Remote Provider Model Jobs

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150 jobs
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Dane Street, LLC
VP, Independent Medical Exams Operations
30+ days ago

Dane Street, LLC - Insurance - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

Provider Network Management
KPI Management
Clinical Auditing
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Workplace Options
Network Sourcing and Development Specialist
30+ days ago

Workplace Options - Health Care - Large

Remote from
Anywhere
Full time
Provider Model
Managed Care
Price Negotiation
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Cohere Health
Client Success Manager
30+ days ago

Cohere Health - Computer Software / SaaS - SME

Remote from
United States
Full time
Account Management
Customer Success Management
Project Management
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HealthMark Group
Director of Operations
30+ days ago

HealthMark Group - Health Care - SME

Remote from
United States
Full time

Senior (5-10 years)

Organizational Leadership
Process Improvement
Clinical Documentation
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YES HIM Consulting, Inc.
Certified Clinical Documentation Integrity (CDI) Specialist – RN
30+ days ago

YES HIM Consulting, Inc. - Health Care

Remote from
Anywhere
Full time

Mid-level (2-5 years)

ICD 503
Nurse Licensure Compact
Clinical Documentation
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RightFitRightHire
Provider Engagement Account Manager
30+ days ago

RightFitRightHire - Marketing & Advertising - TPE

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Provider Model
Account Management
Healthcare Analytics
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Saviance Technologies Pvt. Ltd.
Healthcare - Care Review Clinician I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Utilization Management
Prior Authorization
Medical Necessity
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Centivo
Configuration Specialist - Pricing
30+ days ago

Centivo - Insurance

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Provider Model
Adjudication
Reimbursement Regulations
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Massive Bio
Client Success Manager (Sponsor Delivery / Clinical Trial Operations)
30+ days ago

Massive Bio - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

Clinical Trial Planning
Customer Success Management
Stakeholder Communications
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Spring Health
Provider Marketing Manager
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time
Carrier Management
Marketing Automation
Cross-Functional Collaboration
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GoLean Health
Operations Lead | Vitality
30+ days ago

GoLean Health - Human Resources, Staffing & Recruiting

Remote from
Anywhere
Full time

Senior (5-10 years)

Process Improvement
Project Documentation
Regulatory Compliance
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Georgia IT, Inc.
Solution Architect - remote
30+ days ago

Georgia IT, Inc. - Information Technology & Services

Remote from
Anywhere
Full time
Payment Systems
Solution Architecture
Auditing
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Saviance Technologies Pvt. Ltd.
Healthcare - QI Specialist I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Provider Model
Risk Control
HEDIS (Healthcare Effectiveness Data And Information Set)
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Massive Bio
Physician Relations Associate
30+ days ago

Massive Bio - Scaleup

Remote from
Anywhere
Full time
Provider Model
Oncology
Microsoft Dynamics CRM
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Trajectory Revenue Cycle Services
Remote Medical Revenue Cycle Manager -Facility
30+ days ago

Trajectory Revenue Cycle Services - Health Care

Remote from
Anywhere
Full time
Medical Billing
Revenue Management
Appeals
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Saviance Technologies Pvt. Ltd.
QI Specialist I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Provider Model
Quality Assessment
Analytics
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Saviance Technologies Pvt. Ltd.
Healthcare - Medical Coder II
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Risk Adjustment Coding (RAC)
Medical Record Management
Medical Coding
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Roo
Director of Sales & Account Management
30+ days ago

Roo - Healthtech: Health + Technology, Health Care - Startup

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

170 - 210K
Market Development
Sales Management
Workforce Planning
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Accede Solutions Inc (accedesol.com)
Provider Services Lead
30+ days ago

Accede Solutions Inc (accedesol.com) - Human Resources, Staffing & Recruiting - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Credential Manager
Vendor Contracts
Provider Network Management
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Urgently
Senior Software Engineer
30+ days ago

Urgently - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Java (Programming Language)
NoSQL
Microservices
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Vālenz®
VP of Product - Member Experience
30+ days ago

Vālenz® - Insurance - SME

Remote from
Anywhere
Full time
Product Management
Regulatory Compliance
Product Lifecycle Management
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Garner Health
VP, Provider Sales
30+ days ago

Garner Health - Computer Software / SaaS - SME

Remote from
Anywhere
Full time

Senior (5-10 years)

Stakeholder Engagement
Value-Based Care
Enterprise Sales
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Georgia IT, Inc.
HealthEdge HealthRules Configuration Analyst 100% Remote
30+ days ago

Georgia IT, Inc. - Information Technology & Services

Remote from
Anywhere
Full time
Provider Model
Claims And Litigation Management
IT Architecture Design
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The Legends Agency
Head of Business Development
30+ days ago

The Legends Agency - Human Resources, Staffing & Recruiting - TPE

Remote from
Anywhere
Full time

Senior (5-10 years)

Strategic Partnership
Sales Management
Business Development
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Saviance Technologies Pvt. Ltd.
Healthcare - QI Specialist I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Provider Model
Quality Assessment
Analytics
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Private Health Management
Provider Network Specialist
30+ days ago

Private Health Management - Health Care - SME

Remote from
Anywhere
Full time
60 - 60K
Credential Manager
Health Services Research
Provider Network Management
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Evergreen Nephrology
Quality Improvement Specialist
30+ days ago

Evergreen Nephrology - Health Care - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Care Coordination
Medicare
HEDIS (Healthcare Effectiveness Data And Information Set)
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Saviance Technologies Pvt. Ltd.
Case Manager I
30+ days ago

