NewTravel Nurse RN - Urgent Care - $75 to $80 per hour in Collins, OH Conflux Systems IncTravel Nurse RN - Urgent Care - $75 to $80 per hour in Collins, OHCollins, OHRemote$75–$80Deliver high-quality telehealth services to patients ages 18 months and older. Required Licenses ✅ Active NP License in one of the following states: • Ohio (OH).
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselOHRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Employee Experience (EX) Advisor - Healthcare Press Ganey Associates LLCEmployee Experience (EX) Advisor - HealthcareOHRemote$81,000–$115,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Press Ganey is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders.
Senior Sales Director - Healthcare Sodexo SASenior Sales Director - HealthcareCleveland, OHRemoteThis role is built for a strategic, consultative seller who excels at navigating complex enterprise sales cycles, building trust with C‑suite stakeholders, and shaping long-term partnerships that deliver measurable value. You will own the full sales lifecycle-from identifying new opportunities to designing integrated solutions, negotiating multi-year agreements, and influencing client outcomes.
Project Manager, Clinical Lab Equipment Implementation (Healthcare) Danaher CorpProject Manager, Clinical Lab Equipment Implementation (Healthcare)Cleveland, OHRemote$95,000–$105,000 / yearAt Beckman Coulter Life Sciences, we know time is the most critical facet in the laboratory today: time to get life-saving therapies to patients faster; reclaiming time by automating tedious manual workflows; and saving time spent addressing erroneous or complex results. Building productive, proactive relationships by engaging with members across different functions of the organization including Sales, Customer Service, Operations, Logistics, Field Service, and Field Applications to ensure project timelines stay on track.
Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CST IntellaTriage, Inc.Remote Hospice Triage RN PT 3:30p-11p + rotating Sat & Sun 9:30a-4p CSTOHRemoteUtilizing best-in-class technology, IntellaTriage provides round-the-clock direct access to licensed, registered nurses using client-customized protocols for patient-centered, compassionate care. Built around a mission to improve the lives of nurses and patients, IntellaTriage has been providing after-hours nurse triage for hospice and home health providers since 2008.
NewCrisis Counselor - Fully Remote in Ohio Protocall Services IncCrisis Counselor - Fully Remote in OhioOHRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. It is the basic responsibility of each employee to manage their stress in a way that sustains our commitment to the highest level of client care, customer service, professional conduct, and a supportive work environment.
Remote Psychiatrist Collaborative Physician (MD) BetterHelpRemote Psychiatrist Collaborative Physician (MD)Cleveland, OHRemoteUpLift acts as the bridge between patient, provider, and insurer — empowering patients to find the best care for their needs at a price they can afford. UpLift is a multi-sided marketplace, applying technology to empower patients to find Therapists and Psychiatric providers covered by their insurance plan.
Psychiatrist - Remote BetterHelpPsychiatrist - RemoteCleveland, OHRemote$119–$242 / hourThese estimates are calculated using assumptions regarding number of completed visits per hour, CPT code mix, and utilization of add-on codes (such as 90833) when clinically appropriate and properly documented. Estimated Effective Hourly Earnings*:Earnings between $119 to $242 per hour is based on a 60-minute session assumption that includes a combination of patient visits and hourly equivalent CPT codes.
Remote Customer Service Insurance Agent The Gainey AgencyRemote Customer Service Insurance AgentCleveland, OHRemoteThe Gainey Agency is expanding and hiring motivated individuals who want flexibility, mentorship, and a clear path to leadership. • Help clients understand life insurance and financial protection options.
NewAcquisition Specialist (Junior) Remote GCC Technologies LLCAcquisition Specialist (Junior) RemoteCleveland, OHRemoteGCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies. The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements.
Remote Customer Service Associate-ADF ADF Medical Services Inc.Remote Customer Service Associate-ADFWestlake, OHRemoteFull timeWe're looking for a friendly, reliable Remote Customer Service Associate to support our patients and clients from the comfort of your home. Handle inbound calls, emails, and/or chat inquiries from patients and clients.
