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Featured Companies are employers who have come directly to FlexJobs, been approved by our staff, and have directly posted their jobs to the FlexJobs site.
- Hybrid Remote Work
- Full-Time
- Employee
- 55,000 USD Annually
- MA
To help implement the values and the Key Agency Principles of the company to provide high-quality support to the people served and the people employed by the agency. BA and 3 years of related experience. $55,000 annually. Benefits. Hybrid remote.
- 100% Remote Work
- Full-Time
- Employee
- US National
Develop and execute payer contracting programs and provider partnership strategies. Utilize financial and analytical expertise to drive successful outcomes. Collaborate with executives and finance teams to prepare comprehensive provider engagement plans.
- Hybrid Remote Work
- Full-Time
- Freelance
- 18.00 USD Hourly
- Fort Myers, FL
Retrieve medical records from healthcare facilities, travel to provider offices, upload records into secure system, and collaborate with team members. Gain hands-on EHR experience and expand healthcare industry knowledge.
- 100% Remote Work
- Full-Time
- Employee
- 20.00 - 25.00 USD Hourly
- US National
Answers all incoming calls, emails, and live chats. Transfers calls or takes messages as necessary. Registers new patients in electronic medical record. Schedules new patient consultations and ensures all new patient questionnaires are completed prio..
- 100% Remote Work
- Full-Time
- Employee
- US National
Efficiently handle high volume of calls and video walk-throughs. Problem-solving skills and integrity when interacting with customers. Assess cost-effective delivery methods for DME orders and assist referral sources in finding alternative providers.
- Hybrid Remote Work
- Full-Time
- Employee
- Lawrence Township, NJ
Coordinates cross-functional teams in a country, acts as the main point of contact with the protocol manager and global study team, and develops patient recruitment strategy and risk mitigation. Also coordinates with internal roles for site feasibili..
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- US National
Maintains understanding of patient therapy and reimbursement processes. Manages technical questions from customers. Meets performance indicators. Handles sensitive information. Escalates complex issues.
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- Honolulu, HI, or US National
Maintains understanding of patient therapy and reimbursement processes. Manages technical questions from customers, meets performance indicators, and handles sensitive information. Escalates complex issues and consults with senior team members.
- 100% Remote Work
- Full-Time
- Employee
- Brazil
Develop and maintain a frontend platform that integrates wellness benefits and services for employees. Collaborate with a cross-functional team to improve tools and applications. Write high-quality code and ensure best practices.
- 100% Remote Work
- Full-Time
- Employee
- 132,440 - 238,360 USD Annually
- Columbus, OH, Washington, DC
Plays key role in clinical pharmacy accounts, overseeing activities, up-selling services, ensuring account renewal. Works with Account Managers to identify problems and implement solutions to reduce expenses and improve care.
- 100% Remote Work
- Full-Time
- Employee
- 65.02 - 97.53 USD Hourly
- Emeryville, CA
Provides managerial direction and coordination to the Business Services Department. Establishes protocols, ensures compliance with standards, policies, procedures, laws, and regulations. Identifies best practices, standardizes workflows, and develops..
- Hybrid Remote Work
- Part-Time
- Employee
- Pensacola, FL
Coordinate access to health-related services, identify potential clients, provide informal counseling, maintain strong working relationships with external and internal contacts, and maintain accurate client records. High school diploma or equivalent ..
- Hybrid Remote Work
- Full-Time
- Employee
- 129,400 - 215,600 USD Annually
- Tempe, AZ
Lead clinical services team of 500+ FTEs, ensuring performance guarantees and service level agreements. Manage GSPs, assess BPO footprints, drive continuous improvement. Bachelor's degree and 8+ years of experience required.
- Hybrid Remote Work
- Full-Time
- Employee
- 129,400 - 215,600 USD Annually
- Saint Louis, MO, Bloomfield, CT, Bloomington, MN, Denver, CO, Fairfield, OH, Houston, TX, Nashville, TN, Grove City, OH, Orlando, FL, Pittsburgh, PA, Philadelphia, PA, Scottsdale, AZ, Tempe, AZ, Chattanooga, TN, Whitestown, IN
Lead a team of 500+ FTEs in providing clinical services to health plans and pharmacy benefit managers. Ensure operational efficiency, manage GSPs, and drive continuous improvement. Bachelor's degree and 8+ years of relevant experience required.
- 100% Remote Work
- Full-Time
- Employee
- FL, WI, MN
Research, analyze, and evaluate patient insurance information. Utilize multiple EHR systems. Communicate with internal teams and stakeholders. Maintain knowledge of insurance, contracts, and authorization processes.
- Hybrid Remote Work
- Full-Time
- Employee
- 129,400 - 215,600 USD Annually
- Grove City, OH
Lead a large team overseeing broad scale operations with strong cross-functional partnerships. Manage change, timelines, and balance multiple deadlines in a very fast-paced environment. Build effective teams and collaborates to ensure progress.
