Senior Data Analyst (Remote) Blue Cross and Blue Shield AssociationSenior Data Analyst (Remote)DCRemote$87,264–$173,316 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
Principal Solutions Architect - Claims Processing (Remote) Blue Cross and Blue Shield AssociationPrincipal Solutions Architect - Claims Processing (Remote)Baltimore, MDRemote$155,600–$278,135 / yearMust have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI-based transaction data management, claim editing engines, and third-party integrations with partner organizations that provide these services. 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.
Regulatory Operations & Mandates Project Manager IT (Remote) Blue Cross and Blue Shield AssociationRegulatory Operations & Mandates Project Manager IT (Remote)DCRemote$89,856–$178,464 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in Health Informatics, Information Technology, Information Systems or related discipline OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience. This role is accountable for providing the operational compliance requirements and oversight to multiple projects of varying complexity throughout the full project lifecycle, from initiation and kickoff through implementation and closure, ensuring all regulatory requirements are met and maintain proper documentation of compliance.
NewLead Data Analyst (Remote) Blue Cross and Blue Shield AssociationLead Data Analyst (Remote)DCRemote$102,456–$203,489 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in Data Science, Mathematics, Computer Science, Statistics, Business or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience. PURPOSE: The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to make informed decisions and assist the organization in making better business decisions.
Subject Matter Expert Gynecology/Oncology (Remote) Mytonomy, Inc.Subject Matter Expert Gynecology/Oncology (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Gyne Onc to guide all stages of patient education content creation including: research/outlining, scripting, editing stages of video and written asset production. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Subject Matter Expert - Advanced Health Care Directives and Geriatrics (Remote) Mytonomy, Inc.Subject Matter Expert - Advanced Health Care Directives and Geriatrics (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Advanced Health Care Directives and Geriatrics to guide all stages of patient education content creation including: research/outlining, scripting, editing stages of video and written asset production. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Subject Matter Expert - Urology (Remote) Mytonomy, Inc.Subject Matter Expert - Urology (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Urology to guide all stages of patient education content creation including: research/outlining, scripting, editing stages of video and written asset production. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Subject Matter Expert - Orthopedic Surgeon/ Joint Replacement (Remote) Mytonomy, Inc.Subject Matter Expert - Orthopedic Surgeon/ Joint Replacement (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Joint Replacement to guide all stages of patient education content creation and/or review including: research/outlining, scripting, editing stages of video and written asset production and/or review. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Subject Matter Expert - Vascular Surgery (Remote) Mytonomy, Inc.Subject Matter Expert - Vascular Surgery (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Vascular Surgery to guide all stages of patient education content creation including: research/outlining, scripting, editing stages of video and written asset production. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Subject Matter Expert - Pediatric Neurologist/ Concussion (Remote) Mytonomy, Inc.Subject Matter Expert - Pediatric Neurologist/ Concussion (Remote)Bethesda, MDRemoteProvide clinical subject matter expertise in Pediatric Concussions to guide all stages of patient education content creation and/or review including: research/outlining, scripting, editing stages of video and written asset production and/or review. Work with Mytonomy clinical team to assess and identify key topics to be included in new module(s).
Medical Sales Specialist (Remote) EVEXIAS Health SolutionsMedical Sales Specialist (Remote)Baltimore, MDRemoteBonus Opportunity: Qualified candidates may also have the chance to manage and grow an existing book of business already established in the local market — giving you a head start with revenue from day one, on top of the new accounts you build yourself. Through our proprietary EvexiPEL® method, we help medical providers offer cutting-edge hormone therapy that changes patient outcomes – and we need passionate, driven individuals to help expand our reach.
Remote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AK PharmD Live CorpRemote Nurse Care Manager - NY, NV, MI, MN, ID, IL, HI, DC, CA, AKDCRemoteDeliver personalized care management and coordination services Conduct patient assessments and develop individualized care plans Support chronic disease management (e.g., diabetes, hypertension, CHF, COPD) Provide education on disease states, medications, and self-management strategies Utilize motivational interviewing techniques to enhance adherence and engagement Collaborate with providers and care teams to align treatment plans Identify care gaps, risks, and barriers to optimal outcomes Maintain accurate, compliant, and timely documentation Support care transitions and follow-up coordination. Strong clinical judgment and attention to detail Excellent communication and interpersonal skills Ability to build rapport and trust in a remote setting Patient-centered, outcomes-driven mindset Self-motivated and able to work independently High level of professionalism and accountability.
Remote - Care Coordinator - LPN - LVN - $21/hr - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - $21/hr - Day ShiftBaltimore, MDRemote$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 Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Functional Analyst II - Pharmacy (Remote) Blue Cross and Blue Shield AssociationFunctional Analyst II - Pharmacy (Remote)DCRemote$55,296–$109,824 / yearThe analyst partners with Finance, Account Management, analytics teams and other key stakeholders to deliver accurate reporting, resolve issues and identify insights that improve pharmacy financial performance. QUALIFICATIONS: Education Level: Bachelor''s Degree in Business Administration or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Senior Database Administrator (Remote) Blue Cross and Blue Shield AssociationSenior Database Administrator (Remote)DCRemote$99,000–$196,625 / yearProvides project management support regarding most technical aspects of implementing project release upgrades for assigned systems which includes: properly following a project life cycle, the development of project plans, completing all appropriate documentation and notifications in order to obtain resolution within the established timeframes. PURPOSE: Designs, implements, and maintains databases with respect to access methods, access time, batch processes, device allocation, validation checks, organization, protection and security, documentation, and statistical methods.
Senior Technical Analyst - Provider Data Management Systems (Remote) Blue Cross and Blue Shield AssociationSenior Technical Analyst - Provider Data Management Systems (Remote)DCRemote$79,560–$158,015 / yearRequires strong working knowledge of Salesforce Administration, configuration, data structures, page layouts, list views, profiles, security model, reporting capabilities within Salesforce, and basic Apex-related troubleshooting to support system analysis, familiar with APIs, and operational support activities. QUALIFICATIONS: Education Level: Bachelor''s Degree in Computer Science, Information Technology, or related field OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Chargemaster Analyst Remote! Virginia Hospital CenterChargemaster Analyst Remote!Arlington, VARemoteThis role involves resolving charge and coding issues, managing databases and reports, The position requires strong knowledge of billing, coding, and financial operations, along with expertise in medical terminology and healthcare billing systems. Purpose & Scope: The role of the Chargemaster Analyst has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives.