Client Policy Manager I Job Locations US Remote ID 2024 12637 Category Client Services Position Type Full Time Overview The Client Policy Manager provides expert consultation on coding & clinical policy guidelines . This role works directly with our health plan clients and manages our clients payment policies and ensures they are accurate, up to date, and complete. This r

Other duties as assigned Qualifications Effective problem solving skills Prior experience in developing medical payment policy edits Professional with the ability to properly handle confidential information Ability to work well independently and in a team environment Ability to handle multiple tasks, prioritize and meet deadlines Excellent written and verbal communication

Data Engineer Job Locations US Remote ID 2024 12162 Category Engineering/IT Position Type Full Time Overview As a Data Engineer, you will work with the team to build complex data pipelines using a new cutting edge Data Ingestion Platform as well as several new and exciting products in the Big Data/Advanced Analytics space. You will operate in a fast paced environment wher

Director Legal Operations Job Locations US Remote ID 2024 12797 Category Legal Position Type Full Time Overview The Director of Legal Operations manages the legal operations functions of the Legal and Compliance Department. The Director collaborates with other teams within the Department, as well as inter departmentally, particularly with go to market and sales operations

VP Client Engagement (RQNC) Job Locations US Remote ID 2024 12601 Category Client Services Position Type Full Time Overview The focus of the VP, Client Engagement is to develop and execute against growth, renewal and retention strategies on their customers within the top customer tier . The VP Client Engagement is accountable for the coordination and transparency needed t

QA I HCC/Risk Adjustment Coding (Seasonal) Job Locations US Remote ID 2024 12404 Category Coding Position Type Full Time Overview The QA I, Clinical Ops position works with the Coding & Clinical Validation Audit team focused on risk coding. The QA position monitors & reports on the accuracy of all code captures on a % of all images of their assigned coders. This position

VP Client Engagement Job Locations US Remote ID 2024 12462 Category Client Services Position Type Full Time Overview The focus of the VP, Client Engagement is to develop and execute against growth, renewal and retention strategies on their customers within the top customer tier . The VP Client Engagement is accountable for the coordination and transparency needed to drive

Transcriber Job Locations US Remote ID 2024 12730 Category Administrative/Clerical Position Type Full Time Overview This role works to transcribe portions of health plan member responses to IVR calls using proprietary tools in accordance with HIPAA and company standards. Responsibilities Listen to Interactive Voice Response (IVR) recorded messages. Transcribe IVR response

Quality Assurance Manager Job Locations US Remote ID 2024 12364 Category Customer Service/Retrieval Operations Position Type Full Time Overview The Retrieval Quality Assurance Manager will oversee the daily functioning of the quality department and track the performance and quality of employees' work, primarily in Retrieval Operations, which is our call center for retriev

Technical Writer Retrieval Job Locations US Remote ID 2024 12384 Category Customer Service/Retrieval Operations Position Type Full Time Overview Develop documentation standards and formats for release notes, printed manuals, help files, and other media as needed by the organization. A primary responsibility for design, editing, and upkeep of knowledge management assets. R

Principal Project Manager Job Locations US Remote ID 2024 12688 Category Program Management Position Type Full Time Overview We are looking for highly qualified project managers with post merger integration experience. The Principal Project Manager is tasked with driving large, cross discipline, company wide projects with high executive visibility. These projects include

Data Scientist I Generative AI Job Locations US Remote ID 2024 12726 Category Engineering/IT Position Type Full Time Overview The Data Scientist I Generative AI is focused on machine learning solutions in Healthcare Technology and builds value oriented, production level machine learning solutions. This is not a research oriented data scientist; instead you will apply your

Data Scientist II AI/ML Job Locations US Remote ID 2024 12727 Category Engineering/IT Position Type Full Time Overview The Data Scientist II Generative AI will apply knowledge and experience to real world problems, and seek to utilize their skills reduce the cost of healthcare and improve health quality and outcomes. With access to dedicated on premise and cloud based big

Implementation Services Manager Job Locations US Remote ID 2024 12802 Category Engineering/IT Position Type Full Time Overview The Implementation Services Manager is accountable for the operational execution of the project plan for new customers or new projects specific to existing customers. They will partner with the client services organization to meet client expectati

Solve problems by identifying errors and over payments for our retail clients Use your creativity to help generate new ideas for claim concepts and recovery opportunities Learn and use multiple computer software, systems and technology Achieve excellence by meeting and exceeding audit team goals and quality measures Serve clients by responding to questions or inquiries Ap