Saviance Technologies Pvt. Ltd. - Information Technology & Services - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Care Coordination
Care Management
Care Planning
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Carolina Complete Health Network, Inc.
Join Our Talent Network!
30+ days ago

Carolina Complete Health Network, Inc. - Insurance

Remote from
Anywhere
Full time
Provider Model
Clinical Quality Management
Diversity And Inclusion
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Gravie
Vice President, Provider Network
30+ days ago

Gravie - Insurance - SME

Remote from
Anywhere
Full time

Expert & Leadership (>10 years)

Provider Model
Provider Network Management
Contract Management
View Similar Jobs →
Rightway
Director, Pharmacy Networks
30+ days ago

Rightway - Health Care - Scaleup

Remote from
Anywhere
Full time
160 - 180K
Contract Management
Regulatory Compliance
Adjudication
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Oscar Health
Claims Team Lead
30+ days ago

Oscar Health - Insurance - Large

Remote from
Anywhere
Full time
51 - 67K
Inventory Management
Process Optimization
Business Communication
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Spring Health
Senior Network Operations Manager, Specialty Care
30+ days ago

Spring Health - Health Care - Scaleup

Remote from
Anywhere
Full time
1 - 142K
Demand Chain Management
Provider Network Management
Process Design
View Similar Jobs →
GeneDx
Regional Account Executive - General Pediatrics (NYC South)
30+ days ago

GeneDx - Biotech: Biology + Technology - XLarge

Remote from
Anywhere
Full time
125 - 140K
Provider Model
Account Management
Sales Management
View Similar Jobs →
Massive Bio
Client Success Manager (Sponsor Delivery / Clinical Trial Operations)
30+ days ago

Massive Bio - Scaleup

Remote from
Anywhere
Full time

Senior (5-10 years)

Clinical Trial Planning
Project Management
Business Partnering
View Similar Jobs →
Harbor Health
Health Plan Claims Lead
30+ days ago

Harbor Health - Health Care - Startup

Remote from
Anywhere
Full time
Claims And Litigation Management
Standard Operating Procedure
Issue Management
View Similar Jobs →
Oscar Health
Provider Network Associate
30+ days ago

Oscar Health - Insurance - Large

Remote from
Anywhere
Full time
84 - 110K
Provider Model
Vendor Contracts
Provider Network Management
View Similar Jobs →
GeneDx
Regional Account Executive - General Pediatrics (Bay Area)
30+ days ago

GeneDx - Biotech: Biology + Technology - XLarge

Remote from
Anywhere
Full time
125 - 140K
Account Management
Medical Sales
Consultative Selling
View Similar Jobs →
GoLean Health
Operations Lead | Vitality
30+ days ago

GoLean Health - Human Resources, Staffing & Recruiting

Remote from
Anywhere
Full time
Clinical System Operations
Standard Operating Procedure
Process Improvement
View Similar Jobs →
AAPC
Healthcare Workforce Research Analyst
30+ days ago

AAPC - Health Care

Remote from
Anywhere
Full time

Senior (5-10 years)

Data Presentation
Defining Roles And Responsibilities
Economics
View Similar Jobs →
Oscar Health
Payment Integrity Associate - Itemized Bill Review
30+ days ago

Oscar Health - Insurance - Large

Remote from
Anywhere
Full time
79 - 104K
Auditing
Medical Coding
Data Modeling
View Similar Jobs →
Oscar Health
Associate, Payment Integrity
30+ days ago

Oscar Health - Insurance - Large

Remote from
Anywhere
Full time
7 - 104K
Claims And Litigation Management
Reimbursement Regulations
Medical Coding
View Similar Jobs →
Sana
Care Navigator
30+ days ago

Sana - Insurtech: Insurance + Technology, Insurance - Scaleup

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Coordination
Provider Model
Patient Education And Counseling
View Similar Jobs →
Centivo
Configuration Specialist - Contract Build
30+ days ago

Centivo - Insurance

Remote from
Anywhere
Fixed term

Mid-level (2-5 years)

Provider Model
Contract Management
Pricing Systems
View Similar Jobs →
Gravie
Vice President, Provider Network
30+ days ago

Gravie - Insurance - SME

Remote from
Anywhere
Full time
Vendor Management
Provider Network Management
Network Administration
View Similar Jobs →
Vālenz®
Provider Relations Representative
30+ days ago

Vālenz® - Insurance - SME

Remote from
Anywhere
Full time

Junior (1-2 years)

Provider Model
Appeals
Reimbursement Regulations
View Similar Jobs →
Vālenz®
Oncology Utilization Management Nurse
30+ days ago

Vālenz® - Insurance - SME

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Oncology
View Similar Jobs →
Weil Foot & Ankle
Senior Contracts & Network Operations Analyst
30+ days ago

Weil Foot & Ankle - Health Care

Remote from
Anywhere
Full time
Contract Management
Health Reimbursement Arrangement
Contract Management
View Similar Jobs →
Pinnacle Claims Management, Inc.
Bilingual Operations Specialist I
30+ days ago

Pinnacle Claims Management, Inc. - Health Care

Remote from
Anywhere
Full time

Mid-level (2-5 years)

38 - 48K
Protected Health Information
Telemarketing
Benefits Administration
View Similar Jobs →
Vee Technologies Incorporated
AVP, Strategic Client Agreements-Revenue Cycle Management
30+ days ago

Vee Technologies Incorporated - Management Consulting

Remote from
Anywhere
Full time
Contract Management
Contract Management
Contract Management
View Similar Jobs →
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