Insurance Product Analyst IV, State Product Management - Remote CSAA Insurance GroupInsurance Product Analyst IV, State Product Management - RemoteNew Jersey, NJRemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Working cross-functionally with partners across the organization, including Marketing, Actuarial, Finance, and others, to support the development, design, and implementation of new products, programs, and processes.
Medical Claims Auditor Clover Health Investments CorpMedical Claims AuditorNYRemote$90,000–$100,000 / yearAs a Medical Claims Auditor within our Special Investigations Unit, you will play a critical role in ensuring that Clover is able to continue to build and scale a compliant, effective FWA audit program. Success in this role looks like: By the end of your initial 90 day period, you will have demonstrated a strong understanding of our review process and are able to effectively navigate through the various Clover systems.
Utilization Management, Registered Nurse RN Clover Health Investments CorpUtilization Management, Registered Nurse RNNYRemote$90,000–$106,000 / yearAs a Utilization Management, Registered Nurse (RN), you will: Perform medical necessity reviews for prior authorization and concurrent review across acute inpatient, post-acute (SNF, IRF, LTACH) and outpatient services Apply CMS Medicare guidelines, NCD/LCD policies, and MCG criteria to support determinations Manage cases end-to-end from prior authorization through concurrent review and discharge Collaborate with providers and facilities to obtain clinical information and support care coordination Ensure compliance with CMS turnaround times and regulatory requirements Participate in Quality Assurance (QA) activities, including case audits and peer reviews to ensure accuracy and consistency in decision-making Have strong personal accountability, responsibility and independent decision-making abilities. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents * And much more!
Director, PBM Expert, Business Insights and Solutions SanofiDirector, PBM Expert, Business Insights and SolutionsMorristown, NJRemote$178,500–$257,833.33 / yearMonitor and assess the US healthcare environment to identify trends and policy changes that may impact the pharma industry and/or company's current and future pipeline, including but not limited to changes in commercial reimbursement changes, changes to government programs (i.e., Medicaid, Medicare, 340B), new payment models, innovative pricing strategies, and potential consolidations. Working with the appropriate stakeholders, drive the development of an annual long-range scan (2-4 years) with quarterly or semi-annual updates to regularly communicate with the broader organization, especially with the Access Strategy, Channel Management, National & Regional Account Teams.
Clinical Prior Authorization Technician Temp to Hire Capital Rx LLCClinical Prior Authorization Technician Temp to HireNYRemote$50,000–$60,000 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. The role also triages internal phone calls from members and effectively uses problem solving skills to identify gaps and obtain relevant details to resolve client, member, pharmacy personnel, and provider concerns.
RN Clinical Consultant The Guardian Life Insurance Company of AmericaRN Clinical ConsultantNYRemote$68,970–$113,310 / yearPossess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals. The Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with urgency and ownership to resolve customer issues and prioritize the customer experience.
Sr Financial Analyst - Remote CBRE Group IncSr Financial Analyst - RemoteNYRemoteAbout the Role: As a CBRE Sr Financial Analyst you'll be responsible for evaluating financial data, conducting modeling and forecasting, and translating insights into guidance for business leaders. CBRE Global Workplace Solutions (GWS) works with clients to make real estate a significant contributor to organizational productivity and performance.
Supply and Inventory Planner H.B. Fuller CoSupply and Inventory PlannerRemote$71,000–$93,000 / yearFounded in 1887, with 2024 revenue of $3.6 billion, our mission to Connect What Matters is brought to life by more than 7,500 global team members who collaborate with customers across more than 30 market segments in over 140 countries to develop highly specified solutions that enable customers to bring world-changing innovations to their end markets. The ideal candidate will bring working knowledge of MRP, master data, and supply network planning (SNP) tools, and a desire to grow their expertise in capacity planning and long-term supply strategy.
Director of Legal - Product Sezzle IncDirector of Legal - ProductNYRemote$175,000–$250,000 / yearChampion the adoption of AI-powered legal tools across the legal function including contract review automation, regulatory monitoring platforms, AI legal research tools, and document drafting assistants to dramatically increase team throughput and reduce external counsel spend. What You'll Do: Serve as the embedded legal partner exclusively supporting the Product team to advise on legal requirements during product development cycles, feature launches, and platform decisions acting as a true product partner, not just a downstream reviewer.
Senior Customer Solutions Engineer Rocket Software IncSenior Customer Solutions EngineerNYRemote$105,000–$141,750 / yearJob Description Summary: Our Enterprise Suite Professional Services Team is looking for a highly skilled Mainframe Modernization Senior Consultant to provide technical support and/or leadership in the creation and delivery of technology solutions designed to support our Customers' Digital Transformation. The candidate will also be able to deploy fit for purpose workload in a Hybrid Cloud infrastructure, evolve from monolithic application to Cloud-Native API Microservices, and embrace an enterprise-wide DevOps discipline to deliver application faster.
