusing on compliance and healthcare finance problem-solving.
Supervisor Customer Service - LHB
Health Care Service Corporation
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Full Time
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6 Days Ago
Health Care Service Corporation
Supervise and manage a remote team of inbound and outbound customer service representatives to deliver exceptional service. Ensure the achievement of client service expectations, health benefits objectives, and staff development.
Customer Service Supervisor
Health Care Service Corporation
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Full Time
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6 Days Ago
Health Care Service Corporation
Supervise and manage a remote team of inbound and outbound customer service representatives to ensure exceptional service delivery. Responsible for meeting client service expectations, achieving service objectives, and fostering staff development.
Remote Clinical Assessor (BCBA) Spanish-Bilingual
Autism Learning Partners
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Full Time
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6 Days Ago
Autism Learning Partners
Lead clinical assessments and conduct Functional Behavior Assessments via telehealth or in person for new families. Design individualized treatment and level-of-care plans while coordinating the transition from assessment to ongoing ABA services.
Supervise and manage a remote team of inbound and outbound customer service representatives to ensure exceptional service delivery. Focus on achieving client service expectations, meeting service objectives, and fostering staff development.
Supervise and manage a remote team of inbound and outbound customer service representatives to ensure exceptional service delivery. Responsible for meeting client service expectations, achieving health benefits objectives, and overseeing staff development.
Lead North American B2B sales expansion and commercial operations to drive strategic growth and partner adoption. Oversee end-to-end operational processes, including contracting, billing, and the development of enterprise partnerships.
Determine appropriate medical codes using encoder and grouper software for anesthesia and pain specialties. Apply regulatory requirements and institutional guidelines to ensure accurate code and modifier selection.
The Sales Operations Analyst supports in-store merchandising by managing vendor contracts, service orders, and purchase orders. They are responsible for weekly and monthly reporting on display ROI, material write-offs, and repack commercialization within SAP.
Lead the implementation life cycle for Workday reporting and analytics, including planning, design, and post-production support. Partner with business stakeholders to translate requirements into scalable reporting solutions and mentor junior consultants.
The role involves executing functional, regression, and automated testing for ServiceNow solutions using the Automated Test Framework (ATF). The engineer will collaborate with cross-functional teams to validate requirements, track defects, and ensure release readiness in a secure federal environment.
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Maintain the security posture of a federal ServiceNow platform by managing vulnerabilities, access controls, and system authorizations. Support the full security lifecycle including ATO efforts, continuous monitoring, and compliance tracking in an Agile environment.
Develop and deliver training content to drive adoption of digital tools like Corrigo and WPOS across Workplace Management operations. Utilize AI tools to streamline content creation and maintain a centralized library of training assets for diverse learner populations.
Perform quality assurance and control of asset data collected across facility and building systems to ensure accuracy and compliance. Validate field-submitted photographs and data exports while maintaining standard operating procedures for data integrity.
The Business Manager is responsible for forecasting, controlling, and reporting project costs while ensuring compliance with contract business operations. This includes managing financial deliverables, performing margin analysis, and providing leadership to professional staff within the project controls function.
Lead the growth, scalability, and operational quality of the Remote Research Clinicians business through strategic client engagement and technology-enabled operations. Oversee service innovation, quality compliance, and the implementation of digital health solutions across global clinical research programs.
The Program Manager provides overall leadership, administration, and quality assurance for the execution of the MFLC contract. They serve as the primary point of contact for the Government and manage all contractor personnel and resources to ensure efficient service delivery.
Act as the senior thought leader for YouTube, integrating the platform across search, social, and TV to drive business outcomes for large clients. Lead the agency's YouTube adoption by creating decision frameworks, partnering with product teams for tool development, and mentoring staff.
Senior Clinical Research Associate - Rare CNS - Florida (Remote)
Worldwide Clinical Trials
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Full Time
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6 Days Ago
Worldwide Clinical Trials
Manage research activities at clinical sites, including site identification, start-up, and close-out. Conduct study initiation visits and ensure compliance with regulatory requirements and safety reporting.
The coordinator transforms field and workforce data into actionable insights through the creation and maintenance of reports and dashboards. They manage core data assets and collaborate cross-functionally to support client merchandising programs and operational efficiency.
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Drive sales and product specifications with key rail OEMs and operators across the US and Canada. Build deep stakeholder relationships and collaborate with commercial teams to execute growth plans and solve complex customer problems.
Lead analytics for large end users and develop dashboards and data structures for the RepairStack platform. Collaborate with cross-functional stakeholders to improve data management processes and ensure financial accuracy for CIP rebates.
Liability Claims Specialist (Remote)
Holmes Murphy Insurance
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Full Time
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6 Days Ago
Holmes Murphy Insurance
The specialist is responsible for reviewing coverage, adjudicating, and negotiating settlements for commercial auto and general liability claims. They also monitor litigated claims, manage reserves, and mentor junior claims specialists.
Manager, Pricing & Negotiation – Diabetes Care Division (Ontario)
Abbott
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Full Time
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6 Days Ago
Abbott
Develop and execute pricing and negotiation strategies for the diabetes care portfolio to maximize commercial contribution. Lead negotiations with pCPA, provincial, and private payers to secure product listing agreements.
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