HealthPlanOne’s mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today.The Compliance Improvement Manager is responsible for strengthening compliance adherence, optimizing call center operations, and driving compliance-focused performance initiatives across the organization. This role collaborates with key stakeholders to improve compliance processes, streamline operational workflows, and enhance agent and leader development through targeted training, monitoring, and performance support. The Compliance Improvement Manager works closely with compliance leadership, sales teams, and carrier partners to ensure regulatory requirements are met while supporting efficiency and service quality within the Medicare call center environment.
Supervisory Responsibilities: Directly manages a team of Compliance Analysts and oversees their daily work and development.
Duties/Responsibilities:
• Support compliance and performance strategy by implementing CMS and carrier aligned initiatives and guiding process improvements that enhance regulatory adherence and operational efficiency.
• Monitor compliance trends and analytics by reviewing KPIs, audit results, coaching data, CTM activity, and retention patterns to identify risks and improvement opportunities.
• Lead compliance coaching and retraining for agents and leaders while overseeing a team that supports preparation and monitoring and will eventually assist in coaching and remediation activities.
• Partner with internal teams on training, scripting, and call-flow alignment to ensure compliance accuracy and consistent application of regulatory requirements across materials and workflows.
• Enhance operational and compliance processes by collaborating with cross-functional teams to streamline workflows, reduce inefficiencies, and strengthen adherence to CMS and carrier guidelines.
• Provide audit, remediation, and reporting support by reviewing audit and performance trends, developing corrective strategies, and participating in carrier compliance reviews with concise, data-driven insights.
• Independently manage all carrier-facing compliance communication by representing the Compliance department during carrier meetings, reviews, and external partnership discussions.
• Perform other related duties as assigned to support compliance initiatives and organizational effectiveness.
Required Skills/Abilities:
Bachelor’s degree or equivalent
6 years’ experience in Medicare Advantage, Prescription Drug Plan and Regulatory Compliance in healthcare or insurance.
Strong knowledge of CMS regulations, Medicare compliance standards, and carrier requirements.
Familiarity with audit & monitoring tools for compliance tracking and performance improvement.
Experience in risk management, compliance reporting, and process optimization.
The ability to collaborate with training teams and leadership to ensure compliance and performance initiatives are effectively communicated and adopted.
Strong oral and written communication skills for supporting training development and compliance discussions.
Ability to analyze compliance and performance trends, identify areas of improvement, and assist in implementing improvement programs.
Experience in trend analysis, remediation support, and compliance monitoring.
Preferred Skills/Abilities:
Proven strength in compliance coaching, regulatory interpretation, and improving call center adherence through analytics and cross-department collaboration. Ability to build strong carrier relationships while supporting internal teams through training and process improvement.
Physical Requirements:
Must be able to remain in a stationary position (e.g., sitting or standing) for extended periods of time, typically in a cubicle environment (constant noise, fluorescent overhead lighting)
Frequent use of a computer, dual monitors, keyboard, mouse, and other standard office equipment such as a telephone, copier, and printer.
Must be able to communicate effectively, including exchanging information in person, in writing, by telephone, email or video conferencing.
Visual and auditory acuity required to perform job duties effectively, including reading, writing, and interpreting information on screens or in print.
Hand dexterity, fine motor skills needed to operate a keyboard and mouse efficiently
Reach with hands and arms occasionally
For Hybrid Roles:
Must be able to commute to an office setting as required, which may include walking short distances and navigating an office environment.
Occasionally moves about the office to access files, office machinery, and meet with others.
Equal Employment Opportunity (EEO) is a fundamental principle at HealthPlanOne, where employment is based upon personal capabilities and qualifications. HealthPlanOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HealthPlanOne requires the necessary drug testing and background checks as part of our pre-employment practices. If you need assistance or an accommodation due to a disability, please contact us to request accommodation at [email protected]
Established in 1930, Duke University School of Medicine is the youngest of the nation’s top medical schools. Ranked sixth among medical schools in the nation, the School takes pride in being an inclusive community of outstanding learners, investigators, clinicians, and staff where interdisciplinary collaboration is embraced and great ideas accelerate translation of fundamental scientific discoveries to improve human health locally and around the globe. Composed of more than 2,500 faculty physicians and researchers, more than 1,300 students, and more than 6,000 staff, the Duke University School of Medicine along with the Duke University School of Nursing, Duke University Health System and the Private Diagnostic Clinic (PDC) comprise Duke Health. a world-class academic medical center. The Health System encompasses Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, Duke Primary Care, Duke Home and Hospice, Duke Health and Wellness, and multiple affiliations.
Join a collaborative research administration team where you will independently manage complex grants and contracts portfolio and play a key role in supporting the successful execution of high‑impact research!
Be You.
This position will be located within the School of Medicine Shared Research Administration Resource (RASR) Group and will play an active role in working with specifically identified departments to manage their portfolio of grants and contracts.
Coordinate and/or perform pre-award and/or post-award activities for a unit (school, department, division, institute, or center) that has a large, complex, and/or diverse portfolio of grants and contracts.
Pre- award activities include broad duties in preparation and submission of grant and contract proposals. Ensures all applications meet agency and university guidelines and published time tables and deadlines. Ensures proposals are entered and routed in a timely manner for further review.
Post-award activities include detailed reconciliation of assigned project budget, including determination of allocability and allowability of charges; preparing and analyzing budget reports, and developing budget projections; adjusting and correcting assigned project budgets to meet project goals and federal requirements, providing assistance and oversight to effort management of specified project portfolio.
This position is responsible for a specified highly complex grants and contracts portfolio using discretion and independent judgment to make decisions that impact the compliance and successful completion of grant and contract objectives. This position is expected to manage a mid- sized unit (school, department, division, institute, or center) with a well-defined grant and contract portfolio.
This position functions as a manager and/or facilitator of large projects, such as grants and contracts that span across multiple disciplines and faculty.
Work Arrangement – This position has the option to be 100% remote. Candidates must reside in one of the approved states for remote work, which can be viewed here: https://remotework.duke.edu/policy/outside-nc/
DEPARTMENTAL PREFEERENCES
Experience in an academic institution; Pre-award and post-award management of federal grants.
Certified Research Administrator preferred.
MINIMUM QUALIFICATIONS
Education/Training – Work requires communications, analytical and organizational skills generally acquired through completion of a bachelor’s degree program. Research or grants education and/or certification is preferred.
Successful completion of the Research Administration Academy (RAA) and Advanced Grants Management is required. Employees hired into this classification without the expected credentials will work closely with their manager to schedule and successfully complete all training (12 months to complete RAA and an additional 6 months to complete AGM). Successful completion of all expected training will be an annual performance goal until complete.
Upon completion of expected training, the employee must maintain Research Administration Academy (RAA) certification and Advanced Grants Management (AGM) certification by completing continuing education requirements.
Successful completion of Financial Services Introduction to R3, Introduction to Duke GL, Introduction to Accounting, Sponsored Research Reporting, Research Administration at Duke (on-line), Basic Compliance (on-line) within first six months of hire is required.
Experience – Work generally requires three (3) years of relevant grants and contracts experience.
Be Bold.
Skills
Ability and desire to complete Advanced Grants Management training (in most circumstances an employee will be expected to hold a RAA certification before moving into this classification).
Demonstrated skills in analyzing data and formulating conclusions.
Ability to learn changing technologies related to grants and contracts management.
Full command of grants and contracts systems; requires solid working knowledge of MS Office Suite (Word, Access, Excel, Power Point).
Ability to communicate both verbally and in writing with all levels of the organization.
Ability to manage and prioritize multiple projects/tasks simultaneously.
Ability to create verbal and written reports.
Understand and apply knowledge of national compliance issues to circumstances at Duke University.
Understanding of asset management for funded projects as applied to Duke University policies and practices. Able to direct others n asset management and to review, troubleshoot and approve asset management.
Work Performed
Pre-award (30%)
Coordinate work for the group ensuring proper distribution of assignments and adequate manning, space and facilities for subsequent performance of duties.
Manage large projects that span across multiple disciplines and faculty.
Serves as the point person for team members on grants and contracts issues as well as questions related to university guidelines.
Provide guidance to the PI on the requirements of the IRB, IACUC, COI, IBC, and research related regulations including proposal submission and award set-up. Consult with department compliance liaison as necessary.
Review proposal submissions for compliance with export controls.
Manage the subcontract process with ORA/ORS and collaborating organizations.
Develop budgets and budget justifications which include proofing the budget for inconsistencies, ensuring accuracy and consistency between budgets and budget justification which includes sub-recipient information secured from sub-agreements.
Advise the PI on administrative requirements in preparing proposal submissions.
Prepare, coordinate and review certain proposal elements (biosketches and facilities & resources) for consistency, accuracy, and completeness.
Monitor compliance with agency and University regulations regarding submission; verify all financial information to include application of the appropriate overhead rate for the project.
Review sponsored projects through SPS to ORA/ORS to ensure compliance with University procedures and institutional signatures.
Ensure understanding of the current fiscal performance of studies and identify areas of concern that need resolution. Advise PI on budget adjustments and revisions necessary to meet the sponsor requirements.
Monitor proposal status and advise PI on requirements and deadlines associated with research protection protocols.
Post-award (40%)
Develop project management plan for review by the PI or senior level grants administrator.
Make cost-sharing adjustments to reflect appropriate labor distribution or related cost-sharing obligations.
Manage budget, reporting and compliance timelines through the lifecycle of the grant or contract; communicate new WBSEs to appropriate department personnel.
Establish sub-recipient requirements and provide on-going sub- recipient monitoring. Coordinate issuance of sub-agreements with ORA/ORS.
Review and evaluate the Site Based Research charge assignment grids based on the schedule of events and protocol for the study.
Establish and implement project management plans for complex projects.
Reconcile monthly budget reports, implement adjustments and inform PI and/or supervisor of corrections/adjustments that have been made.
Prepare budget projects and analysis to assist PI in financial grant management
Identify the need for cost transfers from budget reconciliation; submit/approve the cost transfers.
As requirements change, prepare and submit requests for re- budgeting/modifying the funded project budget. Reconcile and close all sub-recipient budgets and obtain all sponsor-required reports.
Monitor compliance with agency and University regulations regarding reporting.
Maintain financial records per the institutional documents’ retention guidelines.
Ensure process (SOP) is in place within the unit for proper handling of sponsor checks for deposit and recording in the appropriate fund codes. This must be handled in accordance with the institutions check handling process.
Monitor and determine appropriate charging of patient care expenses to the study fund codes.
Interpret departmental policies and procedures, making decisions on specific operating problems and issuing instructions on behalf of unit.
Manage overdrafts in line with unit procedures and institution guidance.
Ensure proper recording of revenue associated with all studies; apply revenue management standards.
Closeout all funded projects consistent with university process and timelines.
Perform overall grants monitoring using tools available to monitor compliance with Duke policies.
Management (30%)
Submits reports to the Divisional Administrator/Business Manager when requested
Recommend various personnel actions including, but not limited to, hiring, training performance appraisal, promotions, transfers and vacation schedules.
Supervisory Responsibilities: Supervise other grants and contracts positions and support personnel.
Understand and apply basic concepts of Export controls as these relate to proposal submission and award management
Understand and be able to apply federal rules to contract negotiations and management
Understand and be able to apply budget management to contracts
Understand and be able to assist others in understanding contract terminology
Understand and be able to comply with Duke University requirements for managing Federal contracts
Understand and be able to assist others in understanding the basic Federal and Duke University rules, regulations and requirements of IRB, IACUC, COI, IBC and Misconduct Science.
Able to clearly communicate when interacting with faculty to inform of obligations in meeting these requirements and when faculty is not complying with policies.
Able to escalate issues to higher levels when unable to get cooperation from others
Able to establish and maintain systems to ensure timely compliance with RCR requirements
Understand and be able to operationalize the development and maintenance of internal controls within a Duke University unit.
Able to understand and apply basic internal control concepts to daily management of Federal awards.
Understand and be able to translate concepts to actual practice at Duke University.
Understand and apply the basic concepts of clinical research in the Duke University compliance environment
Understand and be able to apply federal and university rules to management of effort allocation for individuals compensated whole or in part from federal awards.
Understand and be able to manage complex effort scenarios resulting from multiple appointment types (VA, University).
Understand the management requirements of broadly represented aspects of Federal financial research compliance and to develop strategies for meeting compliance expectations within a dedicated unit and/or assigned portfolio.
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.
Choose Duke.
Apply today to take ownership of a complex grants and contracts portfolio and make a meaningful impact on the success of high‑impact research initiatives!
Anticipated Pay Range: Duke University provides an annual base salary range for this position as USD $67,732.00 to USD $116,282.00. Duke University considers factors such as (but not limited to) scope and responsibilities of the position; candidate’s work experience, education/training, and key skills; internal peer equity; as well as market and organizational considerations when extending an offer.
Your total compensation goesbeyond the dollars on your paycheck. Duke provides comprehensive and competitive medical and dental care programs, generous retirement benefits, and a wide array of family-friendly and cultural programs to eligible team members.
Learn more at: https://hr.duke.edu/benefits/
Equal Opportunity Employer: Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual’s age, color, disability, gender,gender expression, gender identity, genetic information, national origin, race, religion, (including pregnancy and pregnancy related conditions), sexual orientation, or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it isessential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions:
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and reasonable accommodation(s) can be requested with Duke Access and Accommodations Services (email: [email protected]; phone: 919-668-1267).
Crum & Forster (C&F) provides market leading property & casualty, accident & health, specialty and standard commercial lines insurance solutions. A true underwriting company, we have a 200-year history of helping our customers manage risk with laser-focused expertise, integrity and discipline. Our people are empowered to make decisions and problem-solve with you smartly and swiftly. Our annual gross written premium is 6.2 billion. C&F enjoys a financial strength rating of “A+” (Superior) by AM Best.
Our most valuable asset is our people. We have 3000 employees, and locations throughout the United States and India. With 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.
C&F is part of Fairfax Financial Holdings. For more information about C&F, please visit our website: www.cfins.com
Job Description
Examines claims data and conducts investigations into routine and moderately complex claims to determine coverage, compensability, subrogation and benefits under moderate supervisory direction. Adjusts and manages claims within the limit of assigned authority.
What you will do for C&F:
Must be well versed in California Compensation statute claims.
Receives lost time and complex medical only assignments. Verifies and determines applicability of coverage. Initiates 24-hour contact with employer, employee and 48-hour contact with attending physician.
Handles catastrophic claims with supervisory oversight.
Conducts telephone investigations as required by company claims handling manual and procedures.
Evaluates and adjusts claims within the limits of authority.
Consults with Claim Manager on those claims where assistance and consultation is needed.
Makes assignments to nurse case management when indicated, monitoring their billing and performance.
Sets reserves for anticipated exposure up to authority limits.
Completes mandatory Reserve Worksheets. Establishes reserves requiring complex analysis with lifetime pharmacy and cost inflation.
Coordinates return to work (RTW) and sets target dates.
Maintain diaries on maximum three (3) month intervals.
Documents files in the claims system.
Reviews medical bills for causal relationship, medical bill charges for appropriateness and approves payments.
Adheres to special account handling (SHI) instructions.
Attends account meetings by telephone and in-person.
Manages litigation on the files.
What you bring to C&F:
College degree, B.A. or equivalent experience.
3+ years experience handling workers compensation claims.
Strong organizational skills.
Good time management skills.
Foreign language communications a plus.
Excellent verbal and written communication skills are essential.
Strong aptitude and knowledge of Microsoft Office programs and the ability to quickly learn new programs.
Will abide by departmental policies and procedures, including authority levels, to comply with C&F’s risk management controls.
What C&F will bring to you
Competitive compensation package
Generous 401K employer match
Employee Stock Purchase plan with employer matching
Generous Paid Time Off
Excellent benefits that go beyond health, dental & vision. Our programs are focused on your whole family’s wellness, including your physical, mental and financial wellbeing
A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path
A dynamic, ambitious, fun and exciting work environment
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
At C&F you will BELONG
If you require special accommodations, please let us know. We value inclusivity and diversity. We are committed to equal employment opportunity and welcome everyone regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity, or Veteran status. If you require special accommodations, please let us know
For California Residents Only: Information collected and processed as part of your career profile and any job applications you choose to submit are subject to our privacy notices and policies, visit https://www.cfins.com/onlineprivacypolicy/ca/noticeatcollection/ for more information.
Crum & Forster is committed to ensuring a workplace free from discriminatory pay disparities and complying with applicable pay equity laws. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions. The annualized base pay for the advertised position, located in the specified area, ranges from a minimum of $55,800.00 to a maximum of $104,900.00. The actual compensation is determined by various factors, including but not limited to the market pay for the jobs at each level, the responsibilities and skills required for each job, and the employee’s contribution (performance) in that role. To be considered within market range, a salary is at or above the minimum of the range. You may also have the opportunity to participate in discretionary equity (stock) based compensation and/or performance-based variable pay programs.
Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center’s computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned.
Position: Inpatient Lead Coder – Remote
Department: Clinical Documentation
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhering to official coding guidelines and departmental procedures, the Team Leader, IP Coder:
Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation.
Assists PFS in researching unbilled accounts and updating incorrect discharge dispositions.
Assists Coding Manager in orienting, training, and mentoring staff, provides ongoing education as needed.
Assists IP Coding Manager as a resource and subject matter expert to outside departments.
Assists IP Coding Manager trouble shooting system issues with 3M encoder and EPIC.
Assists IP Coding Manager with special projects as needed.
Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures.
Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems.
Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing.
Sequences diagnoses, procedures and complications by following ICD-10-CM/PCS and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate.
Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
Assigns grouper codes to each record according to patient type and financial class.
Enters coded/abstracted information in grouper, analyzes groupings, and assigns the appropriate grouper for appropriate and accurate reimbursement.
Data enters abstracted information into the Medical Center’s computerized database.
Maintains coding accuracy rate of 95% or better.
Maintains productivity standards set forth in Departmental Policies and procedures.
Coordinates with HIM to track missing provider documentation so that all records can be coded and billed in a timely fashion.
Maintains professional skills and knowledge of coding through attendance at in-service programs, conferences, workshops and other educational programs and review of current literature.
Assist in orienting new personnel to department coding procedures.
Serves as resource for the Revenue Cycle Analysts in working claims in scrubber to clear for billing.
Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.
Follows established Hospital infection control and safety procedures.
Performs other duties as needed.
(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).
JOB REQUIREMENTS
EDUCATION:
Level of knowledge equivalent to that ordinarily acquired through completion of an Associate’s Degree in Health Information, Medical Records or similar program.
