Remote Healthcare Product Analyst

by Irma Moore | Mar 13, 2025 | Uncategorized

Job Description

As a Healthcare Product Analyst, you will play a vital role in defining project goals, identifying areas for process improvement, and providing innovative solutions that will impact millions of lives. In collaboration with the development team and stakeholders, you will be the voice of the business, translating complex requirements into actionable features and user stories for the Government Operations application suite. This cross-functional role involves creating and reviewing requirements, facilitating changes to the product, and working with internal and external partners to ensure alignment with business goals. This position offers the flexibility to telecommute from anywhere within the U.S. as you tackle significant challenges.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to [email protected].

To learn more about how we collect, keep, and process your private information, please review Insight Global’s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

-Experience in capturing requirements in a healthcare claims setting.

-Knowledge of CSP Facets (claims specifically)

-Ability to work in a fast-paced environment with multiple priorities.

Nice to Have Skills & Experience

-Experience with CSP Facets provider data

-Experience with Value Based Relationships and delegated arrangements in healthcare

-Strong interpersonal, presentation, writing, and communication skills.

-Comfortable working with senior-level business stakeholders.

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Technical Solutions Consultant (Remote FL, OH, GA)

by Irma Moore | Mar 13, 2025 | Uncategorized

Would you like to be part of a collaborative and supportive team?

Do you enjoy resolving customer issues to achieve customer satisfaction?

About the business

LexisNexis Risk Solutions is the essential partner in the assessment of risk. Within our Business Services vertical, we offer a multitude of solutions focused on helping businesses of all sizes drive higher revenue growth, maximize operational efficiencies, and improve customer experience. Our solutions help our customers solve difficult problems in the areas of Anti-Money Laundering/Counter Terrorist Financing, Identity Authentication & Verification, Fraud and Credit Risk mitigation and Customer Data Management. You can learn more about LexisNexis Risk at the link below, https://risk.lexisnexis.com

About the team

The API-Direct Consulting and Implementations Team is responsible for several aspects of solutions delivered via API Direct and XML including technical pre-sale and implementation activities for all market segments and products across multiple business units. This includes discovery sessions to uncover root business problems and needs; recommendation of products and solutions for customers seeking to transition from manual searching to automation of workflows; providing expert API technical insight and best practices for optimal coding; implementing custom, automated machine-to-machine solutions as alternative to frequent manual searching which improves customer workflow processing and increases customer productivity; managing custom test data uploads into our test environments where warranted;  enabling customers to design their own graphical user interface for our solutions which improves the customer experience with our products; presenting post go-live results with recommended scoring solutions and their value proposition providing client insights with scoring products on input datasets, result datasets, and production data performance via solution surveillance; partnering with Product Management to improve solution performance of products for API customers; partnering with Technology to ensure best practices provide maximum up-time and response performance for our API customers; partnering with API test environment teams to ensure our test data meets customer expectations; learning new API technology and toolkits; providing expert API technical insight to aid in resolving tough post-production issues .  We are part of the Product Delivery & Consulting (PDC) team within Global Consulting & Operations (GCO), and are a nationally dispersed, yet close knit collaborative team supporting one another to ensure organizational success.

About the role

The Technical Solutions Consultant responsible for every aspect of the customer API experience from discovery to production release and providing 3rd-level post-production support.  This person will support clients across all four Risk markets as well as provide services to create, enhance, and protect revenue; have prior experience in a customer service role and technical solutions; be able to communicate with all levels of our business.

The ideal candidate can be remote but within driving distance to Alpharetta, GA, Dayton, OH, or Boca Raton, FL for occasional onsite meetings throughout the year.

Responsibilities

• Provide technical API, XML and Web Services consulting services directly to external clients, sales teams, and other support staff for Financial Services, Collections, Healthcare, Government, Law Enforcement and Insurance verticals for Business Services’ products.
• Share API product knowledge, best practices, and code examples with clients in order to advance implementation completion. Conduct analysis and apply problem-solving skills to determine root cause of issues. Collaborate with, engage and escalate to appropriate resources when necessary to get issues addressed. Own correspondence with Sales and client until issue is resolved.
• Keep implementation project plans and project time tracking up to date.
• Communicate technical terms to internal and external clients of varying levels of technical understanding.
• Utilize technical expertise in providing 3rd-level API support to clients. 
• Conduct technical presentations regarding the LexisNexis API platform.
• Participate in departmental projects that improve the productivity of the team.
• Complete required training and skill development to support the client base, individual developmental needs, team objectives, department goals, and company initiatives in a timely manner.
• Work with opportunities involving popular solutions.

Requirements

• Bachelor’s degree OR equivalent years’ experience.
• 2+ Years of Implementation experience and or experience working in software environments involving hands-on technical problem solving or technical implementations with clients.
• 3+ Years client facing experience or customer service experience preferred.
• Must be able to travel up to 10% of the time.
• Growth mindset: willingness/affinity to try new methods and new approaches to problem-solving. 
• Completes reports, trainings, communications, and other job-related tasks in a timely manner.
• Consultative skills with the ability to collaborate and explore options, to demonstrate and to effectively use active listening skills to understand client needs.
• Strong oral and written communication skills; solicits input and feedback
• Must be able to communicate technical concepts to both technical and non-technical audiences.
• Detail oriented; ability to manage multiple projects simultaneously and maintain a diverse breadth of product knowledge; stays up to date on product and industry knowledge.
• Strong analytical and problem-solving skills. Developed troubleshooting skills.
• Advanced time management skills and strict adherence to timelines, with the ability to operate within a structured approach and to deliver results. Possesses the ability to prioritize and handle multiple requests concurrently.
• Strong ability to work in a team environment, by soliciting input and feedback. Deals effectively with conflict.
• Strong ability to build relationships and collaborate and interact effectively with internal and external, technical and non-technical clients and stakeholders.
• Self-motivated, and works well in a collaborative, team environment.
• Strong organizational and project management skills.
• Working knowledge and/or specialized understanding of API-based technologies (RESTful API, JSON, XML, Web Services) and Internet-based technologies.
• Experience working with an API and Web Service toolkit (ReadyAPI, SoapUI, Postman, Swagger, Microsoft .NET, JavaBeans, etc.)

We know that your wellbeing and happiness are key to a long and successful career. These are some of the benefits we are delighted to offer:
● Health Benefits: Comprehensive, multi-carrier program for medical, dental and vision benefits
● Retirement Benefits: 401(k) with match and an Employee Share Purchase Plan
● Wellbeing: Wellness platform with incentives, Headspace app subscription, Employee Assistance and Time-off Programs
● Short-and-Long Term Disability, Life and Accidental Death Insurance, Critical Illness, and Hospital Indemnity
● Family Benefits, including bonding and family care leaves, adoption and surrogacy benefits
● Health Savings, Health Care, Dependent Care and Commuter Spending Accounts
● In addition to annual Paid Time Off, we offer up to two days of paid leave each to participate in Employee Resource Groups and to volunteer with your charity of choice

At LexisNexis Risk Solutions, having diverse employees with different perspectives is key to creating innovative new products for our global customers. We have 30 diversity employee networks globally and prioritize inclusive leadership and equitable processes as part of our culture. Our aim is for every employee to be the best version of themselves. We would actively welcome applications from candidates of diverse backgrounds and underrepresented groups. 

We are an equal opportunity employer: qualified applicants are considered for and treated during employment without regard to race, color, creed, religion, sex, national origin, citizenship status, disability status, protected veteran status, age, marital status, sexual orientation, gender identity, genetic information, or any other characteristic protected by law. We are committed to providing a fair and accessible hiring process. If you have a disability or other need that requires accommodation or adjustment, please let us know by completing our Applicant Request Support Form: https://forms.office.com/r/eVgFxjLmAK , or please contact 1-855-833-5120.

Please read our Candidate Privacy Policy.

Physician Coding Auditor

by Irma Moore | Mar 13, 2025 | Uncategorized

Position Location: 100% Remote

This is a full-time, remote position that offers a flexible schedule. 

Description:

Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.

Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC. 

Responsibilities:

• Perform professional compliance audits of coding and documentation including surgeries, visits, and other services for multiple provider types across multiple specialties, for multiple clients;
• Accurate application of appropriate coding and documentation guidelines, including ICD-10-CM Guidelines, CPT Coding Guidelines, AHA Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;
• Accurate selection of CPT codes for services performed; 
• Accurate selection and application of modifiers to CPT codes; 
• Accurate selection and evaluation of ICD-10-CM diagnosis coding;
• Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;
• Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor-specific policies, if applicable;
• Appropriateness of documentation for split/shared or incident-to services;
• Appropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable;
• Accurately score audits utilizing proper scoring methodology;
• Identifies risk areas and provides mitigation strategies and recommendations;
• Provide detailed findings for each service reviewed on customized reports, including supporting documentation;
• Prepare and present audit follow-up education to clients;
• Prepare and present customized education materials based on the unique needs of the client remotely and on-site;
• Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion;
• Stay current on all coding guidelines (including specialty-specific guidelines), and maintain credentials as necessary;
• Participate in department and education meetings;
• Maintain confidentiality and protect sensitive information;
• Exhibit professional demeanor and communication (written and verbal);
• Other duties as assigned by leadership.