Remote Administrative Assistant ADF Medical Services Inc.Remote Administrative AssistantWestlake, OHRemoteFull timeProvide day-to-day administrative support to management and internal teams. High School Diploma or GED required — Associate's or Bachelor's degree preferred.
Vice President, Business Development (Remote) NAS RecruitmentVice President, Business Development (Remote)Cleveland, OHRemoteThe ideal candidate brings experience selling into Talent Acquisition, HR, and Recruitment Marketing leaders, with a proven ability to navigate long, complex sales cycles and deliver net new revenue. Our success is anchored in our trusted digital platforms that engage physician communities globally, facilitating impactful medical education, precise job placement, and insightful market research.
NewAccount Strategist (Remote) NAS RecruitmentAccount Strategist (Remote)Cleveland, OHRemotep>NAS Recruitment Innovation helps employers attract, engage, and hire talent through recruitment marketing, employer branding, candidate experience, media strategy, and technology solutions. As AI reshapes how candidates discover opportunities, evaluate employers, and interact with brands, NAS is evolving how we help clients compete in an increasingly dynamic talent market.
Certified Pharmacy Technician (Hybrid - Onsite/Remote) AnewHealthCertified Pharmacy Technician (Hybrid - Onsite/Remote)Cleveland, OhioRemoteEstablished in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. Pharmacy Technicians in our Patient Care Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services.
Service Sales Leader, Ultrasound North America (Remote-National) PhilipsService Sales Leader, Ultrasound North America (Remote-National)Cleveland, OHRemote$175,000–$300,000 / yearDrive organizational effectiveness and cross-functional collaboration by establishing KPIs, leading change initiatives, and partnering with Sales, Service, Operations, and Marketing to deliver business results. Own Service Sales performance, including forecasting, pipeline management, and execution of sales plans to meet or exceed revenue, order, and AOP targets across the full portfolio.
NewLicensed Crisis Counselor - Fully Remote in Ohio Protocall Services IncLicensed Crisis Counselor - Fully Remote in OhioOHRemoteWe serve a wide range of nearly 700 different organizations nationwide, including Community Mental Health Centers, Certified Community Behavioral Health Clinics, Managed Behavioral Healthcare Organizations, University counseling centers, and Employee Assistance Programs following our brief immediate support model. Along with hard-wired broadband or fiber internet with speeds of at least 10 Mbps that is not susceptible to frequent outages; satellite and cellular-based services (including Starlink, Viasat, Verizon 5G Cellular, T-Mobile 5G Cellular, etc.) are not permitted.
Hybrid Remote/Onsite Dietitian Compass Group North AmericaHybrid Remote/Onsite DietitianCleveland, OHRemote$35–$40 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
(Remote) Assistant Director, Revenue Cycle Management Harris Computer Systems(Remote) Assistant Director, Revenue Cycle ManagementOHRemoteMinimum of 7 years in healthcare revenue cycle services in a hospital environment, with at least 3 years in a leadership role and knowledge of multiple EHR's such as MEDHOST, Oracle/Cerner, Meditech or EPIC revenue cycle software products and their use. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals.
NewAccount Strategist (Remote) M3 USA CorpAccount Strategist (Remote)Cleveland, OHRemoteAbout the Business Unit: NAS Recruitment Innovation helps employers attract, engage, and hire talent through recruitment marketing, employer branding, candidate experience, media strategy, and technology solutions. As AI reshapes how candidates discover opportunities, evaluate employers, and interact with brands, NAS is evolving how we help clients compete in an increasingly dynamic talent market.
Vice President, Business Development (Remote) M3 USA CorpVice President, Business Development (Remote)Cleveland, OHRemoteThe ideal candidate brings experience selling into Talent Acquisition, HR, and Recruitment Marketing leaders, with a proven ability to navigate long, complex sales cycles and deliver net new revenue. Our success is anchored in our trusted digital platforms that engage physician communities globally, facilitating impactful medical education, precise job placement, and insightful market research.