An equivalent combination of education and experience, which provides proficiency in the areas of responsibility, may be substituted for the stated education and experience requirements.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Requires inpatient CCS, RHIT or RHIA credentials from AHIMA
CCS coding credential requires inpatient coding experience before taking exam
RHIT and RHIA must have associate’s and bachelor’s degree respectively before taking exam
EXPERIENCE:
Minimum of five years inpatient coding experience in a Level 1 Trauma, Teaching Facility
KNOWLEDGE AND SKILLS:
Work requires in-depth knowledge of medical terminology, ICD-10-CM/PCS and CPT-4 Coding conventions and knowledge of the various DRG systems (CMS DRGs, AP-DRG, and APR-DRGs). Work also requires basic concepts of human anatomy, physiology and pathology.
Experience with ICD-10-CM/PCS for diagnoses and procedures
Strong knowledge of health records, computer systems, Microsoft applications, data integrity, and processing techniques required.
Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
Ability to work with accuracy and attention to detail
Ability to solve problems appropriately using job knowledge and current policies/procedures.
Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.
Solid (or could use excellent again) communication skills, both oral and written.
Compensation Range:$62,500.00- $91,000.00
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
Build the Future with Us — EquipmentShare is Hiring a National Account Project Manager
At EquipmentShare, we’re not just filling a role — we’re assembling the best team on the planet to build something that’s never been built before. We’re on a mission to transform an industry that’s been stuck in the past by empowering contractors and communities through innovative technology, real-time support, and a team that truly cares.
We’re hiring a National Account Project Manager at our rental facility in Dallas, TX, and we’re looking for someone who’s ready to grow with us, bring energy and drive to their work, and help us build the future of construction. The core purpose of this position is to serve as a strategic support partner to our top National Account Managers, relieving them of administrative burdens so they can maximize focus on account growth. Responsibilities involve cross-functional collaboration with National Account Coordinators, branch personnel, Territory Account Managers, and billing teams to achieve objectives and resolve complex operational challenges.
Salary range: $65,000 to 80,000+/yr. Factors including past experience and location may affect final compensation rate. This role may qualify for an annual performance bonus. A cell phone, laptop, and work from home office set up will be provided.
Schedule: Remote position requiring 40 hours in a standard work week.
Primary Responsibilities
Manage and execute daily administrative tasks for National Accounts.
Provide comprehensive support to National Account Managers across project planning, customer agreement preparation, and execution of both.
Coordinate and mobilize internal resources to ensure deadlines are met.
Ensure clear, consistent, and timely communication with the National Account Manager.
Track, troubleshoot, and report all rental activity metrics, including quoting, ordering, billing, and sourcing.
Identify and document operational issues and inefficiencies, escalating them to the appropriate stakeholders.
Collaborate with internal departments to fulfill customer requests and rapidly resolve issues, supporting the National Account Manager in solution delivery.
Perform logistics management, including scheduling events and meetings, planning travel, and reconciling expenses.
Occasional travel is required for customer events, trade shows, and conferences nationwide.
Why EquipmentShare?
Because we do things differently — and we think you’ll feel it from day one. We’re a people-first company powered by cutting-edge technology. That means our proprietary T3 platform doesn’t just run our business — it also makes your job easier, safer, and more connected. Whether you’re behind the wheel, under the hood, leading a branch, or closing deals — tech supports you, and you drive us forward.
We’re a team of problem-solvers, go-getters, and builders. And we’re looking for teammates who take pride in doing meaningful work and want to be part of building something special.
Perks & Benefits
Monthly Family Dinner Night — We treat you and your family to dinner every month, because family comes first. (An employee favorite!) *restrictions apply
Competitive compensation
Full medical, dental, and vision coverage for full-time employees
Generous PTO + paid holidays
401(k) + company match
Tool and boot reimbursements (role dependent)
Gym membership stipend + wellness programs (earn PTO and prizes!)
Company events, food truck nights, and monthly team dinners
16 hours of paid volunteer time per year — give back to the community you call home
Career advancement, leadership training, and professional development opportunities
About You
You want to be part of a team that’s not just changing an industry for the sake of change — we’re transforming it to make it safer, more secure, and more productive. You bring grit, heart, and humility to your work, and you’re excited about the opportunity to grow within a fast-paced, mission-driven environment.
We’re looking for people who:
See challenges as opportunities
Embrace change and continuous improvement
Bring energy, effort, and optimism every day
Skills & Qualifications
Strong organizational and time-management skills in fast-paced environments
Ability to communicate effectively with crews, leadership, and vendors
Basic understanding of construction drawings and concrete work processes
Willingness to learn and grow within the construction materials and equipment industry
Self-motivated and dependable with a strong work ethic
A Workplace For All
At EquipmentShare, we believe the best solutions come from a team that reflects the world around us. Our initiative — A Workplace For All — is rooted in the belief that we must work together to solve some of the toughest problems in construction. That means attracting, developing, and retaining great people from all walks of life.
We value different backgrounds, talents, and perspectives. We want you to feel like you belong here — because you do.
EquipmentShare is an EOE M/F/D/V.
Employment is contingent on passing a background check. Additionally, some roles require passing a drug test, depending on the job responsibilities.
remote typeWork from HomelocationsUnited States – RemoteBritish Columbia, Canada – RemoteManitoba, Canada – RemoteSaskatchewan, Canada – RemoteMount Pearl – CanadaView Fewer LocationslocationsQuebec, Canada – RemoteNova Scotia, Canada – RemoteOntario, Canada – Remotetime typeFull timeposted onPosted 30+ Days Agojob requisition idR133990
JOB OVERVIEW:
This role owns end-to-end process performance and strategy for the Invoice-to-Cash (I2C) tower, from global process design and standardization through to BPO vendor governance and business stakeholder accountability. The I2C GPL is the single point of accountability for service outcomes, process excellence, and continuous value creation across all geographies; specifically covering billing and invoice distribution, collections, cash application, risk management, and credit management activities.
Reports to the VP, Global Business Services and owns the end-to-end operational performance for the I2C tower within GBS.
KEY RESPONSIBILITIES:
Serve as the primary business-facing partner for assigned functional leaders (CFO, CAO, BU Presidents and finance leaders), owning a formal service cadence that translates business priorities into I2C delivery commitments
Own escalation accountability for I2C service gaps; ensuring billing disputes, collections issues, and cash application exceptions are surfaced, owned, and resolved without the business having to chase
Govern the BPO vendor relationship for the I2C tower, including SLA enforcement, performance reviews, and commercial discipline across billing, collections, and cash application
Lead daily and weekly operating cadence to manage billing runs, collections activity, cash application, and backlog
Own SLA and KPI performance across I2C including billing delivery, days sales outstanding (DSO), collection effectiveness index (CEI), and cash application rates
Forecast demand trends and align vendor staffing and capacity plans accordingly
Ensure execution and documentation of process controls and audit requirements across I2C activities
Maintain exception management framework aligned to policy and governance standards
Build and prioritize continuous improvement pipeline including automation and simplification within the I2C tower
Partner with Process Excellence and Digital teams to deliver measurable productivity gains across billing, collections, and cash applications
SPECIFIC KNOWLEDGE & SKILLS:
Acts as the voice of the business inside GBS; owning the I2C service relationship with BU leaders and ensuring delivery is always aligned to business outcomes, not just operational metrics
Proven track record of earning the trust of business unit CFOs and functional leaders by consistently prioritizing their operational needs within the I2C delivery model
Familiarity with the upstream order management and customer service processes that feed I2C; with the ability to partner across tower boundaries to resolve systemic handoff issues
Strong operational leadership with deep understanding of I2C processes; including billing and invoicing, credit management, collections, risk management, and cash application
Expertise in I2C KPI management (DSO, CEI, billing delivery accuracy, cash application rates), root cause analysis, and structured escalation frameworks
Experience managing outsourced or hybrid retained-vendor delivery models within an I2C or receivables context
Capacity planning and workforce optimization capability across geographies
Experience managing outsourced service providers in SLA-based environments
Demonstrated experience leading or partnering on automation, AI-enabled workflow, or intelligent process redesign initiatives within a GBS or shared services environment
Demonstrated track record of driving year-on-year productivity improvement
High attention to detail with strong financial and commercial acumen
Cross-functional coordination across functional groups and customer teams
Exceptional analytical, organizational, and resource-planning abilities
Demonstrated initiative, autonomy, and creativity in problem-solving
Proven ability to manage multiple tasks and prioritize and execute effectively
Excellent oral and written communication skills for effective collaboration
Strong interpersonal skills, fostering collaborative teamwork across disciplines
Strong planning discipline with excellent conceptual and organizational skills
GENERAL SKILLS & COMPETENCIES:
Outstanding management and leadership skills and ability to attract, retain, motivate, develop, mentor and coach team members for high performance; good conceptual skills
Outstanding verbal and written communication skills and ability to resolve disputes effectively and efficiently
Outstanding presentation and public speaking skills
Mastery independent decision making, analysis and problem-solving skills
Understand, interpret and act on financial information and external trends that contribute to business profitability
Plan, manage and create strategy around complex projects; understand available resources, develop timeline, budget and assign areas of responsibility
Lead teams to achieve company goals and solve complex business issues in creative and effective ways
Mastery planning and organizational skills and techniques
Communicate effectively with senior management and key stakeholders
Excellent negotiating skills and ability to effectively manage strategic alliances, joint ventures and outsourced relationships
Ability to influence, build relationships, understand organizational complexities, manage conflict and navigate politics
Broad professional and managerial skills with a full understanding of industry practices and company policies and procedures
Lead and develop virtual teams
Mastery in multiple technical and business skills
Excellent strategic planning skills
MINIMUM WORK EXPERIENCE:
Typically, 12 or more years of professional experience of increasing responsibility and complexity in Finance operations, order-to-cash, or shared services leadership roles; 7 or more years of management experience.
PREFERRED EDUCATION:
Typically, a Bachelor’s Degree or global equivalent in Finance, Accounting, or a related discipline. Master’s degree or global equivalent is preferred.
TRAVEL / PHYSICAL DEMANDS:
Travel typically less than 20%. Office environment. No special physical demands required.
The posted range for this position is $184,000 – $263,000 which is the expected starting base salary range for an employee who is new to the role to fully proficient in the role. Many factors go into determining employee pay within the posted range including education, prior experience, training, current skills, certifications, location/labor market, internal equity, etc.
This position is eligible for a bonus not reflected in the posted range.
Other benefits available include: Medical, Dental and Vision Coverage, 401K Plan with Company Match, PTO [or sick leave if applicable], Paid Parental Leave, Income Protection, Work Life Assistance Program, Flexible Spending Accounts, Educational Benefits, Worldwide Scholarship Program and Volunteer Opportunities.
Henry Schein, Inc. is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.
For more information about career opportunities at Henry Schein, please visit our website at: www.henryschein.com/careers
Fraud Alert
Henry Schein has recently been made aware of multiple scams where unauthorized individuals are using Henry Schein’s name and logo to solicit potential job seekers for employment.
Please be advised that Henry Schein’s official U.S. website is www.henryschein.com. Any other format is not genuine. Any jobs posted by Henry Schein or its recruiters on the internet may be accessed through Henry Schein’s on-line “career opportunities” portal through this official website. Applicants who wish to seek employment with Henry Schein are advised to verify the job posting through this portal.
No money transfers, payments of any kind, or credit card numbers, will EVER be requested from applicants by Henry Schein or any recruiters on its behalf, at any point in the recruitment process.
We are currently hiring for multiple positions, including roles within the non-profit and finance industries.
Are you a dynamic, caring and ridiculously talented executive assistant who is looking to work remotely while still making a difference for the executive(s) you support? If so, Boldly is looking for you! Boldly is 100% remote and has been since day one. Remote work isn’t just a perk for us, it’s how we operate. We are seeking full-time employees to support established Fortune 500 companies, not for profits, senior-level executives, and successful business owners as they make a greater impact in the world.
About the position
As an executive assistant and employee of Boldly, you will play the pivotal role of providing top-notch administrative support. You’ll have the opportunity to choose the clients you support based on company and organizational values and your preferences. These are long term assignments where you’ll create rewarding partnerships with the executives that you assist while gaining valuable experience in a variety of industries. As a Boldly employee, your work will be 100% remote and flexible with no night or weekend work. This full time position requires your availability for 40 hours a week during business hours.
As an executive assistant, you’ll apply your professional skills in a wide range of tasks, including:
Maintaining appointment schedules and calendars
Planning and scheduling meetings, conferences, and travel
Making travel arrangements including flight and hotel bookings
Maximizing the executive’s time by reading, researching, and routing correspondence; drafting letters and documents; collecting and analyzing information; initiating phone calls on their behalf
Managing multiple email inboxes for executives
Managing expenses
Providing customer/supplier support
Other executive admin responsibilities as needed
About you
You have at least 7 years of experience serving in a senior administrative support position where you provided support as an executive assistant working in a fast-paced environment supporting multiple high-level executives. At this point in your career, your #1 priority is to join a fully remote company that prioritizes flexibility in the workplace, and that promotes a culture of respect, kindness, and transparency. You are a team player with excellent communication skills and a positive outlook who cares deeply about helping others succeed. You take great pride in the quality of your work; you are proactive, dynamic, flexible, tech-savvy, results-oriented, and a stickler for details! And you do it all with a smile!
Required Skills and Experience:
A minimum of 7 years of direct hands-on experience as an executive assistant or senior administrative assistant to one or more executives (general admin experience as part of another role will not qualify)
Advanced knowledge of online software such as Google Workspace, Office 365, Zoom, and other popular productivity tools
Ability to multitask with ease and prioritize work as needed
Highly organized with excellent time management skills
Ability to learn new tools quickly
Excellent interpersonal communication
Strong writing skills
Ability to work independently and under the pressure of deadlines
Solution driven!
Benefits you’ll love, for full-time employees:
W2 employment status
Medical, dental, vision, and life insurance, with 100% of the premium paid by Boldly
401k with employer match
Paid time off including vacation/sick leave
Paid holidays
Paid parental leave
Technology stipend
Ongoing mentoring and support from your Boldly Team Leader to help you succeed with clients
Compensation
The pay rate for this position is $30 per hour with regular raises throughout your tenure. In addition to the hourly pay, total compensation includes benefits such as a 401(k) with employer match.
About our culture
We believe that it is possible to have a rewarding career that doesn’t conflict with your personal responsibilities and life choices. Our diverse team of executive assistants includes parents, military spouses, caregivers, and those with unique life situations where working remotely, part-time or full-time, and on a flexible schedule is not just a ‘nice to have’. Fostering a thriving company culture where everyone has a sense of belonging and enjoys coming to work is our # 1 priority. As a woman-owned business, we are intimately familiar with the challenges women and minorities face in the workplace and we are committed to maintaining a diverse, equitable, and inclusive workplace for all. And of course, as a remote-first company since our inception in 2012, we are longtime established experts at leading and succeeding in a remote work environment!
As a premium executive assistant company, we set the standard for remote professionals. We’ve been proudly certified as a Great Place to Work for 5 years in a row, and our accolades include being named by Fortune Magazine as one of the “50 Best Small Workplaces”, and Entrepreneur Magazine in their Entrepreneur 360 List as one of the “Best Entrepreneurial Companies in America” and by Color Magazine as a top Inclusive Workplace. Military Friendly named us as part of the Top 10 Military Spouse Friendly Employers, and FlexJobs as a Top 100 Company to watch for. We are also accredited by Flexa as a truly flexible employer.
For more information about our company culture and to hear from team members about their experience in roles filled with variety and new learning – visit our jobs page at https://boldly.com/jobs/
Please note that the requirements in this job description are the minimum qualifications to join our team of premium executive assistants and we are unable to consider any applicant who does not have at least 7 years of experience as an executive assistant. Additionally, Boldly considers LinkedIn to be the foundation of your professional online presence and we require all candidates that wish to apply to have an up-to-date LinkedIn Profile.
At Boldly, we are committed to hiring military spouses and recognize that their unique circumstances pose significant obstacles to employment. We understand that military families often experience frequent relocations and we offer our support by reducing barriers that may hinder their employment. If you are a military spouse with diverse experience, please take care to show us with your detailed resume how your experience aligns with the requirements listed above. By understanding your experience, we can better assess how your background aligns with our open position.
We’re excited to receive your application!
Take your time to provide genuine answers to showcase your unique talents and professionalism instead of using AI such as ChatGPT.
Use complete sentences and be mindful of spelling and grammar.
Dentons US LLP is currently recruiting for a Conflicts Analyst for the US Lateral Conflicts Team. This is an exciting opportunity to join a highly collaborative team, help support the firm’s US Conflicts team ensuring effective compliance controls and procedures are in place in relation to supporting the recruitment process, and on-boarding of lateral and firm growth hires, particularly those involving the avoidance of conflicts of interest, protection of confidential information and to ensure compliance with applicable legislative requirements and management of risk. This position reports to the Lateral Conflicts Manager and is fully remote position.
Responsibilities
Handling conflict of interest checks for lateral candidates, including partners, associates and professional administrative staff.
Conducting legal conflict of interest checks and matters specifically related to lateral hires
Organizing and tracking progress of lateral candidates through the clearance process.
Liaising with Recruitment and lateral candidates to ensure that conflict questionnaires are complete and accurate
Conducting research on business and corporate entities via online resources
Handling complexity protection of confidential information issues
Reviewing and adhering to Dentons’ internal compliance policies and procedures.
Assisting the Lateral Conflicts Team with compliance projects, where appropriate
Other duties may be assigned to fully meet the requirements of the position
Experience & Qualifications
Relevant experience in an international law firm, although other professional services or financial services firms will be considered.
Prior experience analyzing and resolving conflicts of interest and managing confidential information issues specifically for lateral hires is desirable
An understanding of Elite and Intapp Open conflict checking system is desirable
Excellent analytic skills: Able to quickly identify and meticulously analyze complex issues to provide practical solutions.
Detail oriented with excellent written and verbal communication skills; strong problem solving and analytical skills
Team player able to interact positively at all levels within the firm and able to demonstrate excellent client/customer facing skills
Able to exercise tact and diplomacy and demonstrate initiative and the ability to be proactive
Ability to multitask, prioritize and meet deadlines while maintaining attention to detail and quality work product
Possess a high degree of trustworthiness and discretion, due to the highly confidential nature of the lateral conflicts process
Proficiency with Microsoft Word, Excel, and Outlook
Salary
Pursuant with states’ laws, the salary range for this position is $65,000 – $75,000, based on experience and local market.
Dentons US LLP offers a competitive salary and benefits package including medical, dental, vision, 401k, profit sharing, short-term/long-term disability, life insurance, tuition reimbursement, paid time off, paid holidays and discretionary bonuses.
Dentons US LLP is an Equal Opportunity Employer – Disability/Vet. Pursuant to local ordinances, we will consider for employment qualified applicants with arrest and conviction records.
Insight Global is seeking a highly organized and detail-oriented Remote Bookkeeper to support a growing masonry construction company based in the Grand Junction, Colorado area. This individual will serve as a key member of the accounting team, helping maintain accurate financial records, manage accounting processes, and support day-to-day business operations. The ideal candidate is proactive, professional, and possesses strong critical thinking and project management skills. Job Description The Remote Bookkeeper will provide administrative and accounting support to the finance team, ensuring accurate financial reporting and efficient execution of accounting functions. This role requires exceptional organizational abilities, attention to detail, and the ability to prioritize multiple tasks in a fast-paced construction environment. Key Responsibilities
Support the accounting team with daily bookkeeping and financial administration activities Maintain accurate financial records, including accounts payable, accounts receivable, and general ledger entries Reconcile bank accounts, credit card statements, and other financial transactions Assist with invoice processing, payment tracking, and collections efforts Organize and manage financial documentation and records Support month-end and year-end closing activities Monitor project-related expenses and assist with job cost tracking Prepare financial reports and spreadsheets as requested by leadership Coordinate and help manage accounting-related projects and initiatives Ensure compliance with company policies and accounting best practices Communicate professionally with internal teams, vendors, and customers
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] 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
1+ years of bookkeeping or accounting support experience Experience working with accounting software such as QuickBooks, Sage, or similar platforms Strong organizational and time-management skills Excellent attention to detail and accuracy Demonstrated critical thinking and problem-solving abilities Ability to manage multiple priorities independently in a remote environment Proficiency with Microsoft Excel and Microsoft Office Suite Excellent written and verbal communication skills
Nice to Have Skills & Experience
Previous experience in the construction, masonry, or contractor industry Knowledge of job costing, project accounting, or construction accounting practices Associate’s or Bachelor’s degree in Accounting, Finance, Business, or a related field
Benefit packages for this role will start on the 1st 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.
The Medical Billing Specialist is responsible for managing third-party billing and collections activities to ensure the timely and accurate submission, processing, and resolution of medical and pharmacy claims. This role reviews and bills medical and NCPDP claims, identifies and resolves claim rejections and billing discrepancies, and works to maximize reimbursement. The ideal candidate has experience with home infusion billing, payer reimbursement guidelines, and medical billing practices, along with strong analytical, communication, and problem-solving skills. Attention to detail, the ability to work independently, and proficiency with Microsoft 365 are essential.
Essential Duties & Responsibilities
Manage third-party billing and collections activities.
Ensure the timely and accurate submission of claims.
Meet quality assurance standards, productivity goals, and performance benchmarks.
Identify and update patient and insurance information changes.
Process home infusion and nursing claims.
Review and resolve NCPDP claim rejections, including resubmissions and appeals as appropriate.
Analyze billing trends and identify opportunities for process improvement.
Maintain accurate documentation and records.
Perform other duties as assigned.
Knowledge, Skills & Abilities
Strong verbal and written communication skills with patients, payers, external agencies, and internal stakeholders.
Professional, courteous, and customer-focused approach.
Ability to interpret and apply instructions received through various communication methods.
Knowledge of home infusion services and related billing practices.
Understanding of insurance policies, payer requirements, and reimbursement processes.
Knowledge of medical billing methodologies and reimbursement regulations.
Ability to maintain confidentiality and handle sensitive information with discretion.
Strong organizational skills with excellent attention to detail.
Ability to manage multiple priorities in a fast-paced environment.
Basic mathematical proficiency, including addition, subtraction, multiplication, and division.
Strong problem-solving, time management, and critical-thinking skills.
Ability to work independently and collaboratively within a team environment.
Knowledge of ICD-10, CPT, HCPCS codes, and medical terminology preferred.
Proficiency with Microsoft 365 applications.
Experience with HCN 360 and/or CPR+ preferred.
Working knowledge of Medicare billing requirements, including DME MAC guidelines preferred.
Minimum Qualifications
High school diploma or GED required.
One to three years of related billing, collections, or healthcare revenue cycle experience.
Experience in a medical, healthcare, or home infusion environment preferred.
Experience with medical billing and administrative record management.
Strong customer service and interpersonal skills.
Excellent organizational, communication, and problem-solving abilities.
Preferred Qualifications
Home infusion billing or collections experience.
Experience billing both medical and pharmacy claims.
Familiarity with Medicare, commercial payers, and reimbursement regulations.
Experience working with claim denials, appeals, and reimbursement resolution.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
About The Cigna GroupDoing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
Our Culture
Culture is meaningful to us. It’s in the way we interact with one another and with our clients. We believe in being our authentic selves with one another and have cultivated an approach that is “we” not “I”. We honor the commitments that we make to our clients and one another. This is our culture. We actively engage in the communities where we live and encourage our teammates to use Volunteer Time Off and to engage with our Spotlight Charities and causes meaningful to teammates.
About the role:
The National Accounts – Account Executive is responsible for maintaining persistency on an assigned book of business and oversees all aspects of Strategic Non-Medical Solutions (SNS)’ consulting services provided to our clients on the absence and disability programs.
Core Responsibilities: include the following. Other duties may be assigned. • Retain existing clients on entire Book of Business (BOB). Coverage lines include Group Life, Disability, AD&D, Dental and Voluntary Benefits • Support new business opportunities with existing clients • Work independently to oversee and orchestrate all aspects of service delivery to BOB; determine the appropriate utilization of internal and external resources as needed • Establish and maintain partnerships with internal partners and outside vendors/carriers that result in best-in-class service delivery to clients • Develop and own all business strategies, relationship strategies, renewals, RFPs and other projects for assigned clients • Maintain history of all work done for each client • Always have, at minimum, a 2-year outlook for each client; stay at least 1 year ahead of all renewals and know the game plan for each client at all times • Understand each client’s own business and departmental goals; build business strategy around their internal goals • Present to clients and demonstrate expert knowledge of all financial, plan design and process components of plans • Present underwriting components of Life, Leave & Disability, AD&D, Dental and various Voluntary Benefits plans • Stay current with all vendors’ product offerings; consistently demonstrate strong knowledge of the market to clients • Ensure all work product delivered to client is free of errors, meaningful, and meets SNS’ service standards • Establish and maintain trust with clients by consistently providing superior service, meeting all deadlines, and delivering as promised • Manage up to 3 Account Managers (AM) and Sr. Account Managers (SAM) who provide support on assigned BOB; mentor the AMs and SAMs and foster their career development • Act as mentor to other members of service staff, assisting with training, guiding and coaching as needed • Review or monitor travel and expenses to ensure resources are being used efficiently. • Provide oversight of all administrative aspects of book of business management. Includes managing and tracking of clients at risk, completion and billing of audits and other financially related tasks. Ensuring the AMs and SAMs are updating CRM on a consistent basis; internal and external client document is updated and current; oversight of the managing of daily tasks and cases through completion.
Skills needed: • Bachelor’s degree required. • Minimum 10 years’ progressive experience in a similar lead role in Group Insurance National Accounts (10,000+ lives), ideally from a carrier or broker background. • Ability to develop and nurture client relationships, maintain persistency goals and grow in-force Book of Business • Expert knowledge of the benefits we service including short term disability, long term disability, leave programs, life insurance, AD&D, voluntary benefits, dental and vision. • High level of technical knowledge in all components of contracts, plan design, claim processes, and vendor capabilities. • Self-directed with positive drive and approach, including the ability to work both independently and collaboratively in a virtual working environment. • Must be detail-oriented, have highly developed organizational skills including the ability to prioritize, manage multiple complex projects simultaneously, and coordinate various internal/external partner deliverables while managing strict deadline and turnaround time requirements. • Excellent interpersonal, verbal/written communication, and presentation skills required. • Proficiency in Microsoft Office applications required. • Ability to establish credibility at all levels of the organization and with clients through confident communications and actions based on integrity.
Preferred: • Experience with Salesforce.
We seek out and embrace diversity in our talent. Our business thrives on diversity of talent, experience, character, and inclusion.
Brown & Brown does not discriminate against teammates or applicants for employment on the basis of race, color, religion, absence of religious affiliation, national origin, ethnicity, age, disability, perception of disability, sex, sexual orientation, gender identity/expression, gender orientation, marital status, service in our armed forces, veteran status in our armed forces, political activity or political party affiliation. We are committed to ensuring equal employment opportunities for all our teammates and applicants for employment. Our equal employment opportunity philosophy, in accordance with federal, state, and local law, applies to all aspects of employment with us including recruiting, hiring, training, transfer/promotion, compensation, benefits, and termination.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
Founded in 2001 and headquartered in Nashville, TN, Sound Physicians is a nationally respected, physician-led medical group practicing in 400+ hospitals across 45 states. Our team of 4,000+ clinicians and 1,000+ business professionals across the country is united by one mission: to build exceptional clinical partnerships that unlock quality, affordable, dignified care for everyone – no matter who they are or where they live. With physician-led clinical teams and more than two decades of operational expertise, we’ve refined what it takes to consistently deliver exceptional care in hospital medicine, emergency medicine, critical care, anesthesia, and telemedicine.
Why join us?
A remote-first culture that values flexibility and collaboration
Opportunities to grow your career while making a real impact
A team that champions inclusivity, innovation, and excellence
Whether working virtually or onsite at one of our practices, you’ll be part of a purpose-driven organization shaping the future of healthcare.
Sound Physicians offers a competitive benefits package inclusive of the items below, and more:
Medical insurance, Dental insurance, and Vision insurance
Health care and dependent care flexible spending account
401(k) retirement savings plan with a company match
Paid time off (PTO) begins accruing immediately upon start date at a rate of 15 days per year, in accordance with Sound’s PTO policy
Ten company-paid holidays per year
About the Role
The ideal candidate for the Operations Staff Accountant will be a highly motivated, detail-oriented individual looking to work for a dynamic, growing company within the health care industry. A rounded accounting education base, analytical thinking, innovative mindset and polished interpersonal skills for interaction with all levels of an organization are key to success in this role.
Essential Duties and Responsibilities
Monthly invoice preparation and month-end close process
Understanding, researching, and analyzing scheduling/payroll information
Liaison between payroll and operational accounting teams
Researching and resolving operations and accounting compensation questions in a quick and confidential manner
Assisting with the creation and implementation of new standardized processes
Preparing journal entries and relevant support
Performing general ledger reconciliations – monthly/quarterly/annually with supporting documentation
Analyzing and interpreting monthly variances actuals/compared to budget
Supporting regional internal and external teams
Other projects and duties as assigned
What we are looking for:
A successful candidate will have a demonstrated track record of a combination of these values, knowledge, and experience:
Values
Work Ethic – Dedication to getting the job done well and on time, regardless of circumstances, a can-do attitude
Emotional Intelligence – The ability to identify and manage one’s own emotions, as well as the emotions of others, using this information to guide one’s thinking and actions
Adaptability – Demonstrates flexibility and a willingness to change as circumstances evolve and be coachable
Resourcefulness – Proactive willingness to utilize available information and tools to figure things out, not afraid to ask questions when necessary
Committed – Demonstrates a dedication to the job, project, organization, customer/clients, and co-workers
Communication – The ability to speak, write, and listen clearly, consistently, ask questions, and to interact people across all levels of the organization
Prioritization/Organization: The ability to triage workload and plan accordingly in order to meet deadlines accurately and efficiently
Team Player – The desire to support and help their team succeed, especially under challenging circumstances
Knowledge, Skills, and Abilities
Working knowledge of scheduling, payroll, and general ledger accounting
Analyzing variances from trend in financial reporting from budget and prior periods
Proficiency with Microsoft Excel, comfortable with other Microsoft Office Suite applications
Education and Experience
BA/BS degree in Accounting, Finance, or related field
1-3 years’ experience in public/private accounting
Salary Range
$65,000 -$80,000 annually. Exact pay will be determined based on candidate experience, geographical location, and size/complexity of the program being supported.
Sound Physicians is an Equal Employment Opportunity (EEO) employer and is committed to diversity, equity, and inclusion at the bedside and in our workforce. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, gender identity, sexual orientation, age, marital status, veteran status, disability status, or any other characteristic protected by federal, state, or local laws.
This job description reflects the present requirements of the position. As duties and responsibilities change and develop, the job description will be reviewed and subject to amendment.
The Project Manager supports Frontline’s Platform Engineering organization by coordinating platform adoption, rollout, enablement, and cross-functional delivery activities across Identity Platform, Core Services, UI Platform, Data Platform, and AI Enablement teams.
Platform Engineering creates shared capabilities that enable product teams across Frontline to deliver customer-facing outcomes more efficiently, consistently, and securely. The Project Manager plays a critical role in helping platform capabilities move from engineering delivery into successful organizational adoption and operationalization.
This role is responsible for coordinating platform rollout activities, managing dependencies, facilitating communication across stakeholders, improving visibility into delivery and adoption efforts, and helping teams navigate organizational and operational complexity.
The Project Manager works closely with Engineering Managers, Product Managers, Architects, Technical Leads, QA Engineers, Security teams, Operations teams, and adopting product teams throughout the lifecycle of platform initiatives including discovery, planning, rollout, adoption enablement, operational transition, and continuous improvement.
This role reports to the Senior Director, Engineering – Platform.
Operating Model Expectations
Platform Engineering operates within a product-oriented delivery model emphasizing customer outcomes, continuous discovery, shared ownership, and cross-functional collaboration.
The Project Manager is expected to:
Support successful rollout and adoption of shared platform capabilities across Frontline product teams.
Facilitate coordination across multiple engineering pods, product teams, and organizational stakeholders.
Help create clarity, alignment, and transparency across complex cross-functional initiatives.
Promote continuous improvement across delivery coordination, operational readiness, adoption enablement, and communication practices.
Balance delivery objectives with organizational readiness, operational sustainability, and stakeholder alignment.
Act like an owner by proactively identifying risks, dependencies, communication gaps, and opportunities for improvement.
Foster a collaborative environment grounded in transparency, partnership, accountability, and shared success.
How You’ll Drive Success
Platform Rollout & Adoption Coordination
Coordinate rollout and adoption activities for shared Platform Engineering capabilities.
Partner with platform and adopting teams to support successful onboarding, integration, operational readiness, and adoption planning.
Help identify organizational dependencies, adoption risks, operational concerns, and communication needs.
Support platform enablement efforts including onboarding coordination, adoption tracking, communication planning, and organizational readiness activities.
Help facilitate successful transitions from initial delivery into broader organizational adoption.
Build and maintain project plans, dependency tracking, risk management activities, status reporting, and delivery coordination workflows.
Facilitate collaboration across Engineering, Product, Security, Operations, UX, Data, and Customer-facing teams.
Proactively identify blockers, risks, dependency conflicts, communication gaps, and delivery concerns.
Support effective prioritization and sequencing discussions across teams.
Help ensure platform initiatives maintain visibility, alignment, and operational momentum.
Communication & Organizational Alignment
Facilitate effective communication across technical and non-technical stakeholders.
Help translate complex technical initiatives into understandable rollout, delivery, and adoption plans.
Prepare and communicate status updates, rollout readiness information, adoption metrics, dependency tracking, and project risks.
Support stakeholder alignment and organizational transparency throughout platform initiatives.
Help establish repeatable communication and coordination practices supporting Platform Engineering effectiveness.
Build strong collaborative relationships across engineering and product organizations.
Delivery Process & Continuous Improvement
Support Platform Engineering delivery practices through coordination, process improvement, and operational planning.
Help identify opportunities to improve platform adoption workflows, coordination approaches, and delivery effectiveness.
Contribute to operational readiness planning, release coordination, and organizational enablement activities.
Support continuous improvement initiatives related to delivery visibility, organizational alignment, communication effectiveness, and execution consistency.
Encourage effective collaboration and shared accountability across teams.
AI-Assisted Productivity & Operational Enablement
Effectively leverage modern AI-assisted productivity tooling and workflow automation technologies to improve coordination, reporting, communication, planning, and operational efficiency.
Utilize AI-enabled tools to improve visibility into dependencies, delivery risks, adoption activities, and organizational readiness.
Apply thoughtful and responsible use of AI-assisted workflows while maintaining strong standards for accuracy, governance, operational integrity, and human accountability.
Encourage continuous improvement and operational efficiency through pragmatic adoption of emerging technologies.
What You Bring to Help Us Grow
Required
Bachelor’s Degree in Information Technology, Business, Computer Science, or related field, or equivalent professional experience.
5+ years of professional project management or delivery coordination experience supporting technology organizations.
Strong organizational, planning, dependency management, and communication skills.
Experience working within Agile, Scrum, Waterfall, or hybrid delivery models.
Experience facilitating collaboration between technical and non-technical stakeholders.
Strong problem-solving and operational coordination abilities.
Experience using project management, reporting, and collaboration platforms.
Strong written and verbal communication skills.
Preferred
Experience supporting platform engineering, shared services, or developer enablement organizations.
Experience coordinating rollout, onboarding, adoption, or organizational enablement activities.
Familiarity with cloud-native technology organizations and distributed engineering environments.
Experience supporting SaaS or multi-tenant software platforms.
Familiarity with AI-enabled productivity tooling or workflow automation platforms.
Experience working with geographically distributed or offshore teams.
Familiarity with product-oriented operating models and platform adoption challenges.
What You’ll Need to Thrive
Personal Attributes
Acts like an owner by taking accountability for coordination effectiveness, organizational alignment, and successful platform adoption outcomes.
Strong systems-thinking mindset that balances local team needs with broader organizational impact.
Pragmatic, organized, and execution-oriented while remaining adaptable within evolving environments.
Comfortable operating in ambiguity and helping teams create clarity.
Strong collaborator capable of building trusted relationships across technical and non-technical teams.
Excellent communicator capable of simplifying complexity and aligning diverse stakeholders.
Passionate about operational excellence, organizational effectiveness, and continuous improvement.
Curious, adaptable, and continuously learning.
A “One Team” mindset grounded in servant leadership and shared accountability.
Our Mission, Our People, Our Purpose
Frontline Education is a pioneer of school administration software purpose-built for K–12 districts. We provide innovative, connected solutions for student and special programs, business operations, and human capital management with powerful data and analytics to empower educators and administrators. We earn the trust of K–12 leaders across the U.S. by serving as a consistently high-performing, forthright partner of school districts through every dimension of the company.
We’re a group of unique and talented individuals who love what we do. We believe in servant leadership, collaboration, continuous improvement, and balancing great work with a healthy life outside of it.
Frontline embraces diversity, equity, and inclusivity and is an equal opportunity employer.
At Frontline Education, we’re reimagining what’s possible by becoming an AI-first organization, transforming how we think, work, and serve the educators who shape our schools every day. By using AI in thoughtful, practical ways, we’re creating tools that help educators save time, gain insights, and focus more on what matters most, their students.
As part of our team, you’ll be expected and empowered to build and apply AI skillsets that grow with you, because at Frontline Education, technology amplifies what matters most: the human drive to learn, improve, and make a difference.
Compensation & Benefits
The full base compensation range for this position is $100,000-$115,000.
Bonus eligibility and long-term incentive opportunities
401(k) with company match
Comprehensive health, dental, and vision coverage
Employee stock purchase plan
Generous paid time off and tuition reimbursement
Inclusion, Belonging & Equal Opportunity
Frontline Education is an equal opportunity/affirmative action employer. We aspire to have an inclusive workplace and strongly encourage suitably qualified applicants from a wide range of backgrounds to apply and join our team.
Interview Process & Data Privacy
As part of our interview process, Frontline uses video conferencing tools that include photo capture and may include automated transcription features. A screenshot or photo will be taken at the start of the interview for internal identification and record-keeping purposes only, and transcription may be used to support notetaking and evaluation consistency. These materials are used solely by our recruiting and hiring teams, stored securely, and not shared outside the hiring process. Candidates may opt out of the transcription at any time by notifying their recruiter in advance. Frontline processes this information in accordance with applicable data privacy laws and only for legitimate business purposes related to recruitment and hiring.
Liberty University Online Academy (LUOA) is a fully accredited K-12 school that exists as an extension of Liberty University, providing an online educational option for grades K-12. An LUOA Teacher will be responsible for teaching courses as assigned and take advantage of teaching moments and opportunities through grading assignments and emails. The Teacher will also carry out various administrative tasks dictated by their Instructional Mentor, the Faculty Support Coordinator, the Director of Faculty, or the Superintendent. These administrative tasks will include items such as course content feedback and timely submission of final grades. Teachers are responsible for evaluating and commenting with appropriate feedback on class assignments and post grades using Canvas, the LUOA Learning Management System, within 48hrs of submission. They must also reply to student messages within 24hrs with clear and concise communication. Teachers will report to their Instructional Mentor, responsible for assisting the teacher with questions concerning their administrative responsibilities.
Essential Functions and Responsibilities
1. Teach material from the approved curriculum in accordance with assigned schedule to ensure student satisfaction.
2. Assist students in achieving completion of objectives and learning outcomes.
3. Provides regular and timely feedback to students.
4. Participates in school retention initiatives by maintaining productive contact with students and getting in touch with and offering assistance to absent students.
5. Advises students in matters related to academics, attendance, and behaviors.
6. Motivates students to participate in all aspect of the educational process actively.
7. Maintains and reports student grades and attendance in accordance with university policies.
8. Available to meet with students through live conference upon student’s request.
9. Other duties as assigned.
Qualifications, Credentials, and Competencies
A bachelor’s degree in Education or related discipline with certification or the equivalent in the specific subject matter required and classroom teaching experience required. A master’s degree and online teaching experience in a K-12 program preferred. If the employee is required to travel in performing the duties and responsibilities of the position, the use of one’s personal vehicle (or LU vehicles) may be required for travel. Proof of a valid driver’s license, an acceptable DMV record, LU Driving Approval, and liability insurance is required when driving in the performance of the employee’s position.
Time TypePart time
LocationRemote Location
Pay Range
Teachers are typically paid between $3.12 and $6.25 per student per pay period. Actual pay can vary depending on enrollment and course subject.
The University is an Equal Opportunity Employer. We believe it is our moral and legal obligation to meet the responsibility of ensuring that all management practices regarding employees are conducted in a nondiscriminatory manner. In compliance with Title VII of the 1964 Civil Rights Act, and other applicable federal and state statutes, all recruiting, hiring, training, and promoting for all job classifications will be administered without regard to race, color, ancestry, age, sex, national origin, pregnancy or childbirth, disability, military veteran status or other applicable status protected by law, including state of employment protected classes. It is, therefore, our policy and intention to evaluate all employees and prospective employees strictly according to the requirements of the job. All personnel related activities such as compensation, benefits, transfers, job classification, assignments, working conditions, educational assistance, terminations, layoffs, and return from layoffs, and all other terms, conditions and privileges of employment will be administered without regard to race, color, ancestry, age, sex, national origin, pregnancy or childbirth, disability, military veteran status or other applicable status protected by law, including all applicable state of employment protected classes. The University is a Christian religious-affiliated organization; and as such, is not subject to religious discrimination requirements. The University’s hiring practices and EEO discrimination practices are in full compliance with both federal and state law. Federal law creates an exception to the “religion” component of the employment discrimination laws for religious organizations (including educational institutions), and permits them to give employment practice preference to members of their own religious beliefs.
This is a full-time position scheduled for 40 hours, 5 days a week.
Days/hours of availability: Monday-Friday from 8:30am-5pm EST.
Weekend (Saturday and Sunday) coverage required twice a month. When working weekends, it will allow for off days during the week.
Available to work 3 holidays a year. Based on business needs, additional holiday coverage may be required.
As an E-Referral Specialist you will report to the E-Referral Supervisor. You will be an important part of the referral process as this role is the initial contact point for the client or referral source to promote the continuity of care. You will be responsible for data collection and documentation, compliance, and follow up on the initial referral process and decision.
Essential Functions:
Monitor multiple e-referral systems to identify new referrals and manage alerts and notifications.
Monitor email for request to pull referrals from all applicable referral systems. Perform follow-up and manage all related communication.
Scan documentation to determine patient eligibility for services (service area, orders, insurance, etc.)
Monitor status of all referrals received, follow up with each throughout process, reports on status weekly.
Communicate with branch, sales, and leadership by email or phone for status updates and referral decisions.
Daily management of ERST log with all referrals and ROCs decisions.
Maintain acceptable productivity level, as determined by work assignment and departmental standards.
Comply with and follow all regulatory compliance areas, policies & procedures, and company best practices.
Use your skills to make an impact
Required Experience:
High School Diploma or its equivalent
Can type a minimum of 40 wpm
Comprehend and apply principles of basic math while analyzing data and generating reports
Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams
Good logical thinking and decision-making skills
Can follow strict timelines
Communication with all levels of management
Can work with multiple screens/systems ensuring attention to detail
Time management skills and can work in a fast-paced environment
Must read, write and speak fluent English
Must have good and regular attendance
Approximate percent of time required to travel: 0%
Preferred Experience:
Experience processing incoming referrals using eReferral portals and EPIC systems.
1 or more years customer service or other healthcare related experience; preference working in a home health environment
Knowledge of the issues related to the delivery of home health services
Working knowledge of Medicare enrollment and guidelines governing home health agencies
Associates degree
Work at Home Requirements To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$40,000 – $52,300 per year
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 07-09-2026
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer at CenterWell.com.
CLIENT SERVICES SPECIALIST: Lexitas provides legal and corporate services, where organized, detail‑focused professionals ensure responsive client support and accurate coordination.
LOCATION: This is a full-time, Remote position. Lexitas provides a fully equipped home office setup, including a company-issued laptop.
PAY RATE: $20-$22/hr
BENEFITS: Medical, dental, and vision coverage; 401(k) with company match; paid time off and paid holidays, company paid maternity, baby bonding and military leave.
Join a High-Growth Legal & Corporate Services Leader
ABOUT THE ROLE:
As a Client Services Specialist, you’ll be the first line of communication between Lexitas and our legal clients—ensuring high-touch support through timely email correspondence, order fulfillment, and client onboarding. This role is pivotal in managing new client integrations, responding to daily client inquiries, and coordinating across departments to ensure smooth delivery of services. You’ll thrive in this role if you’re organized, proactive, and dedicated to exceptional client service.
Lexitas is a rapidly growing national provider of legal and corporate support services, including court reporting, medical record retrieval, process service, registered agent services, and corporate filings. Our mission is to deliver unmatched service with integrity, professionalism, and responsiveness.
KEY RESPONSIBILITIES:
Serve as the primary email contact for new and existing clients, ensuring timely, accurate responses.
Onboard new clients and users into Lexitas systems and introduce them to our online client portal.
Manage data entry tasks, including job orders, new attorney/firm profiles, locations, and client preferences.
Coordinate and schedule deposition services across departments.
Monitor job queues and backlogs, update case statuses, and send daily job entries.
Collaborate with sales and operations to support lead generation, resolve client concerns, and ensure job execution.
Generate and distribute client job reports and confirm billing accuracy.
Support the call queue when needed and assist with after-hours availability on a rotating basis.
Maintain confidentiality and compliance with HIPAA regulations for handling legal and medical records.
WHAT WE’RE LOOKING FOR:
Exceptional attention to detail and a strong sense of accountability.
Ability to manage multiple priorities in a fast-paced environment.
Strong data entry and typing proficiency with a focus on accuracy.
Outstanding verbal and written communication skills.
A positive, client-first attitude with excellent customer service instincts.
Team-oriented mindset with the flexibility to adapt to shifting priorities.
Proficiency in Microsoft Outlook, Word, Adobe Acrobat, and standard office tools.
Knowledge of legal terminology or deposition notices is a plus.
QUALIFICATIONS:
High school diploma or equivalent required.
1+ year experience in litigation services, legal support, or a customer service role.
Understanding of HIPAA compliance is preferred but can be trained.
Reliable attendance and strong work ethic.
Flexibility to work occasional overtime or on-call shifts as needed.
SUPERVISORY RESPONSIBILITIES
This role is not a supervisor position.
LANGUAGE SKILLS
Ability to effectively present information and respond to questions from internal and external customers whose first language is English.
CERTIFICATES, LICENSES, REGISTRATIONS
None
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to stand; walk; use hands to finger, handle or feel objects, type and use mouse; reach with hands and arms; and talk and/or hear. The employee is required to sit for extended periods of time.
WORK ENVIRONMENT
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee regularly works in an office environment in a clerical environment. This role routinely uses standard office equipment such as computers, phones, photocopiers and filing cabinets.
TRAVEL REQUIREMENTS
No travel is expected for this position.
OTHER DUTIES
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to the job at any time with or without notice.
AAP/EEO STATEMENT
Lexitas prohibits discrimination based on race, religion, gender, national origin, age, disability, veteran status, marital status, pregnancy, gender identity, sexual orientation or any other legally protected status.
EOE Employer/Vet/Disabled
If you require reasonable accommodation in the application process, please contact Human Resources at [email protected] for assistance. All other applications must be submitted online.
Job Details
Pay TypeHourlyHiring Min Rate20 USDHiring Max Rate22 USD
The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.
$19/Hour Pay Rate
RESPONSIBILITIES
· Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
· Confirm the presence of necessary documents within submitted claims.
· Validate the accuracy of medical codes provided in claim submissions.
· Assess the eligibility status of claims based on established criteria.
· Review and verify other insurance coverage information in submitted claim.
· Evaluate authorizations provided in claim submissions for accuracy.
· Analyze account benefit plans to ensure claims align with coverage and policies.
· Identify discrepancies, errors, or missing information.
· Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
· Meet or exceed quality and productivity goals.
· Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
· Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.
QUALIFICATIONS
· High school diploma or equivalent
· Ability to quickly learn a variety of computer applications to complete job functions,
· Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
· Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
· Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
· Detail-oriented with experience in applying complex policy/procedure documents.
· Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
· Proven experience completing work with quality and productivity performance standards.
· Experience working independently in a virtual environment preferred.
· Experience with medical and insurance terminology in a professional setting preferred.
· Knowledge of CPT/ICD-10 codes preferred.
· Proven experience in health insurance claims processing or similar field preferred If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.75 – 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
time typeFull timeposted onPosted Yesterdayjob requisition id2621864
Labcorp is a leader in diagnostics, drug development and healthcare innovation. Across every role, we harness data and AI to work smarter, move faster and create breakthrough solutions that improve health outcomes for people. With our global scale and deep expertise, you’ll do meaningful work, grow your career and make a real impact. Together, we’re improving health and improving lives.
Labcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. Join us in our mission to improve health and improve lives.
Labcorp is seeking a U.S. remote Billing Coordinator Remote
Work schedule: Monday-Friday 9am-6pm EST
Responsibilities
Billing Data Entry involved which requires 10 key skills
Compare data with source documents and enter billing information provided
Research missing or incorrect information
Verification of insurance information
Ensure daily/weekly billing activities are completed accurately and timely
Research and update billing demographic data to ensure prompt payment from insurance
Communication through phone calls with clients and patients to resolve billing defects
Minimum Qualifications
High School Diploma or equivalent
1 year or more work experience
Preferred Qualifications
Alpha-Numeric Data Entry Proficiency (10 key skills)
Additional Job Standards
Previous RCM Experience
At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You’ll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today’s biggest health challenges around the world. Together, let’s embrace possibilities and change lives! This empowered and valued employee will help deliver exemplary customer experiences through innovation and continuous improvement.
Application Window Closes: 7/9/2026
Pay Range: $ 17.75 – $21.00 per hour
All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data.
Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan.Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan.Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.
Labcorp is proud to be an Equal Opportunity Employer:
Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law.
We encourage all to apply
If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
QuarterLine (QL), a Planned Systems International (PSI) company, is seeking a professional, dependable, and highly organized Administrative Assistant to provide administrative and project support to a corporate team delivering government staffing services across multiple task orders. This position requires someone who can work effectively in a remote setting, communicate clearly with remote and distributed staff, and support day-to-day operational needs with accuracy, responsiveness, and discretion.
The ideal candidate is proactive, detail-oriented, comfortable managing competing priorities, and able to support back-office team members, program leadership, and employees by coordinating meetings, assisting with timesheet processes, documenting procedures, tracking action items, and helping ensure consistent communication across the program.
Essential Functions and Job Responsibilities
Provide general administrative and project support to program managers, back-office personnel, and operational team members supporting government staffing contracts.
Assist with timesheet coordination, reminders, follow-up, basic tracking, and escalation of missing or incomplete submissions in accordance with company and contract procedures.
Schedule internal and external meetings, coordinate calendars, prepare agendas, distribute meeting materials, and support virtual meeting logistics.
Attend meetings as needed to capture notes, action items, decisions, owners, and due dates; distribute meeting summaries and track follow-up items through completion.
Support remote employees by responding to routine administrative inquiries, helping route requests, sharing resources, and coordinating with appropriate internal teams.
Conduct employee outreach to support engagement, collect updates, and help maintain accurate employee communication.
Draft, format, update, and maintain standard operating procedures, work instructions, templates, trackers, rosters, and other program documentation.
Maintain organized electronic records, filing structures, trackers, and shared documentation repositories to support contract compliance and operational continuity.
Support daily operations across multiple task orders by monitoring administrative deadlines, updating status logs, preparing reports, and helping ensure timely completion of recurring tasks.
Coordinate communications between corporate support functions, program leadership, field employees, and other stakeholders as needed.
Perform additional administrative, clerical, and operational support duties as assigned to meet changing program needs.
Minimum Requirements
US Citizen
Bachelor’s degree
1 or more years of experience
Desired Qualifications
Strong organizational skills with the ability to manage multiple priorities, deadlines, and recurring administrative processes.
Excellent written and verbal communication skills with the ability to interact professionally with employees, managers, corporate staff, and external stakeholders.
Proficiency with Microsoft Office applications, including Word, Excel, Outlook, PowerPoint, and Teams.
Company Benefits
PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.
EEO Commitment
It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.
Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact Human Resources by emailing [email protected], or by dialing 703-575-8400.
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Essential Functions:
Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
Date stamps all requests and highlights pertinent data to facilitate processing.
Validates requests and authorizations for release of medical information according to established procedures.
Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
Maintain equipment in excellent operating condition (inside and out).
Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
Maintains a neat, clean, and professional personal appearance and observes the dress code established.
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
Maintains working knowledge of the existing state laws and fee structure
Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
Maintains confidentiality, security and standards of ethics with all information.
Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
High School Diploma (GED) required
A minimum of 2 years prior experience in a medical records department or like setting preferred
Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
Excellent organizational skills are a must
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly.
Must be self-motivated, a team player
Must have proven customer satisfaction skills
Must be able to multi-task
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your future.
Position Details:
Reliable Training – No prior experience in public adjusting is required. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Flexible Schedule and Location – Our claim representatives have the opportunity to set their own schedule. This can be worked as a part-time or full-time position, and can be done either in-person or remotely.
Responsibilities:
Conduct a virtual or in person walk-through inspection of the property to identify damage that may be covered under insurance
Utilize skills to drive business growth and success.
Interpreting insurance policies
Provide exceptional customer service and address clients’ needs.
Fill out paper work, as needed, to process claims
Who would do well:
We welcome applicants who have a positive attitude and enjoy working with people. This position is a great fit for people who are looking to work around their busy schedule.
If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session.
We are seeking to fill the role of Closing Support Specialist. The ideal candidate enjoys collaborating with clients, industry partners and internal teams to maximize outcomes for homeowners.
Responsibilities
• Attend and participate in all team meetings • Perform Quality Control audits on each staff member monthly • Monitor the pipeline and identify any gaps in our review • Review foreclosure sale date report and ensure all files with FC sale dates are addressed • Ensure daily reports are pulled and available to management • Handle all written and verbal correspondence professionally between the homeowners, client, investor, insurer, subordinate lien holders, real estate agents, consumer credit counseling services, and foreclosure attorneys • Assist with new hire training, including audit of all files during initial training period • Able to train and underwrite to all investor guidelines • Able to react to change productively and handle other essential tasks as assigned • All other duties as assigned.
Qualifications
• High School Diploma or equivalent required. • 3 years Collections, Loss Mitigation, or other mortgage banking, mortgage servicing or real estate related experience • Proficient in all Loss Mitigation workout types and all agency (FHA, VA, FNMA, FHLMC) guidelines • Proficient in MS Office Windows, MS Word, MS Excel, MS Outlook • LPS/MSP experience • Ability to work independently in a fast-paced environment as well as part of a team and focus on results • Ability to multi-task • Ability to structure a workout that serves the best interests of the homeowner/investor/insurer/client
Total Rewards
LoanCare’s Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include:
Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance
Time Off: Paid holidays, vacation, and sick leave
Retirement & Investment: Fidelity National Financial matching 401(k) and employee stock purchase plans
Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being
Employee Recognition: Programs that celebrate achievements and milestones
Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
Compensation Range: $20.43 – 34.28 per hour. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience.
Build Your Future with LoanCare®
At LoanCare, we don’t just service mortgage loans—we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration.
Here, you’ll find:
A culture that helps you thrive, with resources and support to fuel your growth
Flexibility to work remotely, while staying connected through virtual engagement
Opportunities to make a real impact in an industry that touches millions of lives
If you’re ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team.
WHO WE ARE About us … LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry and has offered its expertise and best practices in providing servicing solutions for others since 1991. At the present time, LoanCare subservices over 1.8 million loans in 50 states. LoanCare has a seasoned loan servicing team with senior managers averaging nearly 30 years of experience in the mortgage and financial services industry. LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
WORK CONDITIONS Working conditions are normal for an office environment. Ability to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Over time required as necessary. Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation.
We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.
Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.
Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.
We have immediate openings for candidates to score the School Leadership Assessments below remotely for our Malta, NY office:
School Building Leader
School District Leader
School District Business Leader
Key benefits
Starting rate of $17.50 per hour
Flexibility to work scoring sessions that suit your availability
Working remotely
Qualifications
A current School Building Leader, School District Leader, or School District Business Leader certification AND are currently serving as an administrator or have served as an administrator within the last three years
OR are or have been educators from colleges or universities who have taught or advised administrator candidates within the last three years
Both active and recently retired practitioners can be eligible to score.
Basic computer skills (keyboard, mouse)
Ability to sit for extended periods of time
Ability to maintain a confidential work environment
Eligible to work in the United States
Overall Responsibilities
Evaluate responses to test questions by New York administrator candidates
Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring
Working Conditions
Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.
Scoring sessions take place during the week Monday through Friday. Scoring sessions will last 2 days and occur on an intermittent basis, every 4 to 8 weeks depending on the subject. The scoring day runs from 8:30 a.m. to approximately 4:30 p.m., including training.
Note: Applications are accepted on an ongoing basis.
This position is NOT bonus/benefits eligible. Information and guidelines on benefits offered is here .
Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected].
locationsRemotetime typeFull timeposted onPosted 7 Days Agojob requisition idR-101948
Job Description:
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Essential Functions:
Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
Date stamps all requests and highlights pertinent data to facilitate processing.
Validates requests and authorizations for release of medical information according to established procedures.
Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
Maintain equipment in excellent operating condition (inside and out).
Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
Maintains a neat, clean, and professional personal appearance and observes the dress code established.
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
Maintains working knowledge of the existing state laws and fee structure
Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
Maintains confidentiality, security and standards of ethics with all information.
Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
High School Diploma (GED) required
A minimum of 2 years prior experience in a medical records department or like setting preferred
Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
Excellent organizational skills are a must
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly.
Must be self-motivated, a team player
Must have proven customer satisfaction skills
Must be able to multi-task
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
At Reserv, we’re reimagining what modern claims handling can be — faster, smarter, and relentlessly customer‑centric. As our Claims Director, you’ll lead a team of Claims Professionals managing real property and auto damage claims, bodily injury claims, driving operational excellence through technology, analytics, and a deep commitment to customer experience.
You’ll own the full customer journey, ensuring every interaction is seamless, empathetic, and efficient. This role blends strategic leadership with hands‑on execution, requiring someone who can inspire teams, influence cross‑functional partners, and scale a claims operation built for the future.
What You’ll Do
Customer Experience & Strategy
Develop and execute a comprehensive customer experience strategy aligned with Reserv’s mission and growth goals.
Define KPIs and performance metrics to drive satisfaction, retention, and overall experience quality.
Identify emerging trends and technologies to continuously evolve our claims experience.
Act as the voice of the customer in key business decisions.
Leadership & Team Development
Build, lead, and develop a high‑performing claims team.
Oversee recruitment, onboarding, coaching, and ongoing professional development.
Conduct regular performance evaluations and foster a culture of excellence, innovation, and accountability.
Design and implement training programs to strengthen technical, insurance, and customer service skills.
Operational Excellence
Serve as the escalation point for complex or sensitive customer issues, providing strategic guidance and resolution.
Use data, analytics, and customer feedback to identify pain points and implement improvements.
Partner with Product and Engineering to inform the development of tools, systems, and processes that enhance efficiency and outcomes.
Ensure scalable, compliant, and efficient operations across all claims workflows.
Cross‑Functional Collaboration
Work closely with leaders across Claims Operations, Product, Engineering, and Marketing to drive customer‑centric initiatives.
Influence organizational priorities and ensure alignment with broader business objectives.
Requirements
Bachelor’s degree in business, marketing, communications, or a related field (advanced degree preferred).
10+ years of experience in insurance claims across multiple lines; property and/or auto strongly preferred.
5+ years of management experience, ideally leading remote teams.
Proven ability to deliver results, overcome obstacles, and drive continuous improvement.
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
Job Title: Healthcare Revenue Integrity Specialist Status: Full-Time Non-Exempt Direct Hire Location: Remote (anywhere in the United States) Target Pay Rate: $25.00-$29.00 per hour
We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Healthcare Revenue Integrity Specialist who will be responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.
** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **
About Expressable Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.
The Healthcare Revenue Integrity Specialist is responsible for reviewing daily payment batches, reconciling them against bank deposits, validating payer and claim accuracy, and supporting month-end close activities. The position ensures compliant documentation, supports audit readiness, and identifies opportunities to improve payment integrity and revenue cycle accuracy.
WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.
What You Would Be Doing at Expressable
Reconcile daily payment batches in Candid against bank deposits, resolving unapplied or unmatched items.
Audit claim and payment data for accuracy, proper denial status, and correct payer assignment.
Validate reimbursement amounts against contracted fee schedules and expected payments.
Monitor deposit aging, adjustment codes, and denial patterns; escalate discrepancies or unusual trends.
Maintain accurate reconciliation documentation and ensure audit readiness.
Prepare and share denial feedback and reconciliation summaries to support process improvements.
Verify reconciliations and reports for month-end close and financial accuracy.
Assist with payment integrity projects, such as underpayment reviews and payer audits.
Collaborate with Billing, Quality, and Compliance to refine processes and enhance revenue accuracy.
Present reconciliation findings and payer insights in revenue review meetings.
What You Bring to Expressable
** NOTE: Candidates with payment posting experience and have various medical billing certifications will get first review. **
Education/Experience: Associate’s or bachelor’s degree in accounting, finance, healthcare administration, or related field preferred.
Experience: 2–3 years of experience in payment reconciliation, healthcare billing, or revenue cycle operations.
Technical Skills: Proficiency with EHR/RCM platforms (e.g., Candid, Availity, Waystar), Excel/Google Sheets, and payment posting systems.
Analytical Skills: Strong attention to numerical accuracy, ability to interpret payer remittance advice, and comfort with variance analysis.
Regulatory Knowledge: Understanding of HIPAA, PCI, and healthcare payer requirements.
Preferred: Experience in multi-state telehealth or large outpatient provider environment. Any Medical Billing/ Coding Certifications. Any Payment Posting experience is highly desired.
KEY COMPETENCIES In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Financial Clearance Coordinator should possess the following key competencies.
Analytical Accuracy – Demonstrates high attention to detail in reconciling complex financial data and identifying discrepancies.
Problem Solving & Initiative – Investigates root causes and recommends proactive resolutions to prevent recurring issues.
Accountability & Organization – Manages daily workflows and meets reconciliation deadlines with minimal oversight.
Collaboration & Communication – Works effectively with finance, billing, and compliance teams to ensure transparency and resolution.
Integrity & Compliance – Maintains confidentiality and upholds strict adherence to internal controls and regulatory standards.
Physical Requirements and Work Environment This is a sedentary, remote position that primarily involves working at a computer or tablet for telecommunications and documentation. The role requires the ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information. Occasional light lifting of up to 10 pounds may be necessary. Work is performed in a home office environment with minimal exposure to environmental hazards. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Why Join Us?
Exceptional paid time off policies that encourage and support life balance, including a winter break.
401k matching to ensure our staff have what they need to enjoy their retirement
Health insurance options that ensure well being for the whole person and their family
Company paid life, short-term disability, and long-term disability coverage
Remote work environment that strives for connectivity through professional collaboration and personal connections
NOTE Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone – clients, caregivers, speech-language pathologists, and team members – can achieve their highest potential.
We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.
Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.
Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].
Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.
We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients’ homes. We’re now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions.
The Role
We’re hiring a Data Analytics Lead – Remote Patient Monitoring (RPM) to define the KPIs, data models, and analytical infrastructure that support Cadence’s clinical, operational, and product decisions. You will partner closely with care delivery, operations, product management, and customer success to build a scalable analytics roadmap and translate complex data – including patient vitals, EHR records, and clinical outcomes – into insights that drive strategy. This role sits at the center of how Cadence measures and improves care delivery at scale.
What You’ll Do
Build and maintain labor productivity models and workforce supply/demand forecasts that give clinical operations leadership a clear, real-time picture of staffing needs, capacity constraints, and efficiency trends across the RPM program.
Develop financial and operational models, including revenue forecasting and cost-per-patient analyses, that support resource planning and strategic decision-making at the executive level.
Explore patient vitals, EHR data, and clinician-generated data to surface insights that benefit clinical care, inform product strategy, and support care gap closure across Cadence’s patient population.
Build reusable analytical workflows and automation that reduce manual overhead, accelerate insight generation, and raise the quality and consistency of outputs across the analytics function.
Collaborate with internal stakeholders to identify data needs, define what data should be collected, and ensure metrics are consistently defined and reliable across teams.
Maintain and evolve Cadence’s data stack (Snowflake, Fivetran, dbt) with well-documented, scalable infrastructure — and collaborate across teams to define how data is collected, structured, and standardized as a reliable foundation for analytical work.
What You Need
5+ years of experience working with SQL or other data querying languages, with hands-on experience building and maintaining analytics, reporting, and dashboarding solutions.
Proficiency with modern data stack tools such as Snowflake, Fivetran, and dbt, or equivalent technologies.
Bachelor’s degree in Mathematics, Statistics, Economics, Computer Science, or a related quantitative field, or equivalent practical experience.
Practical knowledge of statistics and data analysis techniques, with the ability to translate findings clearly for both technical and non-technical stakeholders.
Experience working with clinical or health data – including patient vitals, EHR records, or outcomes data – and familiarity with the data structures and sensitivity considerations that come with it.
Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.
Compensation
Our job titles may span more than one career level. The base salary for this role typically ranges between $160,000 – $200,000, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is eligible for equity as part of the total compensation package. Actual compensation may vary by location.
Benefits & Perks
Competitive pay & equity*
Fully remote
Comprehensive health coverage: Medical, dental & vision
Paid time off
401k plan + matching
Paid parental leave
Home office stipend
*benefit offerings may vary depending on job profile, job level and worker type
Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws.
A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team. Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.
If you require a reasonable accommodation during the interview or hiring process, please notify your recruiter.
REMAX Hawaii (formerly Better Homes and Gardens Real Estate Advantage Realty) provides comprehensive residential real estate services across Oahu and Maui.
Celebrating 20 years of doing business in Hawaii, locally owned REMAX Hawaii has 6 offices across Oahu and Maui in Kahala, Kailua, Kakaako, Haleiwa, Kapolei and Wailuku with over 200 employees and licensed agents.
They have created a clear strong corporate culture which has been a key to the growth and success of our company. Their agents and support staff are client centric and put the clients’ needs ahead of their own. Their core values of honesty, transparency, collaboration, commitment, charity, innovation and strong work ethic are communicated to the agents and employees from the initial interview and throughout every company interaction
Voted Hawaii’s Best Real Estate Firm the past 13 years and a Best of Honolulu Company for 11 years. The company was also recognized as one the Best Places to Work by Hawaii Business magazine for the 6th year in a row.
Learn more at http://remaxhawaii.com
Job Description
In your role as a real estate data entry operator, you will play a crucial role in upkeep and updating our database. In order to maintain correct and current records, you will be responsible for accurately entering a variety of data. The ideal candidate for this role will have strong organizational skills, a sharp eye for detail, and the capacity to work independently in a remote setting.
Pay: $26.81 – $29.97 per hour
Responsibilities
Update and add transactions, client information, and real estate data to the database.
Examine and amend data to make sure it is accurate and comprehensive.
Collaborate with your teammates to resolve any discrepancies found in the data.
Be mindful of privacy and abide by data security regulations.
Assist in creating reports and presentations using the data acquired.
Performing secretarial duties entails filing, monitoring office supplies, scanning, and printing as needed.
Qualifications
A high school certificate or its equivalent; a bachelor’s degree is ideal but not necessary.
Solid background in data entry or a related field.
Strong command of the language and procedures used in real estate.
A strong command of computers, including the MS Office suite and data input programs.
Remarkable precision and attention to detail.
The capacity to operate autonomously with little guidance.
Outstanding organizing and time management skills.
Good communication abilities, particularly while working in a remote team.
Additional Information
REMAX Hawaii is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. All your information will be kept confidential according to EEO guidelines.
Payroll AdminiAre you a Workday Payroll expert who loves precision, problem solving, and making sure every employee gets paid right, every time? We’re looking for a Payroll Administrator to take ownership of our payroll operations and become our go to resource for all things Workday.
This is a great opportunity for someone who genuinely enjoys the technical side of payroll: configuring systems, troubleshooting issues, and finding smarter ways to get things done, while also being the friendly, knowledgeable face employees turn to with payroll questions.
What You’ll Do
Own end to end payroll processing for all employees using Workday, plus the Deel platform for our global team members. You’ll calculate wages, bonuses, and deductions with accuracy and care, and make sure every timesheet and record checks out before payroll runs.
You’ll be the go to person for the Workday payroll module itself: configuring it, maintaining it, troubleshooting it, and partnering with HR and IT on updates, integrations, and testing. If you see a manual process that could be automated, you’ll have the platform and the support to make it happen.
Beyond the system work, you’ll keep us compliant with federal, state, and local payroll laws, prepare and review tax filings, and support audits with confidence. You’ll generate payroll reports for leadership and accounting, help with month end, quarter end, and year end close (including W-2s), and manage benefit deductions across health insurance, retirement, FSAs, and more.
You’ll also be a trusted resource for employees, answering questions, resolving pay discrepancies, and helping people navigate Workday self-service tools like pay stubs and direct deposit updates.
What You Bring
A bachelor’s degree in accounting, finance, human resources, or a related field (or equivalent experience), along with 3 to 5 years of payroll administration experience.
Strong, hands on Workday Payroll expertise is essential here. We’re looking for at least 2 years of direct experience setting up, processing, and troubleshooting within Workday.
You should also bring solid experience with multi-state payroll, garnishments, benefits, deductions, and tax compliance, along with strong Excel skills and a comfort level with payroll reporting and reconciliation.
A CPP or FPC certification is a nice to have but not required. Experience with Deel, global payroll, EOR and contractor management, or system integrations between payroll, benefits, and time tracking platforms will help you stand out, as will advanced Workday reporting and analytics skills.
You’ll Thrive in This Role If You
Have sharp attention to detail and genuinely enjoy solving problems. Understand payroll law and tax compliance and take that responsibility seriously. Communicate clearly and bring a service mindset to every interaction. Stay organized and steady even when juggling multiple deadlines in a fast moving environment.
Who you will be working for
Ever.Ag offers innovative AgTech solutions and services that empower agriculture, food, and beverage supply chains to feed a growing world. The breadth of the portfolio is uniquely capable of supporting the complex needs of companies involved in dairy, livestock, crops, and agribusiness. With decades of experience and industry-leading innovations, our technology, risk management, and market intelligence provide our customers with the tools and insights they need to operate more efficiently, sustainably, and strategically across every stage of the supply chain.
We welcome candidates from all backgrounds to contribute their unique perspectives to our team. Your success is our success!
Please note, at this time, Ever.Ag does not hire candidates residing in California, Hawaii, or Alaska.
Attention Search Firms / Third-Party Recruiters: Ever.Ag is not seeking assistance or accepting unsolicited resumes for this role. Resumes submitted without a valid written search agreement are the sole property of Ever.Ag; no fee will be paid if a candidate is hired.
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Reviews encounter to determine the appropriate action required.
Evaluates medical records documentation to determine correct coding.
Determines if accident date/type is applicable.
Inspects each encounter for missing information and follows up with the appropriate party.
Examines documents in various systems for missing information.
Monitor multiple systems for actionable requirements.
Provides liaison/departmental contacts with facts to help clear edits.
Notifies management of any delays when documents are not received in a timely manner as determined by guidelines.
What You Will Need:
High School diploma
1-2 years of experience in patient registration and claim review
Knowledge of Excel and Microsoft Office
What Would Be Nice To Have:
2-3 years previous medical office experience
Knowledge of medical terminology and medical insurance
Typing speed of 6,000 keystrokes per hour
Basic computer skills
Previous experience with Cerner, IDX, Powerchart
The annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
SUMMARY: The Partner Solutions Specialist supports ongoing account needs related to day-to-day digital program planning, implementation, and growth. This role ensures accounts have all their needs met as part of standard operating procedures, implementation, onboarding, launch, training, troubleshooting, skill building, adoption, and consultative services aligned to industry best practices and national standards. This role must be a strong collaborator internally and externally willing to take a hands-on approach in solving varying account needs and bringing other LS team members into conversations when needed or appropriate. This role works closely with sales, enablement, academic, and other Learning Solutions team members to maximize account satisfaction and support measured through CSAT and NPS indicators.
The ideal candidate must be passionate about building and implementing online and digital learning solutions with an educational strategist mentality who takes a proactive, consultative approach in developing trusted advisor status with program level leaders and staff who are responsible for day-to-day operations at the account level. The Partner Solutions Specialist success will be measured by customer support and satisfaction levels.
ESSENTIAL FUNCTIONS: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.
Function as a key point of contact for account ongoing planning, implementation, and support
Offer superior customer experience proactively addressing ongoing training and support needs in collaboration with other LS team members.
Coordinate resources to ensure customers experience seamless service delivery from marketing/enrollment, operations, curriculum, instruction, support, billing, training, professional development, etc.
