Specialist, Claims Recovery (Remote) Molina Healthcare IncSpecialist, Claims Recovery (Remote)CARemoteResearches simple to complex claims payments using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other resources to validate overpayments made to providers. Enters and updates recovery applications and claim systems for multiple states and prepares/creates overpayment notification letters with accuracy; processes claims as a refund or auto debit in claim systems and in recovery application.
Need - Advertising Operations Specialist II - Fully Remote Pride Technologies LLCNeed - Advertising Operations Specialist II - Fully RemoteCARemote$55–$62 / hourResponsibilities: Build technical expertise in Client's various advertising products (signal, measurement, and delivery) and provide consultative guidance to clients and partners on best practices and bespoke setups. Partner closely with Client's sales teams and Tier A+ advertisers to resolve client issues, prioritize, and build market or vertical plans for technical services.
Senior Engineer, Backend - Consumer Experience Platform (Remote, US) Renew Home LLCSenior Engineer, Backend - Consumer Experience Platform (Remote, US)CARemoteRenew Home is looking for a strong backend Software Engineer to join our HVAC Ecosystem team and help drive third-party device integrations and the day-to-day experiences of our customers. Work on many aspects of our stack: Python, Nx, PostgreSQL, Celery, AWS/GCP (CDK, ECS/EKS, RDS, Redshift, S3, SQS, SES, or equivalent in GCP), Ubuntu, Apache, Redis, Git, Jira.
Single Use Technology Expert - Remote, California Sartorius AGSingle Use Technology Expert - Remote, CaliforniaCARemoteAs a Single Use Technology Expert, the role is dedicated to a key account and focuses on defining and implementing the Single Use Technology (SUT) strategy, driving adoption of innovative technologies, and supporting future molecule development. As a growing global life science company, with our stock listed on the German DAX and TecDAX, Sartorius offers a wide range of benefits: Personal and Professional Development: Mentoring, leadership programs, internal seminar offerings.
AI Expert Senior Software Engineer - Healthcare Analytics - Remote Oracle CorpAI Expert Senior Software Engineer - Healthcare Analytics - RemoteCARemote$79,200–$178,100 / yearWe're looking for highly skilled AI engineers to design and build high-scale, cloud-based data processing pipelines that ingest, transform, and analyze massive volumes of healthcare data with low latency, powering business insights and analytics across EHR and RCM systems. You will leverage LLMs, AI agents, and modern data platforms to solve problems like clinical decision support, revenue optimization, and workflow automation while using AI-assisted development tools to accelerate delivery.
Territory Manager- Medical Device Sales (REMOTE) Pulm-OneTerritory Manager- Medical Device Sales (REMOTE)Los Angeles, CARemotepointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]" dir="auto"> Territory Manager – Pulmonary Function Testing (Medical Device). If you're a driven sales professional who enjoys building relationships, developing new business, and helping healthcare providers improve patient care through innovative technology, we'd love to hear from you.
NewNational Medical Director Clinical Program Governance, Evaluation, And Innovation - Remote UnitedHealth Group Inc.National Medical Director Clinical Program Governance, Evaluation, And Innovation - RemoteLos Angeles, CARemote$386,500–$579,500 / yearThe portfolio of efforts for which the incumbent will provide guide and lead, in collaboration with the National CMO of CEG 3includes: Clinical Program Governance process and team which is charged with ensuring deployed clinical programs represent our best opportunity to improve health, optimize member and provider experience while reducing unwarranted healthcare spending. This physician is responsible for supporting and driving key clinical program governance, disciplined evaluation, and leading a team testing innovative solutions and care models in close collaboration with the National CMO of the UCS Clinical Evidence Group.
Remote Pharmacy Technician Prior Auth Molina Healthcare IncRemote Pharmacy Technician Prior AuthCARemotePerforms initial receipt and review of non-formulary or prior authorization requests against pharmacy plan approved criteria; requests additional information from providers as needed to properly evaluate requests. Assists Molina member services, pharmacies, and health plan providers in resolving member prescription claims, prior authorizations, and pharmacy service access issues.