Education/Experience Requirements: 

• High School diploma required. Associate or BS degree preferred.
• Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials.
• Minimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.
• Must be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.
• Experience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.
• Experience creating and implementing audit plans. Experience educating providers one-on-one or in group settings.
• Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems. 
• Experience working with Google Suite is preferred but not required.
• Experience working remotely is preferred but not required.
• Epic and eClinicalWorks (ECW) experience is a PLUS.

About MedKoder, LLC:

• Privately held, growing company with strong values and ethics 

• Professional development and education 

• All positions are permanent – no contracts or sitting on a “coding bench” 

• Generous paid time off, holiday pay, and flexible scheduling year-round 

• Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience 

• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees 

• 401K and Profit Sharing 

• STD, LTD, Life Insurance, and FSA Program 

• Paid AAPC and AHIMA corporate memberships 

• 30 Hours of CEU pay (continuance in education)

• MedKoder is recognized nationally by Modern Healthcare as Best Place to Work

Creative Specialist

by Irma Moore | Mar 13, 2025 | Uncategorized

Description

Responsible for developing big ideas for our digital marketing campaigns. This includes working with our clients on the strategy and implementing it with our creative production and media buying teams. The ideal candidate is a self-driven marketer who is both creative and analytical. This role will build and lead direct response creative, integrated marketing, and performance marketing channels. They will be contributing to the creative needs of multiple digital mediums including Facebook Ads, Google Ads, Youtube Ads, Email, SMS, Landing Page, and others.

Additional Responsibilities include:

• Deep dive into previous split test data to see what works and what doesn’t, identifying the patterns of success to capitalize one, and the mistakes to avoid for ads, landing pages, and other content sequences
• Analyze the data from all tests, write up an analyses that teases out the “what and why” findings so you and your team can learn and improve
• Relentlessly testing new variations on control creative to keep it performing at maximum levels
• Collaborating with PMs, developers, designers, video editors and fellow copywriters to provide constructive feedback on all creative content before live testing
• Client brainstorming and collaborating on concept development and other relevant marketing messaging position strategies
• Create client-facing presentations educating on our creative methodology and overall performance
• Prioritize split testing ideas to focus on those tests deemed to have the highest potential impact in the least time with the least effort with each media channel stakeholder while relying on both research and intuition to prioritize tests with highest likelihood of success
• Establish clear directives with copy, design, tech, media buyers, and other key team members to ensure smooth cross-functional delivery of all creative tests
• Work with client leads, media buyers and our creative production team to plan, execute and report
• Participation in market research and customer insights
• Create detailed personas and map the ideal journeys our client’s customers will go through, integrating strategy with creative architecture to deliver an optimal

Requirements

• 3+ years of experience as a creative thought leader in a high-volume split testing environment that’s been exposed to multi-million dollar paid digital media buys
• Highly knowledgeable in product features with Facebook Ads and Google Ads Platforms
• Experience with consumer psychology and have developed a strong intuition about what works
• Experience using data analysis to creative development
• Passionate about the net effect of the split tests
• Ability to be data driven and use response data to detect patterns of success to replicate
• Experience with analytics, whether using Google Analytics, another CRO-specific analytics tool, or spreadsheets
• Excellent oral, written, and interpersonal skills
• Strong organizational skills
• Ability to problem-solve and structure complex projects/plans with multiple stakeholders and deliverables
• Ability to communicate effectively to all employee levels while understanding both the day to day and big picture
• Ability to work in a fast-paced environment while managing time effectively
• Is competitive, self motivated, and resourceful

Benefits

Our Mission

We strive to empower outstanding people to exceed our client’s expectations by providing them with the best resources, merit-based incentives and tools to transform data into actionable insights. Join us on our purpose to provide scalable, strategic and indispensable value to our clients.

About Jump 450

Jump 450, an Omnicom Media Group Agency, is based in New York City but employs experts throughout the world. We are a high-growth digital performance marketing agency that has seen rapid growth of over 150% over the past four year and doubled our staff. Jump’s exceptional culture, employee development approach, team engagement, perks, and benefits were just part of the reason publications like Fast Company Magazine, Inc Magazine, Agency Spotter’sTop 30 Agencies 2021 and Ad Age Best Places to Work chose to highlight Jump. We are also an Inc 5000 Company (#899!) and have a >90% team member retention for professional reasons.