Provide regular updates to partners on the progress of Learning Solutions support, services, timelines, operations, and campaigns
Develop and maintain an understanding of customer needs, contract terms and conditions, and account requirements to ensure compliance with terms and conditions in collaboration with account managers
Responsible for supporting growth and retention efforts in partnership with regional account managers
Monitor program outcomes providing consultative recommendations with regional account managers and other LS team members as appropriate
Collaborate closely with sales, enablement, academic, and other Learning Solutions team members to ensure customer satisfaction
Escalates technical issues and determines the best resources for remediation
Customized state reports
Other duties as assigned
Supervisory Responsibilities: This position has no formal supervisory responsibilities.
MINIMUM REQUIRED QUALIFICATIONS:
Five (5) years of related experience OR
Equivalent combination of education and experience
Microsoft Office (Outlook, Word, Excel, PowerPoint, Project, Visio, etc.); Web proficiency.
Ability to travel up to 30% of the time.
Ability to clear required background check
Certificates and Licenses: None required.
DESIRED QUALIFICATIONS:
Three (3) to Five (5) years of educational experience
Prior experience using Salesforce
Bachelor’s Degree
WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
This position is virtual and open to residents of the 50 states, D.C.
COMPENSATION & BENEFITS: Stride, Inc. considers a person’s education, experience, and qualifications, as well as the position’s work location, expected quality and quantity of work, required travel (if any), external market and internal value when determining a new employee’s salary level. Salaries will differ based on these factors, the position’s level and expected contribution, and the employee’s benefits elections. Offers will typically be in the bottom half of the range.
We anticipate the salary range to be $45,516-$55,000. Eligible employees may receive a bonus. This salary is not guaranteed, as an individual’s compensation can vary based on several factors. These factors include, but are not limited to, geographic location, experience, training, education, and local market conditions. Stride offers a robust benefits package for eligible employees that can include health benefits, retirement contributions, and paid time off.
The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works. It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.
Job TypeRegular
The above job is not intended to be an all-inclusive list of duties and standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor. All employment is “at-will” as governed by the law of the state where the employee works. It is further understood that the “at-will” nature of employment is one aspect of employment that cannot be changed except in writing and signed by an authorized officer.
If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you can request the appropriate accommodation by contacting [email protected].
The claims representative is responsible for manually reviewing and processing medical, supplemental, or dental claims. Claims are processed according to benefits, eligibility, and internal processes, policies, and procedures and may be completed, held for additional information/review, or denied. New claim representatives will be provided with a robust training program, which includes virtual classroom training, on-the-job learning/feedback, and gradually increasing claims per hour/quality requirements over several months. After completion of training, claim representatives must meet specific accuracy/quality, volume/claims per hour, and on production performance metrics.
$19/Hour Pay Rate
RESPONSIBILITIES
· Independently research and navigate various documents and databases to accurately process claims, ensuring compliance and adherence to established guidelines.
· Confirm the presence of necessary documents within submitted claims.
· Validate the accuracy of medical codes provided in claim submissions.
· Assess the eligibility status of claims based on established criteria.
· Review and verify other insurance coverage information in submitted claim.
· Evaluate authorizations provided in claim submissions for accuracy.
· Analyze account benefit plans to ensure claims align with coverage and policies.
· Identify discrepancies, errors, or missing information.
· Maintain self-discipline, consistently uphold a strong work ethic, and complete work tasks/responsibilities while working without close supervision.
· Meet or exceed quality and productivity goals.
· Identify claim processing learning opportunities by working directly with supervisors, coaches, and trainers to learn efficient and effective processing techniques and workflows.
· Utilize a variety of virtual tools, including Outlook email, Cisco Webex, and similar applications, to effectively collaborate, communicate, and stay connected with colleagues and supervisors.
QUALIFICATIONS
· High school diploma or equivalent
· Ability to quickly learn a variety of computer applications to complete job functions,
· Experience sending/receiving emails, scheduling calendar appointments/sending invitations, attaching files in Microsoft Outlook.
· Knowledge of basic Microsoft Excel functions, such as filtering/sorting.
· Experience in navigating multiple computer applications through the use of shortcut keys and other techniques.
· Detail-oriented with experience in applying complex policy/procedure documents.
· Strong organizational skills to maximize available work time. Ability to prioritize tasks to ensure job tasks are completed before deadlines.
· Proven experience completing work with quality and productivity performance standards.
· Experience working independently in a virtual environment preferred.
· Experience with medical and insurance terminology in a professional setting preferred.
· Knowledge of CPT/ICD-10 codes preferred.
· Proven experience in health insurance claims processing or similar field preferred
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an hourly rate of 17.75 – 26 USD / hourly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.
The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversees the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.
Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position.
The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.
What you’ll do
Review incoming claims, assign statuses, organize data, and route files to auditors.
Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
Oversee file intake and output, addressing inquiries, discrepancies, and errors.
Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
Perform data entry and support additional administrative tasks as needed.
What experience you bring (Role Requirements)
Preferred experience in medical record review and knowledge of medical terminology.
Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
Strong attention to detail, organizational, analytical, and critical thinking skills.
Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.
What Success Looks Like…
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: $24.00 USD per hour. This is a non-exempt position.
What’s in it for you
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Full-Time Non-Exempt Direct Hire Remote in the United States $22.00-$27.00 per hour
We’re a fast-growing, fully remote healthcare organization on a mission to improve access to care—and we know our people make that possible. As we expand, we are adding a new role to our leadership team. We are seeking a Credentialing Specialist who will be responsible for maintaining individual provider files, completing credentialing applications, and other associated duties that support the credentialing requirements at Expressable.
About Expressable
Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients since our inception in late 2019. We are passionate advocates of parent-focused intervention. Our e-learning platform contains thousands of home-based learning modules authored by our clinical team, helping SLPs empower caregivers to integrate speech therapy techniques into their child’s daily life and improve outcomes. Our mission is to set a new standard in speech therapy by making every caregiver a champion of their loved one’s success. We envision a world where everyone can fulfill their communication potential.
The ideal Credentialing Specialist brings a strong foundation in healthcare credentialing and enrollment, paired with exceptional attention to detail and follow-through. They are comfortable managing multiple payer processes simultaneously, working directly with providers to gather accurate information, and ensuring provider data remains current, compliant, and audit-ready across systems.
This individual understands the downstream impact of credentialing on care delivery and reimbursement and takes ownership of resolving issues proactively. They are organized, process-oriented, and steady under deadlines, with the ability to communicate clearly and professionally with providers, payers, and internal partners.
WORK AUTHORIZATION: We are interested in every qualified candidate who is eligible to work in the United States. However, we are not able to sponsor visas at this time.
What You Would Be Doing at Expressable
Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
Maintain accurate provider profiles on CAQH, NPPES and any other applicable profiles
Complete credentialing applications to add current and new providers to commercial, Medicaid, and Medicare payers
Work closely with current and onboarding providers to obtain all necessary information to complete the credentialing and enrollment process
Audit provider information in various systems
Follow up with payers as it relates to credentialing, enrollment, and demographic updates
Research payer processes as it relates to credentialing, enrollment, and demographic updates
Assist in identifying and resolving any denials or authorization issues related to provider credentialing
What You Bring to Expressable
High school diploma or equivalent required
Hands-on experience completing and submitting credentialing and enrollment applications for commercial payers, medicaid, and medicare
Experience maintaining provider files and ensuring compliance with payer and regulatory requirements
Prior experience working directly with providers to collect, validate, and update credentialing information
Familiarity with auditing provider data across multiple systems and resolving discrepancies
Experience following up with payers regarding application status, re-credentialing, and demographic updates
Exposure to denial resolution or authorization issues related to credentialing strongly preferred
Proficiency with credentialing platforms and databases
Strong working knowledge of payer credentialing and enrollment workflows
Comfortable navigating payer portals and researching payer-specific requirements
Experience with electronic document management and maintaining compliant provider files
Proficient with standard office productivity and collaboration tools (Docs/Word, Sheets/Excel, email, shared drives, etc.)
KEY COMPETENCIES In addition to the competencies associated with our core values of empowerment, integrity, innovation, collaboration, and diversity, the Financial Clearance Coordinator should possess the following key competencies.
Detail Orientation & Quality Control: Maintains a high level of accuracy across provider data, documentation, and submissions; proactively audits information across systems to identify and correct discrepancies; prevents downstream denials or delays through careful review and validation.
Process Management & Follow-Through: Manages multiple applications, re-credentialing cycles, and deadlines simultaneously; follows up consistently with payers and internal partners to drive work to completion; documents actions and status clearly to ensure continuity and visibility.
Provider & Stakeholder Communication: Communicates clearly and professionally with providers to obtain complete and accurate information; sets expectations around timelines and requirements to reduce friction and rework; serves as a reliable point of contact for credentialing-related questions.
Problem Solving & Issue Resolution: Researches payer processes to resolve credentialing, enrollment, or demographic issues; investigates denials or authorization problems tied to credentialing status; escalates appropriately and proposes practical, compliant solutions when barriers arise.
Physical Requirements and Work Environment This is a sedentary, remote position that primarily involves working at a computer or tablet for telecommunications and documentation. The role requires the ability to remain seated for extended periods, operate standard office equipment, communicate effectively via video and audio platforms, and review electronic information. Occasional light lifting of up to 10 pounds may be necessary. Work is performed in a home office environment with minimal exposure to environmental hazards.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.
Why Join Us?
Exceptional paid time off policies that encourage and support life balance, including a winter break.
401k matching to ensure our staff have what they need to enjoy their retirement
Health insurance options that ensure well being for the whole person and their family
Company paid life, short-term disability, and long-term disability coverage
Remote work environment that strives for connectivity through professional collaboration and personal connections
NOTE
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
More about Expressable Expressable values people. From the technology we develop, the services we provide, and the culture we maintain, Expressable cares about the experience of our employees, clients, and prospects. We intentionally create and sustain supportive environments in which everyone – clients, caregivers, speech-language pathologists, and team members – can achieve their highest potential.
We believe that building trusting and collaborative relationships is paramount to delivering quality care so we operate with the highest levels of honesty, transparency, and accountability as individuals and a collaborative team. We believe that transforming therapy happens through the steady and iterative problem solving of an interdisciplinary team.
Expressable is an equal opportunity workplace. We celebrate and embrace diversity and are committed to building a team that represents a broad tapestry of backgrounds, perspectives, and skills.
Expressable is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Expressable will take the steps to ensure people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].
At Steno, we’re growing fast and transforming the litigation technology industry with best-in-class court reporting, modern solutions that add value for lawyers, and an exceptional client experience. We partner with law firms to simplify complex workflows, deliver reliable outcomes and case insights, and to revolutionize a traditionally outdated space while we expand across the country.
Wins together – Stock options included. When Steno grows, you grow.
Invests in your benefits – Premium Medical, Dental, & Vision Coverage – with 100% of premiums covered for some plans – well above industry benchmarks.
Operates with integrity – We value accuracy and caring for our clients.
Constantly innovates with technology at our core – We are a modern organization solving real problems in an industry that needs a revolutionary approach.
Provides meaningful coaching and support – a team of Billing leaders and professionals who will unlock your greatest potential
Emphasizes values – be highly reliable, constantly innovate, and operate with a hospitality mindset
Why the Billing Team at Steno Is Different
Own client relationships – You’re the face of Steno’s billing operation: the primary point of contact for clients and providers, trusted to handle sensitive requests with professionalism, urgency, and follow-through that actually closes the loop.
Do work that moves the business – Invoicing isn’t busywork here. You’ll own the full invoicing cycle and process high-volume transactions – PDOs, expedite requests, and more – where your speed and accuracy directly determine whether clients and providers get paid on time.
Solve real problems – When something breaks down, you’re empowered to fix it. That means applying genuine judgment, escalating smartly, and, yes, picking up the phone when a two-minute call beats a five-email thread.
Operate at the center of the company – You’ll work cross-functionally across internal teams, routing and resolving the issues that keep everyone else unblocked. People rely on you.
Build systems, not just habits – Steno trusts you to spot process gaps and actually do something about them. Your ideas for improving workflows get heard and implemented.
Work in a modern, high-functioning stack – Google Workspace, Slack, Zendesk, and tools that actually work. No legacy software purgatory. If something new rolls out, you’ll pick it up fast and run with it.
You’ll crush this role if you bring 1+ years of experience in a high-volume, fast-paced environment where strong communication, critical thinking, and attention to detail are essential – start-up experience is preferred. The billing team is in active growth mode, meaning new challenges create new opportunities – and the Billing Manager is personally invested in helping you grow through them. You’ll work across invoicing, client communication, and cross-functional coordination from the start, building a well-rounded operational skillset. Autonomy comes early here: you’ll make real judgment calls, own client relationships, and fix process gaps without getting queued behind approvals. And you’ll do it alongside a team that communicates, covers for each other, and will have you fully up to speed before you even know it. You will be required to work Monday through Friday, 9a-6p PT or 10a-7p PT with the expectation of working one Saturday a month.
Application Information
Steno is an equal opportunity employer; we do not discriminate on the basis of characteristics protected by law. Employment decisions are based on qualifications, merit, and business needs.
Applicants needing special assistance or accommodations for interviews or website access should contact us at [email protected].
Information provided to Steno, such as professional credentials and skills, educational and work history, the results of technical skills assessments or working exercises, and other information included in an application, is collected, analyzed, and stored in our system.
Steno personnel will always have a steno.com email or contact you via Rippling Recruiting. Background checks are only conducted after an offer is extended. If you haven’t received an expected communication, check your spam.
Steno uses AI-assisted tools for this role to identify and prioritize candidates whose experience aligns with the role. All hiring decisions are made by our People team.
We are seeking to fill the role of Closing Support Specialist. The ideal candidate enjoys collaborating with clients, industry partners and internal teams to maximize outcomes for homeowners.
Responsibilities
• Attend and participate in all team meetings • Perform Quality Control audits on each staff member monthly • Monitor the pipeline and identify any gaps in our review • Review foreclosure sale date report and ensure all files with FC sale dates are addressed • Ensure daily reports are pulled and available to management • Handle all written and verbal correspondence professionally between the homeowners, client, investor, insurer, subordinate lien holders, real estate agents, consumer credit counseling services, and foreclosure attorneys • Assist with new hire training, including audit of all files during initial training period • Able to train and underwrite to all investor guidelines • Able to react to change productively and handle other essential tasks as assigned • All other duties as assigned.
Qualifications
• High School Diploma or equivalent required. • 3 years Collections, Loss Mitigation, or other mortgage banking, mortgage servicing or real estate related experience • Proficient in all Loss Mitigation workout types and all agency (FHA, VA, FNMA, FHLMC) guidelines • Proficient in MS Office Windows, MS Word, MS Excel, MS Outlook • LPS/MSP experience • Ability to work independently in a fast-paced environment as well as part of a team and focus on results • Ability to multi-task • Ability to structure a workout that serves the best interests of the homeowner/investor/insurer/client
Total Rewards
LoanCare’s Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include:
Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance
Time Off: Paid holidays, vacation, and sick leave
Retirement & Investment: Fidelity National Financial matching 401(k) and employee stock purchase plans
Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being
Employee Recognition: Programs that celebrate achievements and milestones
Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth.
Compensation Range: $20.43 – 34.28 per hour. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience.
Build Your Future with LoanCare®
At LoanCare, we don’t just service mortgage loans—we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration.
Here, you’ll find:
A culture that helps you thrive, with resources and support to fuel your growth
Flexibility to work remotely, while staying connected through virtual engagement
Opportunities to make a real impact in an industry that touches millions of lives
If you’re ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team.
WHO WE ARE About us … LoanCare is a leading national provider of full service subservicing and interim subservicing to the mortgage industry and has offered its expertise and best practices in providing servicing solutions for others since 1991. At the present time, LoanCare subservices over 1.8 million loans in 50 states. LoanCare has a seasoned loan servicing team with senior managers averaging nearly 30 years of experience in the mortgage and financial services industry. LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
WORK CONDITIONS Working conditions are normal for an office environment. Ability to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Over time required as necessary. Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation.
EQUAL EMPLOYMENT OPPORTUNITY
LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
As a Clinical Operations Specialist at Generator Health, you will play a critical role in ensuring the accuracy and integrity of our system’s prior authorization process. You’ll bring your expertise in clinical data understanding to catch errors, and uphold the standards that our patients and providers depend on.
This is a high-autonomy role where your attention to detail and ability to read, understand, and translate clinical data into results directly impacts patient access to treatment. Tens of thousands of patients move through our platform every week. You will work closely with our clinical intelligence team to support prior authorization, appeals, denial prediction and more. Your contributions will help us continuously improve the accuracy and reliability of our platform, whether decisions were made by AI, a third party, or our internal team.
If you join, you will:
Review a live queue of prior authorization cases coming through the platform, ensuring every decision meets clinical and operational standards
Audit AI outputs, third party reviews, and internal team decisions for accuracy, consistency, and compliance
Flag errors and edge cases, documenting findings clearly for the clinical intelligence team
Collaborate cross-functionally to surface patterns and help refine the workflows and logic that power our platform
Expand your knowledge across medical specialties as you work across a diverse range of cases
Contribute to improving the tools, standards, and processes that support patient access to treatment
We’ll be most excited if you have:
2+ years of hands-on experience in prior authorization, utilization management, clinical care coordination, scribing, or other roles that involve deep work with clinical documentation
Strong familiarity with medical records and clinical notes, and comfort interpreting them accurately
Strong written communication, with an ability to translate clinical complexity into clear, actionable findings for non-clinical teams
Exceptional attention to detail and accuracy
Comfort and/or a strong interest in collaborating with product, engineering, and data science teammates on building new technologies
Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.
Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.
This is a remote, full-time hourly position, and we are looking for candidates who can start immediately.
This Operations Specialist role will support the execution of workflows and operational processes that enable Generator Health to fulfill its mission of expediting access to critical medications. This work involves direct interaction with systems and procedures that affect the experience of both patients and providers.
This is a role that requires quickly learning and applying complex operational processes. You will tackle operational hurdles within the healthcare space, gaining the specialized knowledge required to drive efficiency and quality. You will also regularly engage in real-world, intricate scenarios around prescription access and coordination.
If you join, you will
Be part of the team that ensures that administrative friction never stands in the way of access to life-changing therapies
Become an expert in the complex world of medication access & affordability. You will work with doctors’ offices, insurance companies, affordability programs, and pharmacies to help get prescriptions processed efficiently
Master proprietary software tools to execute operational workflows efficiently while continuously adapting and optimizing processes
Build an understanding of how AI is applied to workflows across healthcare
We’ll be most excited if you:
Have experience in a role that requires analytical problem-solving, operational rigor, and outcome ownership
Know how to deal with ambiguous problems and resolve them effectively
Are able to master new, complex technology tools quickly and work with data
Our salary ranges are based on a number of factors, including qualifications, experience level, and geography.
