Virtual Primary Care Nurse Practitioner - Remote Included HealthVirtual Primary Care Nurse Practitioner - RemoteWashington DC, DCRemoteStarting base salary for you will depend on several job-related factors, unique to each candidate, which may include education; training; skills; years and depth of experience; certifications and licensure; our needs; internal peer equity; organizational considerations; and understanding of geographic and market data. The ideal candidate is skilled at managing their own patient panel, fostering lasting relationships, and working closely with a multidisciplinary team to deliver compassionate, patient-centered care.
NewPerformance Tester - Remote ApolisPerformance Tester - RemoteFt. Meade, MDRemote$33–$34 / hourThe selected candidate will work closely with the client team to support performance testing, validation, and automation efforts. Clearance: Public Trust eligibility required; candidate must be willing and able to obtain the clearance before starting the project which will take approximately 4-6 weeks.
Healthcare Customer Service Advocate (Remote) System OneHealthcare Customer Service Advocate (Remote)Baltimore, MDRemote$28.77 / hourSystem One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. You’ll handle inquiries related to benefits, claims, eligibility, and billing , and you’ll also help customers use digital/self-service tools .
Principal Solutions Architect - Healthcare Pharmacy (Remote) Blue Cross and Blue Shield AssociationPrincipal Solutions Architect - Healthcare Pharmacy (Remote)Baltimore, MDRemote$155,600–$278,135 / yearMust have recent solution/domain architecture experience with care management, provider management including EDI, prior authorization, network management, and/or pharmacy benefit management platforms, Must have experience working with health services, pharmacy, clinical operations, care management, utilization management, and/or provider networks/relationships business functions either in a commercial or government area (both preferred). Has an expert knowledge of integration solutions and communicates with business owners, domain architects, other Solution Architects, technical delivery staff, and key technical stakeholders, including Security, Data, and Technology Centers of Excellence.
Healthcare Attorney - Remote YO AI LabsHealthcare Attorney - RemoteWashington D.C., DCRemoteWe are seeking experienced Healthcare Attorneys to contribute their legal expertise to an innovative project at the intersection of healthcare law and emerging technology . In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining AI-generated legal content related to healthcare regulations and compliance.
Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped Earnings Transformational Health Network, Inc.Healthcare Business Development Professional 100% Remote | Commission-Only | Uncapped EarningsBaltimore, MDRemoteAt Transformational Health Network, Inc. (TrHN), we partner with respected healthcare organizations to place highly skilled registered nurses, advanced practice providers, and physicians in roles where they can make a meaningful impact on patient care. Transformational Health Network (TrHN) is expanding nationwide, and we're seeking experienced Healthcare Business Development Professionals who excel at opening doors, building client relationships, and generating new business.
Scrum Master / Servicenow Project Manager - Healthcare Platform (Remote) Greenberg-Larraby, Inc. (GLI)Scrum Master / Servicenow Project Manager - Healthcare Platform (Remote)Washington, DCRemoteThe Scrum Master / ServiceNow Project Manager for the Healthcare Platform will be responsible for managing the implementation and enhancement of ServiceNow solutions within the healthcare sector. Collaborate with cross-functional teams to ensure successful implementation of ServiceNow solutions tailored for healthcare environments.
Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote) Greenberg-Larraby, Inc. (GLI)Scrum Master / ServiceNow Project Manager - Healthcare Platform (Remote)Washington, DCRemoteThe Scrum Master / ServiceNow Project Manager for the Healthcare Platform will be responsible for managing the implementation and enhancement of ServiceNow solutions within the healthcare sector. Collaborate with cross-functional teams to ensure successful implementation of ServiceNow solutions tailored for healthcare environments.
ServiceNow Integration Engineer - Healthcare Systems / CDW (Remote) Greenberg-Larraby, Inc. (GLI)ServiceNow Integration Engineer - Healthcare Systems / CDW (Remote)Washington, DCRemoteThe ServiceNow Integration Engineer focused on Healthcare Systems/CDW will be responsible for designing and implementing integration solutions that connect ServiceNow with various healthcare systems and applications. 5+ years of experience with ServiceNow integrations and data interfaces Strong experience with SQL, ETL processes, data mapping, and data validation .
Servicenow Integration Engineer - Healthcare Systems / CDW (Remote) Greenberg-Larraby, Inc. (GLI)Servicenow Integration Engineer - Healthcare Systems / CDW (Remote)Washington, DCRemoteThe ServiceNow Integration Engineer focused on Healthcare Systems/CDW will be responsible for designing and implementing integration solutions that connect ServiceNow with various healthcare systems and applications. 5+ years of experience with ServiceNow integrations and data interfaces Strong experience with SQL, ETL processes, data mapping, and data validation .