- 100% Remote Work
- Full-Time
- Freelance
- 35.00 - 45.00 USD Hourly
- Atlanta, GA
Develop and maintain a sports facility's web application using Node.js and JavaScript. Requires 3+ years of experience with a Bachelor's degree or equivalent. Benefits include medical, dental, and vision insurance, 401(k), and paid sick leave.
- 100% Remote Work
- Full-Time
- Employee
- 65,000 - 72,000 USD Annually
- Fairport, NY
Supervise daily activities of the Coding Team, providing support, mentoring, and training. Ensure compliance with guidelines and regulations, evaluate workflow, and maintain harmonious relationships with team members and other departments.
- 100% Remote Work
- Full-Time
- Employee
- Miami, FL
Responsible for scheduling infusions for GI patients, navigating EMR and understanding GI infusion treatments, monitoring infusion queues, and interacting with physicians and care coordinators to review infusion plan of care.
- 100% Remote Work
- Alternative Schedule
- Employee
- 17.80 - 21.00 USD Hourly
- Pierre, SD, or US National
Supports patient access to therapy through Reimbursement Support Services, including patient referral intake, investigating insurance benefits, and facilitating coverage and product dispense. Provides customer service and technical expertise to parti..
- Hybrid Remote Work
- Full-Time
- Employee
- Boston, MA
Analyze managed care contracts, develop pricing strategy recommendations, implement contracts into systems, track changes in payer rates and regulations, generate analytics and reporting, provide guidance on managed care strategy.
- Hybrid Remote Work
- Full-Time
- Employee
- 129,400 - 215,600 USD Annually
- Nashville, TN
Provides direction and accountability for prior authorization reviews and direct member reimbursement claims. Communicates effectively with team members of varying expertise. Gathers insights and makes data-driven decisions for strategic partnership.
- Hybrid Remote Work
- Full-Time
- Employee
- 129,400 - 215,600 USD Annually
- Chattanooga, TN
Provides direction and accountability for prior authorization reviews and member reimbursement claims. Communicates effectively with team. Gathers insights, makes data-driven decisions. Manages GSP, oversees operational performance, staffing, and bus..
- 100% Remote Work
- Full-Time
- Employee
- 147,300 - 282,800 USD Annually
- CA
Develop strategy for payor, product, and revenue growth plans in California market. Evaluate and negotiate contracts, establish business relationships, and oversee expansion projects. Required: 10+ years experience in managed care contracting and sol..
- 100% Remote Work
- Full-Time
- Employee
- 76,000 - 110,000 USD Annually
- US National
Manage Payment Policy Program from start-to-finish. Identify and prioritize medical cost saving opportunities. Partner with stakeholders to drive strategic priorities and initiatives. Bachelor's degree with experience in operations and st..
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- Denver, CO
Guide patients through the process of accessing therapy, investigate insurance benefits, and follow up with partners to facilitate coverage. Mediate complex payer/pharmacy issues for a positive patient experience. Provide customer service and technic..
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- Columbus, OH
Support patient access to therapy through Reimbursement Support Services by guiding them through the patient journey, investigating insurance benefits, facilitating coverage and product dispense, and mediating complex payer/pharmacy issues.
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- Dover, DE
Maintains understanding of patient therapy's, manages technical questions, meets KPIs, follows up with patients and support organizations, handles sensitive information, escalates complex issues, applies job skills to complete tasks, consults on unus..
- Hybrid Remote Work
- Full-Time
- Employee
- 23.07 - 35.13 USD Hourly
- Jefferson City, MO, Murray, Utah
Facilitate the development and execution of contracts, maintain practitioner files, coordinate reappointment dates, serve as a liaison between practitioners and facilities, and maintain a working knowledge of CMS/NCQA standards and state/federal guid..
- 100% Remote Work
- Full-Time
- Employee
- 16.16 - 24.79 USD Hourly
- Salt Lake City, UT
Submit medical documentation and appeals to insurance payers electronically. Collate appeal packages and adhere to established workflows based on client and payer protocols. Proficiency in basic computer skills and prior work experience in healthcare..
- 100% Remote Work
- Full-Time
- Employee
- 17.80 - 21.00 USD Hourly
- Lincoln, NE, or US National
Support patient access to therapy through Reimbursement Support Services. Guide patients through the process steps of their patient journey to therapy. Investigate patient health insurance benefits and facilitate coverage and dispense of product.
- 100% Remote Work
- Alternative Schedule
- Employee
- 17.80 - 21.00 USD Hourly
- Harrisburg, PA
Maintain understanding of patient therapy and reimbursement processes. Manage technical or complex therapy and reimbursement questions. Meet key performance indicators. Follow up with patients, pharmacies, physicians, and support organizations.