Generator Health is an equal opportunity employer and does not discriminate on the basis of race, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition, or any other basis protected by law.
Fetch helps people live rewarded every day, with a vision to become the rewards destination for everyone. We turn everyday activities into meaningful rewards, whether it’s grocery shopping, grabbing a quick meal, or playing a favorite mobile game. To date, we’ve awarded more than $1 billion in Fetch Points to our users.
Each day, more than 13 million receipts are submitted on Fetch, providing visibility into over $212 billion in gross merchandise value. This creates the largest retail-agnostic, SKU-level view of household spending, powering Fetch as an outcomes-based advertising platform that helps brands acquire and retain lifelong consumers.
The Fetch app is available on the App Store and Google Play, with more than 6 million five-star reviews from a highly engaged and loyal user base.
It’s not just our users who believe in Fetch: with investments from Softbank, ICONIQ, DST, Greycroft, and partnerships ranging from challenger brands to Fortune 500 companies, Fetch is reshaping how brands and consumers connect in the marketplace. When you work at Fetch, you play a vital role in a platform that drives brand loyalty and creates lifelong consumers with the power of Fetch points. User and partner success are at the heart of everything we do, and we extend that same commitment to our employees.
At Fetch, we value curiosity, adaptability, and the confidence to explore new tools, especially AI, to drive smarter, faster work. You don’t need to be an expert, but you should be ready to learn quickly and think critically. We welcome learners who move fast, challenge the status quo, and shape what’s next, with us. Ranked as one of America’s Best Startup Employers by Forbes for two years in a row, Fetch fosters a people-first culture rooted in trust, accountability, and innovation. We encourage our employees to challenge ideas, think bigger, and always bring the fun to Fetch.
About the Role:
Fraud Analysts are responsible for reviewing user activity, identifying fraudulent behavior, and ensuring accurate, fair outcomes. This is an execution-focused role centered on consistent, high-quality review work within established guidelines. Success in this role is driven by productivity, accuracy, and adherence to SOPs.
Hours:
The role requires employees attend training the first 3 weeks, from Monday-Friday, 9am-5pm CST. Then, moves to a full-time, 5 days/week position, requiring at least 1 weekend day. This is a first shift position, 9am-5pm CSTwith flexibility.
Role Responsibilities:
Review user accounts and transactions for fraudulent activity using internal tools
Meet performance expectations
Apply SOPs to make accurate, consistent decisions
Maintain quality standards
Escalate cases that fall outside defined guidelines
Accurately track time, follow schedules, and maintain operational discipline
Stay current on fraud trends, tools, and process updates
Minimum Requirements:
Independently executes standard workflows with moderate complexity and consistent accuracy
Strong attention to detail and ability to follow defined processes
Ability to work efficiently in high-volume, repetitive workflows
Sound judgment within established guidelines; knows when to escalate
Reliable, consistent execution with minimal rework
Comfortable with tools, data, and case-based review work
Strong time management and accountability
Must be available to work weekends
Preferred Requirements:
Previous experience in fraud detection, trust & safety, risk operations, or account review environments
Experience using case management platforms, handling repetitive workflows while maintaining attention to detail and accuracy
Familiarity with Google Workspace tools, including Google Sheets, Docs, and Gmail
Experience communicating and collaborating in Slack or similar platforms
Comfortable navigating multiple systems and tools simultaneously in a fast-paced operational environment
Experience working in KPI-driven environments with productivity and quality expectations
Ability to adapt quickly to changing SOPs, fraud tactics, and operational priorities
Compensation:
At Fetch, we offer competitive compensation packages including base, equity, and benefits to the exceptional folks we hire. The hourly salary rate for this position is $22.65. Discover our benefits and how our employees live rewarded at https://fetch.com/careers.
At Fetch, we’ll give you the tools to feel healthy, happy and secure through:
Equity: We offer full-time employees equity in Fetch, so that everyone can benefit from Fetch’s growth.
401k Match: Dollar-for-dollar match up to 4%.
Benefits for humans and pets: We offer comprehensive medical, dental and vision plans for everyone including your pets.
Continuing Education: Fetch provides ten thousand per year in education reimbursement.
Employee Resource Groups: Take part in employee-led groups that are centered around fostering a diverse and inclusive workplace through events, dialogue and advocacy. The ERGs participate in our Inclusion Council with members of executive leadership.
Paid Time Off: On top of our flexible PTO, Fetch observes 9 paid holidays, as well as our year-end week-long break.
Robust Leave Policies: 20 weeks of paid parental leave for primary caregivers, 14 weeks for secondary caregivers, and a flexible return to work schedule.
Calvin Care Cash: Employees who are welcoming new family members will also receive a one time $2,000 incentive to assist employees with covering the cost of childcare, clothing, diapers and much more!
Flexible Work Environment: Collaborate with your team in one of our stunning offices, or you can work fully remotely from anywhere in the US. We’ll ensure you are equally equipped with the hardware and software you need to get your job done in the comfort of your home. (applicable for most roles)
Fetch is an equal opportunity employer that embraces diversity, inclusion, and respect for all individuals. We do not discriminate on the basis of race, color, religion, gender, gender identity or expression, sexual orientation, age, national origin, marital status, veteran status, disability, or any other characteristic protected by applicable law. Our commitment to inclusivity ensures that everyone is treated with dignity and has the opportunity to succeed based on their talent, skills, and potential.
Fetch also provides reasonable accommodations to qualified individuals with disabilities or those with sincerely held religious beliefs, as required by law. If you need assistance with the application process or require an accommodation, please contact us at [email protected].
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
You will:
Schedule: 8 AM to 4:30 PM CST M-F
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company’s and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED
Must be at least 18 years old.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.
IMPAXX is seeking an Operations Support Coordinator to join our Client Service team. This role is central to the day-to-day execution of operations, supporting high-volume case management workflows and ensuring accuracy, timeliness, and consistency across client files.
The Operations Support Coordinator plays a key role in managing processes tied to Medicare Set-Aside workflows, coordinating documentation, and supporting communication between internal teams, government contractors, and customers. This position is well-suited for someone who is highly detail-oriented, thrives in a structured environment, and is comfortable managing large volumes of data while meeting firm deadlines.
Success in this role comes from a strong commitment to accuracy, organization, and responsiveness. The position requires a disciplined approach to task management, the ability to navigate detailed processes, and a professional communication style when engaging with both internal and external stakeholders.
This is a remote position that operates on a Pacific Standard Time (PST) schedule — candidates in any time zone are welcome, but must be available through at least 4:00 PM PST each day.
Key areas of responsibility include:
Accurately entering and maintaining high volumes of data within the case management system
Reviewing incoming referrals and ensuring all documentation is properly uploaded and aligned with client requirements
Processing incoming and outgoing mail and coordinating file-related documentation
Initiating and managing conditional payment investigations and submitting authorizations to Medicare
Following up on case status through contractor portals and direct outreach as needed
Requesting and tracking final demand and closure letters
Managing open files and supporting workflows tied to the Medicare Set-Aside process
Communicating with government contractors, teammates, and customers through both written and verbal channels
Preparing and distributing standardized correspondence and documentation
Monitoring deadlines and ensuring files are processed in accordance with service requirements
Escalating customer concerns and collaborating across teams to drive resolution
Qualifications and profile:
High school diploma or equivalent required; additional education preferred
Proficiency in Microsoft Office, including Outlook, Word, Excel, and PDF tools
Ability to manage high-volume workloads while maintaining strong attention to detail and accuracy
Strong written and verbal communication skills with a professional, customer-focused approach
Comfortable working within structured processes and meeting defined deadlines
Ability to collaborate effectively across teams and adapt to shifting priorities
Experience in workers’ compensation or Medicare-related processes is beneficial but not required
Pay Range18 – 20 Hourly
The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Teammate Benefits & Total Well-Being
We go beyond standard benefits, focusing on the total well-being of our teammates, including:
Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Recruiting Vendor Disclosure Statement
Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (“Recruiting Vendors”). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.
The Power To Be Yourself
As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
Monitors the authorizations of upcoming surgical cases on the physician’s calendars ensuring authorizations for surgeries are obtained in a timely and accurate manner.
Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms necessary information to allow processing of claims to insurance plans.
Accurately completes surgical cost analysis form, documenting the required surgical cost estimation for collection prior to services.
Verifies benefits on all surgical procedures.
Document authorizations and progress of authorizations in the patient’s chart. Enters the authorization information within case management.
Must be able to communicate effectively with physicians, patients, and co-workers and be capable of establishing good working relationships with both internal and external customers.
Participate in providing ongoing training and education of staff as it relates to new processes to ensure timely confirmation of surgical cases.
Work with department manager to respond to and reduce complaints timely and professionally.
Assist surgery schedulers with STAT authorizations.
Ensure strict confidentiality of all health records, member information and meet HIPAA guidelines.
Assists in identifying opportunities for improvement within the daily workflow process.
Attends department meetings as required.
EDUCATION
High school diploma/GED or equivalent working knowledge preferred.
EXPERIENCE
A minimum of 2 years of experience in the healthcare field is required and previous experience in referrals/authorizations, front office, and/or charge posting is preferred.
Excellent organizational skills and strong customer service orientation are required with a strong background in computers and data entry.
KNOWLEDGE
Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
Federal, state, and HIPAA privacy regulations.
Knowledge of computer applications.
SKILLS
Skill in effective organization and billing requirements and authorization processes.
Skill in using computer programs and applications including Microsoft Excel, Microsoft Word, and Outlook
Skill in establishing good working relationships with both internal and external customers.
ABILITIES
Ability to multi-task in a fast-paced environment. Must be detailed oriented with strong organizational skills.
Ability to understand patient demographic information and determine insurance eligibility.
Ability to work independently and demonstrate the ability to analyze data.
Ability to communicate effectively and compassionately with patients, co-workers, management, and providers.
ENVIRONMENTAL WORKING CONDITIONS
Normal office environment.
PHYSICAL/MENTAL DEMANDS
Requires sitting and standing associated with a normal office environment.
Some bending and stretching are required.
Manual dexterity using a calculator and computer keyboard
ORGANIZATIONAL REQUIREMENTS
HOPCo Mission, Vision, and Values must be read and signed.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
The Business Operations & Payer Access Coordinator is responsible for supporting organizational efficiency and client operations through administrative coordination, documentation management, project tracking, customer support administration, onboarding activities, and payer portal access management.
This role serves as a central point of coordination between clients, payers, leadership, and operational teams, ensuring critical administrative and revenue cycle support functions are completed accurately, documented properly, and executed on schedule. The position focuses on maintaining organization, visibility, follow-through, and compliance while enabling leadership and operational teams to focus on strategic and client-facing activities.
Key Responsibilities
Payer Portal Access Management
Coordinate payer portal account setup and enrollment for new client implementations.
Register, activate, maintain, and troubleshoot user access across commercial, government, and regional payer portals.
Manage user additions, removals, access changes, password resets, and multi-factor authentication requirements.
Serve as the primary point of contact for portal access requests and issues.
Maintain accurate records of portal access, ownership, and enrollment status.
Coordinate with payer support teams to resolve access-related issues and prevent operational disruptions.
Documentation & Administrative Operations
Maintain company documentation, SOPs, onboarding materials, and operational resources within designated systems.
Ensure documentation remains accurate, organized, and up to date.
Coordinate patient statement processing activities and maintain related tracking records.
Manage incoming and outgoing mail, including receipt, routing, tracking, and administrative correspondence.
Maintain tracking and documentation for customer, patient, and operational communications.
Identify documentation gaps and coordinate updates with department leaders and process owners.
Maintain administrative records, trackers, dashboards, and operational reporting.
Project & Workflow Coordination
Track projects, milestones, action items, and implementation activities across departments.
Follow up with internal teams, clients, and stakeholders to ensure commitments are completed on time.
Escalate overdue tasks, risks, or blockers to appropriate leaders.
Support special projects and process improvement initiatives.
Client Support & Onboarding Coordination
Coordinate onboarding activities and track completion of client requirements.
Collect and validate documentation required for portal enrollment, onboarding, and operational workflows.
Follow up with clients regarding outstanding forms, documentation, and action items.
Support scheduling and coordination of onboarding meetings and implementation activities.
Customer Support Administration
Triage and route incoming customer support requests to the appropriate teams.
Track escalations through resolution and ensure timely follow-up occurs.
Maintain visibility into unresolved customer issues and communicate status updates as needed.
Support customer retention, offboarding, and administrative follow-up activities.
Compliance & Process Improvement
Ensure compliance with company security policies, HIPAA requirements, and payer-specific protocols.
Maintain accurate documentation of portal access, customer communications, and operational activities.
Assist in developing and improving workflows, SOPs, and administrative processes.
Identify opportunities to increase efficiency, improve visibility, and reduce turnaround times.
Qualifications
Required
High school diploma or equivalent.
2+ years of experience in healthcare administration, customer support, operations, project coordination, revenue cycle management, or related administrative roles.
Strong organizational, time-management, and follow-through skills.
Excellent written and verbal communication abilities.
Ability to manage multiple priorities and deadlines simultaneously.
Proficiency with Microsoft Office, Google Workspace, and web-based business applications.
Preferred
Experience working with healthcare payer portals and access management.
Knowledge of healthcare insurance, revenue cycle management, and provider operations.
Experience supporting healthcare, RCM, healthcare technology, or professional services organizations.
Familiarity with Notion, Help Scout, HubSpot, project management platforms, or similar systems.
Experience maintaining SOPs, documentation, and operational workflows.
Perks – What you can expect:
Competitive salaries
Remote/hybrid environment
Potential equity compensation for outstanding performance
Flexible PTO
Company-wide sponsored lunches
Company paid disability and life insurance benefits
Company paid family and medical leave
Medical, dental, and vision insurance benefits
Discounted pet insurance
FSA/DCA and commuter benefits
401k
Complimentary subscription to digital fitness classes and wellness content
Recovery suite at HQ – includes a cold plunge, sauna, and shower
HIPAA Requirements
All associates are required to comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations regarding the protection of patient health information. This includes adherence to the organization’s Notice of Privacy Practices and HIPAA Privacy Policies and Procedures.
The specific statements provided in this job description are not exhaustive and may be subject to change based on evolving business needs. Associates may be required to perform additional duties as assigned.
Here at Prompt, we are committed to fostering a fair and respectful work environment. As part of this commitment, it is our policy not to hire individuals from Prompt Customers unless they have obtained their current employer’s explicit consent. We believe in upholding strong professional relationships and respecting the agreements and commitments our customers have with their employees.
We appreciate your understanding and cooperation regarding this policy. If you have any questions or concerns, please don’t hesitate to reach out to our HR department.
Prompt Therapy Solutions, Inc is an equal opportunity employer, indiscriminate of race, color, religion, ethnicity, ancestry, national origin, sex, gender, gender identity, sexual orientation, age, marital status, veteran status, disability, medical condition, or any other protected characteristic. We celebrate diversity and are committed to creating an inclusive environment for all employe
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Essential Functions:
Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
Date stamps all requests and highlights pertinent data to facilitate processing.
Validates requests and authorizations for release of medical information according to established procedures.
Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
Maintain equipment in excellent operating condition (inside and out).
Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
Maintains a neat, clean, and professional personal appearance and observes the dress code established.
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
Maintains working knowledge of the existing state laws and fee structure
Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
Maintains confidentiality, security and standards of ethics with all information.
Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
High School Diploma (GED) required
A minimum of 2 years prior experience in a medical records department or like setting preferred
Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
Excellent organizational skills are a must
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly.
Must be self-motivated, a team player
Must have proven customer satisfaction skills
Must be able to multi-task
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
The Inpatient Verification Specialist role belongs to the Revenue Cycle Patient Access team and is responsible for coordinating all financial clearance activities by navigating all referral, precertification, and/or authorization requirements as outlined in payer-specific guidelines and regulations. The role plays an important dual role by helping to coordinate patient access to care while maximizing BMC hospital reimbursement. This role requires adherence to quality assurance guidelines as well as established productivity standards to support the work unit’s performance expectations. This position reports to the Patient Access Supervisor and requires interaction and collaboration with important stakeholders in the financial clearance process including but not limited to insurance company representatives, patients, physicians, Boston Medical Center (BMC) practice staff, case management and inpatient financial counselors.
Position: Prior Authorization Specialist I
Department: Insurance Verification
Schedule: Part Time (M-F 10:30A-5P)
ESSENTIAL RESPONSIBILITIES / DUTIES:
Monitors accounts routed to precertification and prior authorization work queues and clears work queues by obtaining all payer specific financial clearance requirements in accordance with established management guidelines.
Maintains knowledge of and complies with insurance companies’ requirements for obtaining pre-certifications/prior authorizations/referrals, and completes other activities to facilitate all aspects of financial clearance.
Acts as subject matter experts in navigating both the BMC Community and the payer world to get the right “permissions” (authorizations, pre-certs, referrals, for example) for the care plan to proceed.
The Impatient Verification Specialist is an important part of the larger team and helps clinicians understand what payer requirements are necessary for the widest possible patient access to services.
Supports BMC staff at all levels for hands-on help understanding and navigating financial clearance issues.
Uses appropriate strategies to underscore the most efficient process to obtaining authorizations, including on line databases, electronic correspondence, faxes, and phone calls.
Obtains and clearly documents all pre-certifications/prior authorizations for scheduled services prior to admission within the Epic environment.
Collaborates with patients, providers, and departments to obtain all necessary information and payer permissions prior to patients’ scheduled services.
Communicates with patients, providers, and other departments such as Utilization Review to resolve any issues or problems with obtaining required pre-certifications/prior authorizations.
Escalates emergent and elective accounts that have been denied or will not be financially cleared within 3 days of admission as outlined by department policy
Keeps current on CMS requirements and guidelines.
Coordinates with patients and Patient Financial Counseling to initiate/process Charity Care applications as needed.
Maintains confidentiality of patient’s financial and medical records: adheres to the State and Federal laws regulating collection in healthcare, adheres to enterprise and other regulatory confidentiality policies and advises management of any potential compliance issues immediately.
Participates in educational offerings sponsored by BMC or other development opportunities as assigned/available and complies with all applicable organizational workflows, as well as established policies and procedures.
Performs other duties as assigned by Management.
Demonstrates knowledge & skills necessary to provide level of customer experience as aligned with BMC management expectations.
Demonstrates the ability to recognize situations that require escalation to the Supervisor.