Jump 450 is the highest paying performance marketing agency in America. Our lucrative employee compensation model is perhaps one of our most compelling features–one that incentivizes our team to drive meaningful returns for our clients. Jump offers uncapped compensation for employees by sharing ~40% of top-line revenues with the team each and every month. On average our sales, media buying, and creative teams make 400% higher than the average for their roles in the US.

This work environment has created a triangle of alignment between company management, our employees, and our clients. We only hire experts, then provide additional learning and development so that our clients are receiving only the highest quality of output from real professionals. Among Jump’s six core values are problem solving, ownership, execution, thought leadership, innovation, and collaboration. Our culture encourages team members to take calculated risks, actively look for innovation and creativity, and seek out ideas from all layers within the organization.

In addition to our beautiful New York office space (Brookfield Place), employees are encouraged to work from their home or wherever they feel most comfortable. They can choose to work from the office, their home, or at the coffee shop.

Additional benefits include:

• Medical, Prescription, Dental, & Vision Insurance Benefits
• Life and Accident Insurance Plans
• Short and Long Term Disability Plans
• Employee Assistance Programs
• Family Forming Plans
• Cigna Secure Travel
• Health Savings Account (HDS)
• Health Care Flexible Spending Account (FSA)
  • Limited Purpose FSA
  • Dependent Care FSA
• Access to MetLife Legal Plan Services
• 401k Match Plans
• Commuter Transportation Benefits
• Access to Virtual Health Services such as Telaheath, 2nd.md and Headspace
• Paid Holidays
• Flexible / Numerous PTO Days
• Volunteer Days
• Free Company Lunches
• Half-Day Fridays All Year (Not Just in the Summer!)
• New MacBook Pros and Additional Monitor on Your First Day
• Communal Meeting Rooms and Standing Workstations are Available in our NY Office
• Company Events & Happy Hours
• 10 Week Paid Parental Leave
• Tuition Reimbursement Of Up To $5,000

Apply for this job

Senior Engineer – Controls PSIRT

by Irma Moore | Mar 13, 2025 | Uncategorized

Job Description Summary

The senior engineer for controls PSIRT will be responsible for leading the investigation and response to security vulnerabilities reported to GE Vernova’s Product Security Incident Response Team (PSIRT). This role will work with the new product introduction networking and platform development teams to conduct technical analysis, remediate issues, and develop communication plans to customers. Engagement will span product offering developments for new units and the aftermarket.

Job Description

Roles and Responsibilities

• Evaluate reported vulnerabilities, identify root cause, and asses potential impact on products and systems within the Gas Power product portfolio.
• Collaborate with Technical Leaders, System Architects, and Principal Engineers to formulate remediation plans for impacted products across Gas Power.
• Draft and publish security advisories to inform customers about vulnerabilities, security fixes, and controls in place to mitigate risks.
• Maintain up-to-date knowledge of industry trends, threats, and technologies related to product security.
• Implement and execute detailed test plans, including performance evaluations for new hardware and software releases, and prepare analytical reports for review with the Controlled Title Holder community.
• Mentor and guide junior engineers, fostering a culture of continuous learning and improvement.
• Support teams across Gas Power in developing and refining standard work processes related to PSIRT.
• Participate in the Scaled Agile Framework, defining the handoff scope concerning features, stories, and tasks to meet milestone dates established by the product owner for product testing requirements.
• Oversee and manage multiple product development initiatives concurrently.

Required Qualifications

• Bachelor’s or Master’s Degree in a “STEM” major (Science, Technology, Engineering, and Math) from an accredited college or university
• Minimum of 6 years of experience in cybersecurity engineering or a similar role

Desired Characteristics

• Relevant certifications such as CISSP, CEH, or equivalent
• Experience developing product security advisories
• Knowledge of the Gas Power Controls NPI processes
• Ability to influence others and create a cohesive group
• Strong oral and written communication skills
• Strong interpersonal and leadership skills
• Ability to succeed in a global team environment
• Highly-motivated, energetic, confident, self-starting personal characteristics

For U.S. based candidates only, for purposes of complying with U.S. pay transparency requirements, the base pay range for this position is $111,200.00 – 185,400.00 per year. The specific pay offered may be influenced by a variety of factors, including the candidate’s experience, education, geographic location, and skill set.  
This position is also eligible for a 15% annual performance bonus. This position will stay open on the career website until at least 3/15/2025.
*The Company pays a geographic differential of 110%,120% or 130% of salary in certain areas.
Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness.  

Additional Information

GE Vernova offers a great work environment, professional development, challenging careers, and competitive compensation. GE Vernova is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

GE Vernova will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).