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Cotiviti
Content Analyst II - Drug and Biological Policy
Overview The Drug and Biological Policy (D&B) Content Analyst II is a key member of the clinical operations and content team and is responsible for the research, quality assurance, and maintenance of existing D&B policies. This individua... Show details
$100k-$135kPharmacist license (BSPharm or PharmD)Medical policy experiencePrior authorization experienceClinical coding (CPT, HCPCS, ICD, NDC)Data analysisRemote
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usebridge.com
Revenue Cycle Management Lead
About Bridge Bridge is the fastest, most compliant way to scale insurance billing nationwide. We enable virtual care companies to go in-network nationally in as little as 30 days, without the operational lift. Our platform handles payer... Show details
$130k-$180kAPIClaimsDataGoMedicalRemote
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Sagility LLC
RN Utilization Management Reviewer
Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience thr... Show details
$35k-$83kRN license (Massachusetts)Utilization ManagementClinical decision reviewInterQual criteriaMedical necessity assessmentFully Remote Work from Home in the USA
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Sharecare Operating Company, Inc.
Billing Specialist- Remote
Job Description: Job Summary: The Billing Specialist plays a critical role in managing accurate account approvals, maintaining parent-child account relationships, and ensuring data integrity within the billing system. This position is re... Show details
Salary not listedBillingAccounts ReceivableData EntryData ValidationMicrosoft OutlookRemote position with a base location in Atlanta, GA, USA; appears to allow fully remote work.
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Ensemble RCM LLC
AVP Partnership Success
Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenu... Show details
$140k-$190kRevenue Cycle ManagementHealthcare OperationsExecutive LeadershipClient PartnershipGovernanceRemote with frequent nationwide travel (~75% travel) required
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Horizon Healthcare Services, Inc
Pharmacy Specialist I
Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, an... Show details
$45k-$60kPharmacy TechnicianNational Pharmacy Technician CertificationCustomer ServiceMedical TerminologyClaim AdjudicationRemote eligible with geographic restriction to reside in NJ, NY, PA, CT, or DE
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Accredo Health Group Inc
Eligibility Senior Representative - Accredo - Remote
Help patients receive important therapy without unnecessary delays. In this role, you will use your knowledge of insurance, reimbursement, payer requirements, and pharmacy operations to clear patient accounts for medication shipment. You... Show details
Salary not listedinsurance verificationreimbursementpayer requirementspharmacy operationsclaimsRemote work from home in Texas, United States (5 locations mentioned). Must have broadband internet connection with mini
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Medsien
Revenue Cycle Manager
Medsien is a leading provider of scalable remote care management, enabling healthcare practices to enhance patient engagement, improve outcomes, and optimize operational efficiency. Hundreds of organizations trust Medsien’s unparalleled... Show details
Salary not listedClaimsGoHealthcareMedicalOperationsremote
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Prime Healthcare Management Inc
EHR Senior Application Analyst (PB)
Overview Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visit... Show details
$60k-$401kEpic EHRHealthcare InformaticsInformation TechnologyCustomer ServiceWindowsRemote
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Essen Medical Associates
General Manager (Remote Patient Monitoring)
Overview Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-quality, compassionate care to some of the state’s most vulnerable and underserved residents. Founded in 1999, we’ve grown... Show details
$65k-$75kHealthcare ManagementRemote Patient MonitoringTelehealthLeadershipBudget ManagementRemote
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Privia Health
Sr. Manager, Revenue Cycle
Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for del... Show details
$75k-$80kRevenue Cycle ManagementClaims ManagementTeam LeadershipOperations ManagementCustomer SupportRemote, USA only
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Guidehealth
Healthguide - Community Resource
WHO IS GUIDEHEALTH? Guidehealth is a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make great healthcare affordable, improve the health of patients, and restore the fulfillment of... Show details
$40k-$43kpatient navigationcare coordinationEHR systemsmedical terminologymotivational interviewingFully remote with flexibility to work from home; company is fully remote but mentions Atlanta, GA location as a referenc
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