Remote Data Entry Specialist-ADF ADF Medical Services Inc.Remote Data Entry Specialist-ADFWestlake, OHRemotePart timeWe're hiring a detail-oriented Remote Data Entry Specialist to help keep our medical records and patient data accurate and up to date. Accurately enter and update patient and medical data into our systems.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Cleveland, OhioRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
\n \n CRC-Remote Evening Short Shift General Radiologist - Part-Time-IC\n \n Radiology Partners Inc\n \n CRC-Remote Evening Short Shift General Radiologist - Part-Time-IC\n \nOHRemoteUsing a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve. Founded in 1946, Columbus Radiology Corporation is the fifth largest and one of the fastest growing practices in the country, now with 160+ board-certified and subspecialty trained radiologists who are committed to excellence - in patient care, physician relations, continuous quality improvement and professional development.
Remote Executive Recruiter - Professional & Technical Placements Gables Search GroupRemote Executive Recruiter - Professional & Technical PlacementsCleveland, OHRemoteOur firm specializes in placing top talent in Accounting, Engineering, Healthcare, Legal, Manufacturing, Marketing, Sales, and Technical roles, supporting a wide range of clients across the U.S. In this role, you’ll manage existing client accounts while building new relationships. If you thrive in a fast-paced environment, enjoy building client and candidate relationships, and are ready for unlimited earning potential, we’d like to talk with you.
Radiology - Multiple Subspecialties Available - Remote and Onsite University HospitalsRadiology - Multiple Subspecialties Available - Remote and OnsiteCleveland, OHRemoteCleveland is also home to the Cleveland Symphony Orchestra, outstanding museums including Cleveland Museum of Art and Rock and Roll Hall of Fame, and many music venues, as well as professional sports teams (Browns, Cavaliers, Guardians, and Monsters). The Playhouse Square theatre district in downtown Cleveland is home to nine theatres hosting over 1,000 events each year; it is the country s largest performing arts center outside of New York City.
Family Nurse Practitioner - Remote (KY, MI, OH, or IL Licensed) Sprinter Health IncFamily Nurse Practitioner - Remote (KY, MI, OH, or IL Licensed)OHRemoteComprehensive Care Coordination and Management… provide comprehensive care coordination and management, including preventive care interventions, medication management, referrals to specialists, community resources, and documentation of findings. Sprinter Health is an on-demand mobile health service that sends medical professionals to patients' homes to perform blood draws, diagnostic and low acuity services, and wellness visits.
Senior Inside Sales Consultant (Remote/Eastern Time) A Place for Mom IncSenior Inside Sales Consultant (Remote/Eastern Time)Cleveland, OHRemoteTogether, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies. This is a high-activity, performance-driven inside sales role focused on re-engaging families, managing a pipeline of opportunities, and converting interest into move-ins.
Epic Cadence Certified Decision Tree Scheduling Designer - Remote - Contract Waterfall Technology Consulting PartnersEpic Cadence Certified Decision Tree Scheduling Designer - Remote - ContractBrecksville, OhioRemoteOur East Coast client is seeking an EPIC Cadence Certified Analyst with the Decision Tree Badge who will be responsible for design sessions. Maintain communication with Operations, PMO, IT, and client partners regarding updates, risks, and required changes.
Intern, Marketing & Communications Remote in Cleveland or Northeast Ohio area American Heart Association IncIntern, Marketing & Communications Remote in Cleveland or Northeast Ohio areaCleveland, OHRemoteResponsible for collaborating and assisting the regional marketing communications team in planning and executing the marketing and communications efforts to promote via earned media or paid media strategies, programs, campaigns and initiatives. The American Heart Association's 2028 Goal: Building on over 100 years of trusted leadership in cardiovascular and brain health, by 2028 the Association will drive breakthroughs and implement proven solutions in science, policy, and care for healthier people and communities.
