NewDirector, Payment Model Technical Assistance (CMMI) - Remote UnitedHealth Group IncDirector, Payment Model Technical Assistance (CMMI) - RemoteReston, VARemote$134,600–$230,800 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. By delivering objective, data-driven research, program planning and development, technical assistance, implementation, post-implementation analytics, and evaluations, OSC/Lewin supports current program activities, informs future program investments and supports strategic decision processes that improve the health and well-being of the nation"s citizens.
Remote Epileptologist EEG Night Reader -Part-Time Akron Children's HospitalRemote Epileptologist EEG Night Reader -Part-TimeAkron, OHRemoteAll practicing within the Hospital's innovative NeuroDevelopmental Science Center, where Developmental-Behavioral Pediatrics, Neurology, Neurosurgery, Physiatry, Neuropsychology, and Psychology are seamlessly integrated into one unified physical and functional space ensuring the best possible outcomes and quality of life for patients. Named as one of Forbes' Best-In-State Employers in 2025, Akron Children's is Northeast Ohio's largest and only independent pediatric health care provider with two hospital campuses, six regional health centers and 50+ care locations.
Minnesota Certified Residential Appraiser (Remote) First American Financial CorpMinnesota Certified Residential Appraiser (Remote)South Dakota, SDRemoteConducts an unbiased and impartial valuation of residential real estate by analyzing market and property specific data, and completes appraisal reports in accordance with USPAP, government, company, regulatory board, and client specific guidelines. Considers all factors that could influence property value including, but not limited to legal characteristics, highest and best use, market conditions, locational factors, site, view, design, quality, age, condition, size, physical attributes, etc.
Business Development, Engineering Services (Remote) CEG SolutionsBusiness Development, Engineering Services (Remote)Boulder, CORemote$90,000–$110,000 / yearYou will lead business development efforts for our consulting services team, which provides the following efficiency solutions: building commissioning, retro-commissioning, monitoring-based commissioning, energy modeling, sustainability consulting, building automation system design, energy metering design and turn-key solutions, water and energy conservation studies, ASHRAE Level I - III energy audits, energy and sustainability master planning, GHG accounting, EV charger studies, and renewable energy studies. Originating as a general contractor, we leverage deep construction expertise and rigorous data analysis to provide turnkey, design-build energy and water efficiency solutions at no upfront cost to our clients.
Construction Inspector I- Recreation Program (Remote) Terrestris Global SolutionsConstruction Inspector I- Recreation Program (Remote)Asheville, NCRemoteOther minor required services include small project planning, preliminary assessment, survey and information gathering, project scoping, preparation of required documents for construction packages, associated general engineering duties in support of the National Forests in North Carolina Recreation Program. A working knowledge of relevant health and safety codes, construction methods and best practices, quality assurance methods, and material sampling and testing, as well as experience in recreation projects, trail, and trail bridge maintenance and construction is required.
Cloud Architect - Mid/Senior -Sbg Remote DSS Inc.Cloud Architect - Mid/Senior -Sbg RemoteAlexandria, VARemoteThe Cloud Architect leads technical assessments and architecture designs to ensure application compatibility and readiness for deployment into DSS Health Cloud, a FedRAMP High authorized healthcare-focused platform hosted in an AWS Government enclave environment. SBG Technology Solutions, Inc. (SBG), a DSS, Inc. company, offers Systems Engineering, Enterprise Modernization, Artificial Intelligence, Cyber Security, and IT Governance innovation to Federal and commercial clients nationwide.
Principal Tech Product Mgmt - Machine And Agentic Identity - Remote UnitedHealth Group Inc.Principal Tech Product Mgmt - Machine And Agentic Identity - RemoteEden Prairie, MNRemote$134,600–$230,800 / yearPartner with engineering, security, architecture, AI platform, and product teams to define platform capabilities and drive alignment across human and non-human identity domains through influence rather than direct authority. Demonstrated experience owning product strategy, roadmap, and 01 delivery of enterprise-scale platform capabilities, including defining success metrics and measurable business or technical outcomes.
Specialist, Appeals & Grievances Remote Molina Healthcare IncSpecialist, Appeals & Grievances RemoteCARemoteRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Patient Account Representative - Remote Med-Metrix, LLCPatient Account Representative - RemoteRed Bank, NJRemotePhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Senior Specialist, Health Plan Member & Community Interventions (Remote in MS) Molina Healthcare IncSenior Specialist, Health Plan Member & Community Interventions (Remote in MS)Jackson, MSRemoteConducts data collection, monitors intervention activity including key performance measurement activities, reports intervention outcomes, and supports continuous improvement of intervention processes and outcomes. Implements evidence-based and data-informed key member intervention strategies including initiating and managing member and/or community interventions (e.g., removing barriers to care) and other federal and state quality initiatives.