NewVirtual Clinical Assistant Prism Vision GroupVirtual Clinical AssistantNew Providence, New JerseyRemote$25–$28 / hourResponsibilities: Responsibilities Provide real-time medical scribing during patient encounters, accurately capturing the history of present illness (HPI), review of systems, ophthalmic examination findings, assessments, diagnoses, medical decision-making, and treatment plans to allow providers to focus on delivering exceptional patient care. Preferred Skills Strong knowledge of ophthalmic diseases, injection workflows, OCT imaging, fundus photography, fluorescein angiography, visual field testing, and other ophthalmic diagnostic modalities, with the ability to accurately document ophthalmic -specific findings and treatment plans.
Senior Manager Implementation and Onboarding AgileBits IncSenior Manager Implementation and OnboardingNYRemote$129,000–$187,000 / yearWhat were looking for: 8+ years of experience in post-sale SaaS roles such as Implementation, Professional Services or Solutions Engineering, 4+ years of people management experience, with demonstrated progression to managing managers and/or multiple distinct technical functions. Our Implementations and Onboarding team is responsible for understanding the relationships and desired outcomes established during the sales process, building a launch plan for success, and helping customers get the most out of 1Passwords suite of products.
Senior Change Management Specialist Meltmedia IncSenior Change Management SpecialistNew York, NYRemote$105,000–$115,000 / yearWe consider compensation more than just a base salary thats why we also offer an exceptional range of flexible benefits, personal support and tailored learning and development opportunities all designed to help you realize your full potential both in life and at work. You'll help deliver change, enablement, and adoption activities across phased platform releasestranslating strategy into practical, user-focused execution and measuring what matters.
Data Analyst, Clinical Data Effectiveness Clover Health Investments CorpData Analyst, Clinical Data EffectivenessNYRemote$77,000–$100,000 / yearOur flagship product, Counterpart Assistant, is embedded into clinicians' workflows and integrates with EHR systems, helping care teams drive value-based outcomes, close care gaps, and proactively manage chronic disease. As we grow our data ecosystem, expanding across legacy interoperability networks, QHIN/TEFCA connectivity, and direct HIE integrations, we need rigorous analytical ownership to ensure the clinical data powering our platform is complete, reliable, and actionable.
NewSr. Data Engineer, Financial Systems (Remote) Crum & ForsterSr. Data Engineer, Financial Systems (Remote)MORRISTOWN, New JerseyRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work® Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
HR Business Partner Digital Media Solutions IncHR Business PartnerNYRemote$140,000–$160,000 / yearDirect access to senior leadership, meaningful influence over how we build and support our teams, and the autonomy to do HR work that actually moves the needle. Digital Media Solutions (DMS) is a performance-driven digital marketing company that connects consumers and brands through data, technology, and proprietary media solutions.
Professional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Capital HealthProfessional Coder - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)NJRemote$25.49–$33.16 / hourFrequent physical demands include: Occasional physical demands include: Standing, Walking, Climbing (e.g., stairs or ladders), Carry objects, Push/Pull, Twisting, Bending, Reaching forward, Reaching overhead, Squat/kneel/crawl, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion, Taste or Smell, Talk or Hear. Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures.
Engineering Manager, Core Platform Charlie Health IncEngineering Manager, Core PlatformNew York, NYRemote$225,000–$325,000 / yearAs the Principal Platform Engineer on Core Platform, you will be the technical lead for the team building the platform underneath everything Charlie Health ships next: a federated GraphQL front door that fronts every client surface, the event substrate that carries every signal, the identity layer that authenticates every human and every AI agent, and the real-time world model state layer that gives our services and agents a live picture of care. Deliver the real-time world model state layer: the stream processing that turns events into state, and the live, low-latency state graph that services and agents query.
Delivery Driver Papa John'sDelivery DriverDalton, GeorgiaPromotion opportunities Locally owned Papa John's Pizza locations seeking drivers who like to take home cash daily working for a successful, well established, community. Perfect job for college students, or as a second job with easy flexible shifts, or as a full time entry into a company with plenty of career choices!
NewClient Relations Specialist – Remote Remote CareersClient Relations Specialist – RemoteChattanooga, TennesseeRemoteWe are looking for a relationship-focused Client Relations Specialist to assist clients with questions, requests, and ongoing communication. If you enjoy building relationships and providing thoughtful service, we encourage you to apply for the Client Relations Specialist opportunity.