Intern, Marketing & Communications-Remote in Cleveland or Northeast Ohio area American Heart AssociationIntern, Marketing & Communications-Remote in Cleveland or Northeast Ohio areaCleveland, OHRemoteResponsible for collaborating and assisting the regional marketing communications team in planning and executing the marketing and communications efforts to promote via earned media or paid media strategies, programs, campaigns and initiatives. The American Heart Association’s 2028 Goal: Building on over 100 years of trusted leadership in cardiovascular and brain health, by 2028 the Association will drive breakthroughs and implement proven solutions in science, policy, and care for healthier people and communities.
NewStaff Engineer - Full Time - Remote Experity IncStaff Engineer - Full Time - RemoteOHRemote$121,400–$161,500 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions-from helping families access care quickly to ensuring clinics run smoothly behind the scenes.
Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone MeduitInsurance Specialist - Prior Authorization (Remote) - Eastern Time zoneOhioRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift CareHarmonyRemote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day ShiftCleveland, OHRemote$43,000–$58,000CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Sr Accessibility Product Manager, Clinical Solutions (Remote) RELX Group plcSr Accessibility Product Manager, Clinical Solutions (Remote)OHRemote$115,400–$192,300 / yearBuilding on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education and interactive learning, as well as exceptional healthcare and clinical practice. If performed in Maryland, the base pay range is $121,200 - $201,900.If performed in New Jersey, the base pay range is $136,213 - $217,587.If performed in Ohio, the base pay range is $109,500 - $182,700.
NewSenior Acquisition Specialist (Remote) GCC Technologies LLCSenior Acquisition Specialist (Remote)Cleveland, OHRemoteLeasing and Specialized experience requirements: Be familiar with Real Property Leasing, utilities contracts, sharing of space and other non-medical agreements (selling/sharing agreements, revokable licenses, interagency agreements), and hotel services for Veterans using procedures outlined in the FAR, VAAR, General Services Acquisition Manual (GSAM), General Services Acquisition Regulation (GSAR), public laws, and agency policy. Unless otherwise approved by the VA any SCS (who meets the 5 years' general experience requirement) who will be specializing in construction/AE requirements must also have the following experience: (1) 3 years of experience in developing AE solicitations and administrating AE contracts and modifications; (2) 3 years of experience developing construction solicitations and administering construction contracts and modifications.
NewIntermediate Acquisition Specialist (Remote) GCC Technologies LLCIntermediate Acquisition Specialist (Remote)Cleveland, OHRemoteGCC Technologies, founded in 1997 with headquarters in Oakland, Maryland, is a fast growing service-disabled Veteran owned Small Business and HUBZone company with an outstanding record of performance providing more effective and efficient acquisition, business process, administrative and security services to multiple federal agencies. The U.S. Department of Veterans Affairs (VA), Veterans Health Administration (VHA), Regional Procurement Office - Central (RPO-C) Network Contracting Office 16 has a need for Contract Support Services to assist with various procurement requirements.
NewPrior Authorization Pharmacy Technician (Remote) Actalent IncPrior Authorization Pharmacy Technician (Remote)Cleveland, OHRemote$20–$23 / hourWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Eligibility Manager - CuraScript - Remote The Cigna GroupEligibility Manager - CuraScript - RemoteOHRemote$77,300–$128,900 / yearThis role leads a team of 4-7 analysts, partners closely with leadership, vendors, and cross‑functional business partners, and drives efficiency, data quality, and resolution of escalated issues across chargeback and accounts receivable workflows. The Chargeback Manager reports to the Senior Manager and provides regular operational readouts, performance updates, and escalation insights to the Director to support decision‑making, risk management, and strategic alignment.
REMOTE - Vice President Medical Director of Clinical Programs Martin's Point Health Care LLCREMOTE - Vice President Medical Director of Clinical ProgramsOHRemoteHMO/Managed Care experience, including Utilization and/or Quality Program management and exposure to peer review, case management, population health, appeals, chronic and complex disease management, HEDIS reporting, and provider relations. In collaboration with the MPHC Chief Medical Officer (CMO), advocates with government/state regulatory entities, professional and medical society chapters, federal regulators/contactors, and as part of external communications and media relations to advance HP's clinical value story, evidence-based medical policies, and member health.
