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 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.
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 .
NewHealthcare Customer Service Specialist Remote TalentBridgeHealthcare Customer Service Specialist RemoteEast Coast, MDRemote$16–$17 / hourThis is a high-volume customer service environment that is ideal for someone who communicates clearly, enjoys helping others, and is comfortable navigating multiple computer systems while speaking with customers. In this role, you will assist members and patients by phone, helping them navigate questions, locate information, and better understand available healthcare resources.
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.
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.
NewSr Nurse Director of Connected & Remote Care MedStar HealthSr Nurse Director of Connected & Remote CareColumbia, MarylandRemote$142,064–$287,996 / yearFull timeDefines and monitors nursing-sensitive outcome measures associated with connected virtual and remote nursing care programs including remote patient monitoring patient access care experience quality and safety cost effectiveness staffing models and workloads and nurse engagement and productivity. Assumes leadership for the planning development execution day-to-day operations and ongoing evaluation of patient care services within the assigned clinical areas/departments according to MedStar Health/entity mission vision and SPIRIT Values and Nursing's philosophy strategic plan and annual goals.
Remote Registered Nurse RN RylemRemote Registered Nurse RNBaltimore, MDRemote$25–$28 / hourFull timePart timeWe’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.
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.
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.
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.
Licensed Clinical Social Worker - Remote BetterHelpLicensed Clinical Social Worker - RemoteColumbia, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Mental Health Counselor - Remote BetterHelpLicensed Mental Health Counselor - RemoteSilver Spring, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Certified Social Worker - Remote BetterHelpLicensed Certified Social Worker - RemoteBaltimore, MDRemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist - Remote BetterHelpLicensed Marriage and Family Therapist - RemoteBaltimore, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Mental Health Therapist - Remote BetterHelpLicensed Mental Health Therapist - RemoteSilver Spring, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist - Remote BetterHelpLicensed Psychologist - RemoteBaltimore, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Marriage and Family Therapist - Remote BetterHelpLicensed Clinical Marriage and Family Therapist - RemoteBaltimore, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Professional Counselor - Remote BetterHelpLicensed Clinical Professional Counselor - RemoteBaltimore, MDRemote$55–$70 / hourAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.