Associate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred) Molina Healthcare IncAssociate Program Manager, Process & Performance Monitoring, Managed Care (Remote in FL Preferred)FLRemoteThis team will need to coordinate with service providers, UM and CM network finance teams, and case management, assimilating and communicating information from various sources to ensure effective service delivery and compliance. Soft Skills Requirements: Key soft skills include cross-functional coordination, the ability to command a room and own their space and maintaining collaboration and organization across teams.
Senior Health Educator- Asthma Educator - Remote Molina Healthcare IncSenior Health Educator- Asthma Educator - RemoteFLRemoteAt least 3 years of experience in a health education-related capacity, and at least 1 of year experience working with a wide range of member populations within a managed care setting, or equivalent combination of relevant education and experience. May serve as the designated QI representative at various external activities to include immunization, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), chronic condition collaborative and other work group meetings.
Government Affairs Specialist - Fully Remote MercorGovernment Affairs Specialist - Fully RemoteSan Francisco, CaliforniaRemote$50–$60 / hourInclude proposed and final rule text, regulatory impact discussion, and compliance determinations. A relevant credential or degree ( MPP , MPA , JD , CFCM/CPCM , PMP , or comparable).
Sr Manager, State Government Affairs – Remote Hybrid within Central Region Kraft HeinzSr Manager, State Government Affairs – Remote Hybrid within Central RegionRemoteThis role helps advance company policy priorities in key states by executing legislative and regulatory strategies, maintaining relationships with policymakers and stakeholders, and partnering cross‑functionally to mitigate risk and support business objectives. Serve as a state lobbyist in priority states, including drafting and negotiating bill language, supporting sponsor engagement, delivering or coordinating testimony, and assisting with committee and floor strategy.
Regulatory Manager - Legal | Remote StradaRegulatory Manager - Legal | RemoteFloridaRemoteBackground checks may include some or all the following based on the nature of the position: SSN/SIN validation, education verification, employment verification, and criminal check, search against global sanctions and government watch lists, credit check, and/or drug test. Options include a variety of health coverage options, wellbeing and support programs, retirement, vacation and sick leave, maternity, paternity & adoption leave, continuing education and training as well as a number of voluntary benefit options.
Clinical Pharmacist - Appeals and Operations - remote Fallon HealthClinical Pharmacist - Appeals and Operations - remoteWorcester, MassachusettsRemote$135,000–$145,000 / yearToday, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Founded in 1977 in Worcester, Massachusetts, Fallon Health delivers equitable, high-quality, coordinated care and is continually rated among the nation’s top health plans for member experience, service, and clinical quality.
Outbound Call Center - $20/hr - hybrid/remote Fallon HealthOutbound Call Center - $20/hr - hybrid/remoteWorcester, MA, MassachusettsRemoteToday, guided by our mission of improving health and inspiring hope, we strive to be the leading provider of government-sponsored health insurance programs—including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)— in the region. Working from a script, asks both open-ended and closed ended questions of members in order to capture information such as why the member joined Fallon, how satisfied the member is with Fallon and why the member left Fallon.
Marketing Manager (Remote) KnexusMarketing Manager (Remote)BYRemoteFull timePartner Alignment Experience: Direct experience running joint marketing efforts with major cloud providers (Google Cloud, AWS, or Microsoft).Design & Presentation Skills: Proficient with design tools (Canva, Adobe Creative Suite, PowerPoint, Google Slides) to create polished visual graphics and presentation assets independently. Reporting directly to the Chief Strategy Officer (CSO), you will take end-to-end operational ownership of our marketing strategy-translating complex AI capabilities into compelling narratives, leading strategic partner initiatives (especially with Google), and building impact-driven sales enablement collateral.
Health Home And Value Based Care Lead Developer - Remote UnitedHealth Group Inc.Health Home And Value Based Care Lead Developer - RemoteMinnetonka, MNRemote$91,700–$163,700 / yearThis role is responsible for end-to-end development and ongoing support of reports and visualizations that capture member and provider data related to eligibility and enrollment of Health Homes, admissions, discharges, and transfers (ADTs) to and from facilities, medical and pharmacy utilization, cost, and quality. The Health Home and Value-Based Care Lead Developer, Business Intelligence, is a key member of Government Programs Quality & Value-Based Care Business Intelligence team, focused on the support of the Medicaid Health Homes and value-based care programs.
Market Chief Medical Officer Medicare And Retirement - Al/Ga/Sc/Tn - Remote UnitedHealth Group Inc.Market Chief Medical Officer Medicare And Retirement - Al/Ga/Sc/Tn - RemoteNashville, TNRemote$292,300–$438,500 / yearThe CMO serves as the senior market clinical leader responsible for aligning United Healthcare (UHC), United Clinical Services (UCS), and Optum clinical capabilities to advance clinical affordability, improve HEDIS and CMS Star performance, reduce unwarranted utilization, and strengthen provider partnership across the market. The CMO partners closely with the market CEO, the market Senior Leadership Team, UCS leadership, and matrixed partners across Network, Sales, and regional functions to translate enterprise priorities into market strategy, execution, and measurable results for the Medicare line of business.