Abdominal Radiologist - 100% REMOTE Cleveland Clinic FoundationAbdominal Radiologist - 100% REMOTECleveland, OHRemoteThe Department of Radiology interprets over 2.7 million exams annually and employs over 280 radiologists in 5 divisions: General Radiology, Subspecialty Radiology, Nuclear Medicine, and Florida Radiology. The Division of Subspecialty Radiology is housed within the Department of Radiology, which is one of the largest providers of imaging services within an academically oriented institution.
ITS EPIC Ambulatory Principal Trainer- Remote ProMedica Health System IncITS EPIC Ambulatory Principal Trainer- RemoteOHRemote$32,240–$88,296 / yearJob Summary: As the EPIC Ambulatory Principal Trainer, you are responsible for training the user community on Epic applications and you serve as the expert on Epic clinical applications and associated ProMedica clinical or operational workflows. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.
Coder III - Remote ProMedica Health System IncCoder III - RemoteOHRemote$45,968–$72,488 / yearThe organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Associate's or bachelor's degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions Program.
NewSr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio) Molina Healthcare IncSr Quality Improvement/HEDIS Spec, Health Plan Interventions (Remote In Ohio)Cleveland, OHRemoteConducts 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.
Specialist, Member Engagement - Remote must be in Ohio Molina Healthcare IncSpecialist, Member Engagement - Remote must be in OhioOHRemoteInvestigates member complaints related to the value-added benefits, including working collaboratively with the Appeals & Grievances team and with the Medicare teams that investigate complaints submitted via the CMS Complaints Tracking Module (CTM). Serves as an advocate for Molina members in working with health plan and enterprise departments, as well as external stakeholders as appropriate, including community-based organizations and regulator partners.
Nurse Practitioner or Physician Assistant - Remote Amaze HealthNurse Practitioner or Physician Assistant - RemoteCleveland, OHRemoteCollaborate as a team: Work closely with physicians, fellow APPs, and the extended care team to deliver seamless, coordinated care with a patient-first approach. Amaze Health delivers concierge-style virtual care that feels like having a trusted “doctor friend” on call 24/7, for everything from sudden illnesses to chronic conditions and mental health.
NewRemote CSR Agent Entry Level AO Globe LifeRemote CSR Agent Entry LevelCleveland, OHRemoteFull timeIf you’ve worked in customer service, hospitality, retail, healthcare, or any people-focused role, this opportunity allows you to apply those skills in a new environment where your experience actually moves you forward. AO Globe Life has supported working families for over 70 years, partnering with unions, credit unions, and veteran organizations nationwide.
Remote Operations Control Center Control Board Operator Airgas IncRemote Operations Control Center Control Board OperatorOHRemoteThis is evident not only through our competitive compensation but also through a comprehensive benefits package that includes medical, dental, and vision plans, short-term and long-term disability, life and accidental death and dismemberment (AD&D) insurance, Employee Assistance Program (EAP), pre-tax commuter transportation benefit, parental leave, vacation, sick time, floating holidays, jury duty and funeral/bereavement leave, and paid holidays for all eligible full-time employees. Airgas, an Air Liquide company, is a leading U.S. supplier of industrial, medical and specialty gases, as well as hardgoods and related products; one of the largest U.S. suppliers of safety products; and a leading U.S. supplier of ammonia products and process chemicals.
Dental Director, Health Plan - REMOTE Molina Healthcare IncDental Director, Health Plan - REMOTEOHRemoteKnowledge of National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), Medicare, Group/Independent Physician Association (IPA), capitation, health management organization (HMO) regulations, managed health care systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management and evidence-based guidelines. Educates and interacts with network and group providers regarding utilization practices, guideline usage, and effective member management; provides clinical representation for business presentations in partnership with provider relations.