- 100% Remote Work
- Alternative Schedule
- Employee
- 17.80 - 21.00 USD Hourly
- Richmond, VA
The Coordinator, Individualized Care guides patients through the process steps of their patient journey to therapy. They investigate patient health insurance benefits, proactively follow up with various partners, and provide customer service and tech..
- 100% Remote Work
- Alternative Schedule
- Employee
- 17.80 - 21.00 USD Hourly
- Juneau, AK
Maintains understanding of patient therapy, manages technical questions, meets performance indicators, follows up with patients and support organizations, handles sensitive information, escalates complex issues, applies job skills and policies, consu..
- 100% Remote Work
- Full-Time
- Employee
- US National
Maintain accurate records of providers' credentials. Process initial applications and reappointments for hospitals, surgical centers, and managed care entities. Update credentialing database, inclusive of demographic and licensure information.
- 100% Remote Work
- Full-Time
- Employee
- 67,100 - 69,115 USD Annually
- Wichita, KS
Develop, manage, and grow a Safety & Wellness program for vulnerable populations, including program design and management, grant writing and management, staff supervision, and community outreach and partnerships. Master's degree and 5 years of...
- 100% Remote Work
- Full-Time
- Employee
- Dallas, TX
Responsible for leading and developing Revenue Cycle Management standards and processes, building business relationships, implementing operational solutions, managing staff, monitoring performance metrics, and identifying operational barriers.
- 100% Remote Work
- Full-Time
- Freelance
- US National
The Contract Modeling Specialist I will support client needs in Insurance contract management, including file balancing, contract build testing, and revenue cycle support. Healthcare industry experience in payer reimbursement is preferred.
- 100% Remote Work
- Full-Time
- Employee
- Boston, MA
Obtain insurance authorizations, manage caseloads for financial clearance, communicate with stakeholders, support denial processes, facilitate peer reviews, participate in process improvement, collect patient information, work in a fast-paced environ...
- Hybrid Remote Work
- Part-Time
- Employee
- 25.38 - 25.38 USD Hourly
- Saint Paul, MN
Develop functional assessments and community support plans. Talk with clients about their mental health symptoms and service needs. Link clients with needed psychiatric and medical providers. Refer clients to community resources. Part-time hybrid role.
- 100% Remote Work
- Full-Time
- Employee
- IL, MO
Drive development of provider network, conduct outreach to potential providers, negotiate contracts, establish and maintain business relationships with providers, monitor network and provider performance.
- Hybrid Remote Work
- Full-Time
- Employee
- Nashville, TN, Atlanta, GA, Austin, TX, Birmingham, AL, Bloomfield, CT, Houston, TX, Mobile, AL, Philadelphia, PA, Scottsdale, AZ, Tampa, FL
Lead, coordinate, and partner with the business to conduct business assessments, analyze and design new/improved business processes, implement new/improved processes, and manage and coordinate business projects.
- Hybrid Remote Work
- Full-Time
- Employee
- 70,000 - 87,000 USD Annually
- OR
Direct, manage, and evaluate functions of behavioral health care coordinators and case managers. Provide clinical leadership and consultation to staff. Collaborate with leadership team to develop unit objectives and goals.
- 100% Remote Work
- Full-Time
- Employee
- Lima, OH
Oversee program administration and operations of the market's Clinically Integrated Networks. Recruit and manage providers. Collaborate with physician leadership to transform care model and achieve clinical quality. Lead and support population health..
- 100% Remote Work
- Full-Time
- Employee
- NC
Drive operating processes, project ownership, and leadership. Partner effectively with internal and external stakeholders. Build and scale a new operating platform in the emerging market for risk-based healthcare.
- Hybrid Remote Work
- Full-Time
- Employee
- Worcester, MA
Manage operational activities of ACO programs, including application and certification requirements, provider list maintenance, and reporting distribution. Identify improvement opportunities and implement interdepartmental initiatives to support ACO ..
- 100% Remote Work
- Full-Time
- Employee
- Cheyenne, WY
Manager of Operations responsible for leading a team, setting parameters for performance, hiring and retaining talent, implementing new client projects, financial management, and ensuring customer satisfaction.
- 100% Remote Work
- Full-Time
- Employee
- Puerto Rico
Manage operations and employees to achieve regional and company-wide goals. Maintain client relations and financial management. Ensure compliance with regulations and maintain confidentiality. Bachelor's degree and proficiency in Microsoft products...
- Hybrid Remote Work
- Full-Time
- Employee
- 45,000 - 52,000 USD Annually
- Saint Paul, MN
Assess, evaluate, create, coordinate, and monitor care plans to meet health and human service needs. Develop community support plans, assist with service access, and evaluate and monitor potential providers.
- 100% Remote Work
- Full-Time
- Employee
- Lansing, MI
Manager of Operations responsible for leadership, employee management, client relations, financial management, and customer service. Must have strong leadership skills, be team-oriented, proficient in Microsoft products, and have excellent communicat..
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