NewHealthcare Data Communications Specialist (Remote) Magpie Health AnalyticsHealthcare Data Communications Specialist (Remote)Baltimore, MDRemoteCreate and maintain a full range of communications and educational materials, including tip sheets,FAQs, newsletters, slide decks, training modules, webinar content, recordings, and other collateral to support data sharing programs. Key responsibilities include: Develop and disseminate clear, accurate, and user-friendly communications and instructional materials that help data program participants understand program rules, requirements, and processes and successfully meet their objectives.
Fraud AI / Data Healthcare Senior Consultant (Remote) GuidehouseFraud AI / Data Healthcare Senior Consultant (Remote)Arlington, VARemote$113,000–$188,000 / yearHands-on experience with financial crime compliance technology and data solutions, e.g., Oracle Mantas, Actimize, Fircosoft, LexisNexis Bridger, World-Check, Dow Jones, Chainalysis, Elliptic, TRM Labs, etc. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
REMOTE SALES REPRESENTATIVE – Virtual Healthcare Programs (Nationwide) CompassionMDREMOTE SALES REPRESENTATIVE – Virtual Healthcare Programs (Nationwide)Alexandria, VARemote$500–$1,500We are rapidly expanding nationwide and are actively searching for driven Sales Representatives who can introduce our subscription-based healthcare programs to people and organizations in their networks. Our mission is simple: affordable, direct access to medical professionals with transparent pricing—no middlemen, no wait times, and no confusion.
Healthcare Senior Data Analyst Consultant, Payment Model Implementation (CMMI) - Remote UnitedHealth Group IncHealthcare Senior Data Analyst Consultant, Payment Model Implementation (CMMI) - RemoteWashington D.C., DCRemote$112,700–$193,200 / 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. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
Healthcare Senior Data Analyst Consultant, Quality Measurement (CMMI) - Remote UnitedHealth Group IncHealthcare Senior Data Analyst Consultant, Quality Measurement (CMMI) - RemoteWashington D.C., DCRemote$112,700–$193,200 / 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. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
Fraud AI / Data Healthcare Senior Consultant (remote) Guidehouse IncFraud AI / Data Healthcare Senior Consultant (remote)McLean, VARemote$113,000–$188,000 / yearHands-on experience with financial crime compliance technology and data solutions, e.g., Oracle Mantas, Actimize, Fircosoft, LexisNexis Bridger, World-Check, Dow Jones, Chainalysis, Elliptic, TRM Labs, etc. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
NewSolutions Architect (Healthcare Payer and PBM Operations) MindlanceSolutions Architect (Healthcare Payer and PBM Operations)Baltimore, MDRemote3 Healthcare Payer and PBM Operations: Deep knowledge of and experience with health insurance and Pharmacy Benefit Management (PBM) business models, processes, capabilities, and supporting information systems, including pharmacy benefit design, formulary management, drug pricing, pharmacy networks, eligibility, claims, rebates, utilization management, specialty pharmacy, and member/provider services. 4. Pharmacy Benefit Administration: Strong understanding of the end-to-end pharmacy benefit lifecycle, including benefit configuration, formulary and drug list management, prior authorization, step therapy, quantity limits, accumulator management, specialty drugs, pharmacy network administration, claims adjudication, reversals, coordination of benefits, and payment/reconciliation.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselMDRemote$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.
NewHealthcare Ins Contact Admin RadNetHealthcare Ins Contact AdminMarylandRemote$30–$35 / hourFull timeWorks collaboratively with the Regional Directors of Contracting, Operations and Credentialing departments to maintain/update the RadNet East Coast Facility List, (sometimes referred to as the “Source of Truth” draft/distribute the corresponding payor notifications, document correspondent received from the payer and performs follow up to ensure the updates have been completed in the payor systems. Job Summary: Under minimal supervision, assists the Contracting and Payor Relations team, the Reimbursement Operations team and the authorization team in a support role handling departmental projects as assigned, facilitating communications to and from insurance companies, and internal/external contacts regarding updates on physician staff and facility information.
NewHealthcare Ins Contact Admin RadNet IncHealthcare Ins Contact AdminMaryland, MDRemote$30–$35 / hourWorks collaboratively with the Regional Directors of Contracting, Operations and Credentialing departments to maintain/update the RadNet East Coast Facility List, (sometimes referred to as the "Source of Truth" draft/distribute the corresponding payor notifications, document correspondent received from the payer and performs follow up to ensure the updates have been completed in the payor systems. Job Summary: Under minimal supervision, assists the Contracting and Payor Relations team, the Reimbursement Operations team and the authorization team in a support role handling departmental projects as assigned, facilitating communications to and from insurance companies, and internal/external contacts regarding updates on physician staff and facility information.