Establishes relationships and effectively collaborates with revenue cycle staff to support continuous improvement aligned with BMC management expectations as outlined.
Takes opportunity to know and learn other roles and processes, and works together to assist with process improvement initiatives as directed.
Consistently meets productivity and quality expectations to align performance with assigned roles and responsibilities.
Must adhere to all of BMC’s RESPECT behavioral standards.
(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required).
JOB REQUIREMENTS
EDUCATION:
High School Diploma or GED required, Associates degree or higher preferred.
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
Case manager and/or coding certification desirable
EXPERIENCE:
4-5 years medical billing/denials/coding/and/or inpatient admitting experience desirable
KNOWLEDGE AND SKILLS:
General knowledge of healthcare terminology and CPT-ICD10 codes.
Complete understanding of insurance is preferred.
Requires excellent verbal communication skills, and the ability to work in a complex environment with varying points of view.
Must be comfortable with ambiguity, exhibit good decision making and judgment capabilities, attention to detail.
Knowledge of and experience within Epic is preferred.
Demonstrates technical proficiency within assigned Epic work queues and applicable ancillary systems, including but not limited to: ADT/Prelude/Grand Central, HB & PB Resolute.
Demonstrates proficiency in Microsoft Suite applications, specifically Excel, Word, and Outlook.
Displays a thorough knowledge of various sections within the work unit in order to provide assistance and back-up coverage as directed.
Displays a deep understanding of Revenue Cycle processes and applies knowledge to meet and maintain productivity standards as outlined by Management.
Compensation Range:$25.42- $30.97
This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.
Equal Opportunity Employer/Disabled/Veterans
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.
We are seeking a Product Specialist II to join our team. The ideal candidate will have a strong background in customer service, technical support, and business application troubleshooting. In this role, you will be responsible for providing application support to Enterprise Health/MIE customers across all product lines. You will serve as the central customer service contact for existing clients, answering questions, escalating priority issues, and providing ongoing training to users.
Company Overview We provide solutions that make a meaningful difference in healthcare. Founded in 1995, MIE serves as the innovation engine for business units that serve hospitals and health systems, physician practices, Fortune 500 employers, government agencies, and consumers. MIE’s web-based health information technology platform is helping physicians, nurses, and administrators make a meaningful difference in healthcare delivery across the globe.
Key Responsibilities
Consult with customers on EMR optimization efforts.
Provide best practices to ensure customer success with the EMR.
Perform complex configurations to improve workflow efficiencies.
Provide an exceptional customer experience in every interaction.
Provide training to client users during deployment to alleviate the training burden from the project team.
Provide ongoing product education for existing customers.
Escalate bug fixes to appropriate staff as needed.
Take initiative to maximize opportunities for personal growth in product knowledge.
Assist the deployment team with onboarding tasks.
Requires up to 10% travel.
Required Qualifications
Education: Must obtain applicable product certifications within 90 days of hire.
Experience:
2+ years of experience providing customer service/support to commercial clients.
Experience using and troubleshooting business applications.
Effective written and verbal communication skills.
Skills:
Ability to clearly communicate with professional clients at all levels.
Strong organizational skills.
Oral presentation, training, and public speaking experience.
Proficiency in using MS Office Suite, internet, e-mail, and browser-based applications.
Why Join Us?
At MIE and Enterprise Health, we offer more than just a job. We provide an environment where innovative thinking is encouraged, teamwork is valued, and growth is fostered. Our comprehensive benefits package includes:
Competitive compensation
Comprehensive benefits package including medical/dental/vision insurance
401k with company match
Unlimited Paid-Time off
Quarterly bonus program
Flexible work schedule
Remote work
Medical Informatics Engineering and Enterprise Health are equal-opportunity employers. We celebrate diversity and are committed to creating an inclusive environment for all employees.
At CLEAResult, we lead the transition to a sustainable, equitable, and carbon-neutral energy-efficient future for our communities and our planet. We do that by creating a people-first culture built on trust, accountability, and transparency; where every employee – regardless of position, role, or identity is treated with respect and given an equal chance to thrive.
Additionally, you will enjoy: • Medical, Dental, and Vision Insurance; we also offer a company-paid health care concierge service to help navigate our health plan to make the best decisions for you and yours • 401(k) with company match • Paid vacation, sick, personal and parental leave time • Paid Volunteer Time: giving back to our communities is important to us • Employee Recognition Program – convert your recognition points into gift cards • Employee Assistance Program – offers benefits to help you manage daily responsibilities • Access to on-demand training courses to advance further in your career
Job Description
The position is remote and can be located anywhere in the US the job is posted.
We’re looking for a talented individual…
To join us as a Processing Specialist I for Integrated Customer Services! In this remote role, you will be responsible for ensuring the Integrated Customer Service (ICS) team meets program deliverables by processing rebates accurately.
Responsibilities:
Data entry and validation of energy rebate requests
Contribute to process improvements in a team-based environment
Expectations:
Maintain 90% or greater production standards, an accuracy rating of 99%, and minimize critical errors per month
Follow outlined standard operating procedures to ensure success
Maintain a high level of professionalism
Develop new skills for new programs and tasks to meet utilization goals set by Supervisor
Qualifications:
Previous experience in data entry a plus
Resourceful and inquisitive with high energy
Strong organizational skills. Experience with Microsoft office applications a plus
Flexibility with schedule; split shifts may be required as needed Schedule may change with minimal notice. May be asked to work evenings and/or Saturdays a times of increased volume
Remote Work Requirements:
We provide a laptop, software, and all necessary equipment
Home Internet requirements:
Internet speed that meets our minimum standard:
10 Mbps upload / 20 Mbps download / 99% latency
Google: ‘free speed test’ if you are unsure
Ability to hardwire internet, plug directly into router
Environment:
Dedicated home office space, free of personal disruptions
Two power connections
You are scheduled to be on the phone throughout the entirety of your shift – no flexibility to answer the door or be on-call care for others during scheduled work hours
Compensation:
$16 / hour + $65 / month internet stipend
DOT Requirements
If applicable, meet all DOT qualification requirements and comply with all applicable federal, state, and local transportation regulations.
Compensation Range
Currency
TypeHourly
Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant’s skills and prior relevant experience, certain degrees and certifications (e.g. JD/technology), for example.
CLEAResult will not provide sponsorship or support for immigration status or work authorization including for international students. Applicants must be authorized to work in the country where the position is located without the need for employer sponsorship or support. Successful hires must pass pre-employment checks.
Equal Opportunity Employer
As an Equal Opportunity Employer, we are committed to ensuring equal employment opportunities for all job applicants and employees. Employment decisions are based upon job-related reasons regardless of an applicant’s race, color, religion, national origin, marital status, age, sex, gender identity, sexual orientation, status as a qualified individual with a disability or protected veteran, or any other protected status.
The above job description and job requirements are not intended to be all inclusive. CLEAResult retains the right to make changes or adjustments to job descriptions and/or requirements at any time without notice.
Job Ref:JR-4722Location:450 Brookline Ave, BOSTON, MA 02215Category:Research LaboratoryEmployment Type:Full timeWork Location:Remote: occasional onsiteSalary/Pay Rate:$50,500.00 – $56,700.00 per year
Overview
The Research Data Specialist (RDS) will support the Sarcoma Oncology clinical research program in the areas of data collection, computing, and database organization. Duties include the examination, synthesis, and evaluation of medical records; the abstraction and recording of pertinent medical information; and the monitoring of patient status. The Clinical Research Data Specialist will be responsible for the collection, management, and quality assurance review of patient clinical data.
This position’s work location is fully remote with occasional time on-campus in [enter location]. The selected candidate may only work remotely from a New England state (ME, VT, NH, MA, CT, RI).
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS, and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow’s physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Responsible for reviewing and abstracting the medical records for research patients on trials they are assigned
Entering identified clinical data points in the corresponding database
Ensuring that data is entered within the outlined timelines for each trial
Assisting research teams with the development, testing and implementation of Case Reports Forms for PI-Initiated clinical trials.
CRIS RDS positions:
Evaluating and tracking the eligibility of all patients seen in the clinic for inclusion in the study
May assist or be responsible for consenting eligible patients in clinic
Maintaining on-going communications with Information Services and physicians and staff for data collection needs
Reviewing and abstracting the medical records for patients. Entering the clinical data into the Clinical Research Information Systems (CRIS)
Accessing patient demographic and clinical information from the clinical systems. Entering information into the database
Reviewing data for quality and completeness using reporting software
Collaborating with principal investigators, IS staff, and clinic staff in the continued development of the CRIS system
Assist principal investigators and staff in the creation of data reports for quality assurance measures
Coordinates the collection, processing, organization, and storage of biological specimens including maintenance of electronic specimen tracking systems (STIP) and laboratory binders
May be responsible for IRB and regulatory submissions and maintenance of regulatory files
Bone Marrow Transplant (BMT) RDS positions:
Support the clinical programs with outcomes data collection, reporting, analysis and audits
Ensures timely reporting to internal and external outcomes data repositories, including national repositories when required by regulatory requirements and U.S. law
Ensure case management documentation in patient medical records and other information management systems as assigned to support clinical program clinical care
Perform QA and QC procedures to ensure optimal data reporting as assigned
Develop knowledge of specialized data sources specific to outcomes data reporting, including routine reaching out to offsite providers to obtain information from medical records at outside sites of care
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
Excellent organizational and communication skills required
Strong interpersonal skills – ability to effectively interact with all levels of staff and external contacts.
Must be detail oriented
Ability to effectively manage time and prioritize workload
Must practice discretion and always adhere to institutional confidentiality guidelines
Must have computer skills including the use of Microsoft Office
MINIMUM JOB QUALIFICATIONS:
The position requires a bachelor’s degree or 1 year of experience as a Dana-Farber Associate Research Data Specialist. Experience of 0-1 years in a medical, scientific research, or technology-oriented business environment is preferred.
SUPERVISORY RESPONSIBILITIES: None
PATIENT CONTACT:
Yes, all ages.
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
Hospital Based Inpatient Coding or Hospital Outpatient Surgical Coding.
Desired experience:
Hospital Based Inpatient Coding or Hospital Outpatient Surgical Coding Experience
Denials related experience
Schedule:
Monday – Friday First shift 40 hours a week.
Certification required:
Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Remote opportunity:
Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
Pay Range$33.05 – $49.60
Major Responsibilities:
Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition. Ensure accurate coding for outpatient, day surgery and inpatient records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions.
Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes.
Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed.
Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded.
Reviews encounters flagged for second level review, including but not limited to; hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership. Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment.
Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process. Review accounts with mismatched DRG assignment following notification from the Inpatient coder. Determine the appropriate DRG based on coding guidelines. Provide follow up to the clinical documentation nurse with rationale on final outcome. Recommends educational topics for coders and clinical documentation nurses based on their observations from reviewing mismatches.
Participate in hospital coding denial and appeal processes as directed. Ensure timely review and response to any third-party payer notification of claims where codes are denied. Determine if an appeal will be written based on application of coding guidelines and provider documentation.
Following review of overpayment or underpayment denials, provide appropriate follow-up to coding team member as appropriate, rebilling accounts to ensure appropriate reimbursement. All trends identified should be presented to coding leadership in a timely manner and logged for historical tracking purposes.
Investigates and resolves all edits or inquiries from the billing office or patient accounts, to prevent any delay in claim submission due to open questions related to coding. Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidance or coding educational materials.
Maintains continuing education credits and credentials by keeping abreast of current knowledge trends, legislative issues and/or technology in Health Information Management through internal and external seminars. Identify opportunities for continuing education for hospital coding team.
Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA), or
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Education Required:
Associate’s Degree in Health Information Management or related field.
Experience Required:
Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions.
Knowledge, Skills & Abilities Required:
Demonstrated leadership skills and abilities.
Demonstrates knowledge of National Council on
Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions.
Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
Advanced knowledge in Microsoft Applications, including but not limited to; Excel, Word, PowerPoint, Teams.
Advanced knowledge and understanding of anatomy and physiology, medical terminology, pathophysiology (disease process, surgical terminology and pharmacology.)
Advanced knowledge of pharmacology indications for drug usage and related adverse reactions.
Expert knowledge of coding work flow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
Excellent communication and reading comprehension skills.
Demonstrated analytical aptitude, with a high attention to detail and accuracy.
Ability to take initiative and work collaboratively with others.
Experience with remote work force operations required.
Strong sense of ethics.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#Remote
#LI-Remote
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate’s job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
As a Senior Clinical Coding Specialist, this role supports accurate and compliant coding operations that directly impact revenue integrity and timely billing processes. The Senior Clinical Coding Specialist works collaboratively with internal teams to ensure high-quality coding and documentation standards. MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The Senior Clinical Coding Specialist contributes to this mission through expert application of coding guidelines, communication with clinical teams, and support of institutional compliance.
The Senior Clinical Coding Specialist is essential in maintaining workflow efficiency, supporting documentation clarification, and ensuring coding accuracy. Individuals in this role must be detail-oriented, highly organized, and committed to continuous learning and adherence to official coding guidelines.
The ideal candidate for the Senior Clinical Coding Specialist will have surgery coder experience in Breast and Plastics, Surgical Oncology, Head and Neck, Urology and advanced knowledge of ICD-10-CM, CPT/HCPCS along with experience in both inpatient and outpatient coding.
Shift Hours: 8am – 5pm remote but must be able to attend meetings onsite as needed.
Why Us?
The Senior Clinical Coding Specialist plays a key role in supporting MD Anderson’s mission by ensuring coding accuracy, enabling timely billing, and upholding compliance standards. This position offers opportunities for continuous learning, professional development, and the ability to contribute meaningfully to high-impact operational workflows.
• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance. • Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options. • Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups. • Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.
Responsibilities
People & Service • Communicate effectively with coding team members, management, business office, and external customers. • Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training. • Support internal and external requests for coding corrections or re-reviews. • Report workflow or system issues promptly to management.
Development & Innovation • Advance professional growth through continuing education, coding rounds, seminars, and literature review. • Participate in team meetings and provide feedback on documentation challenges and compliance concerns. • Contribute to discussions on coding clinic updates and process improvements.
Coding Quality & Compliance • Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership. • Apply official coding guidelines, coding clinics, and departmental policies accurately. • Review medical records and assign ICD-10-CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references. • Initiate physician queries when documentation is unclear or insufficient. • Uphold AHIMA ethical coding standards and HIPAA compliance rules.At MD Anderson Cancer Center, you’ll be part of a world-class team dedicated to Making Cancer History®. As a Senior Clinical Coding Specialist in our Revenue Operations and Coding Department, your expertise ensures accurate coding that supports patient care and institutional compliance. This is more than a job-it’s an opportunity to contribute to life-saving work while advancing your career.
What’s in it for you?
Paid Medical Benefits: MD Anderson covers 100% of medical benefits for employees, plus dental and vision options.
Generous Paid Time Off (PTO): Vacation, sick leave, and holidays to help you recharge.
Retirement Plans: Secure your future with robust retirement programs and employer contributions.
Professional Growth: Access to continuing education, coding seminars, and career advancement opportunities.
Mission-Driven Culture: Work in an environment where your skills directly impact patient care and institutional excellence.
Key Responsibilities
People & Service (34%)
Communicate effectively with coding team members, management, business office, and external customers.
Provide detailed questions and feedback to management regarding coding issues, quality reviews, and training.
Support internal and external requests for coding corrections or re-reviews.
Report workflow or system issues promptly to management.
Development & Innovation (26%)
Advance professional growth through continuing education, coding rounds, seminars, and literature review.
Participate in team meetings and provide feedback on documentation challenges and compliance concerns.
Contribute to discussions on coding clinic updates and process improvements.
Coding Quality & Compliance (40%)
Maintain discharged-not-final-billed (DNB) and Pre-AR account thresholds as directed by leadership.
Apply official coding guidelines, coding clinics, and departmental policies accurately.
Review medical records and assign ICD-10 CM, CPT/HCPCS, modifiers, and other codes using 3M software, EPIC, and coding references.
Initiate physician queries when documentation is unclear or insufficient.
Uphold AHIMA ethical coding standards and HIPAA compliance rules.
EDUCATION
Required: Associate’s Degree Health Information Management, Healthcare Administration, or related healthcare field.
Preferred: Bachelor’s Degree Health Information Management, Healthcare Administration, or related healthcare field.
WORK EXPERIENCE
Required: 5 years Clinical coding experience for complex or multi-specialties. or
Required: 3 years Clinical coding experience for complex or multi-specialties with preferred degree.
May substitute required education degree with additional years of equivalent experience on a one to one basis.
Preferred Experience:
Prior experience working in a Teaching Hospital setting. This specific position is for a surgical position in OR surgical coding for both the physician and the facility.
Experience in Breast and Plastics, Surgical Oncology, Head and Neck, and/or Urology.
A strong foundation in medical coding principles, including knowledge of ICD-10, CPT and HCPCS, along with practical experience in both inpatient and outpatient coding.
LICENSES AND CERTIFICATIONS:
One or more of the following is required.
RHIA – Registered Health Information Administrator American Health Information Management Association (AHIMA).
RHIT – Registered Health Information Technician American Health Information Management Association (AHIMA).
CCS-Certified Coding Specialist American Health Information Management Association (AHIMA).
CCA – Certified Coding Associate American Health Information Management Association (AHIMA).
Certified Coder-AHIMA or AAPC American Academy of Professional Coders (AAPC).
CPC-A – Cert Prof Coder-Apprentice American Academy of Professional Coders (AAPC).
COC – Certified Outpatient Coding American Academy of Professional Coders (AAPC).
OTHER REQUIREMENTS: Must pass pre-employment skills test as required and administered by Human Resources.
The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.
This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.
It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html
We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.
Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.
Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.
We have immediate openings for candidates to score the School Leadership Assessments below remotely for our Malta, NY office:
School Building Leader
School District Leader
School District Business Leader
Key benefits
Starting rate of $17.50 per hour
Flexibility to work scoring sessions that suit your availability
Working remotely
Qualifications
A current School Building Leader, School District Leader, or School District Business Leader certification AND are currently serving as an administrator or have served as an administrator within the last three years
OR are or have been educators from colleges or universities who have taught or advised administrator candidates within the last three years
Both active and recently retired practitioners can be eligible to score.
Basic computer skills (keyboard, mouse)
Ability to sit for extended periods of time
Ability to maintain a confidential work environment
Eligible to work in the United States
Overall Responsibilities
Evaluate responses to test questions by New York administrator candidates
Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring
Working Conditions
Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.
Scoring sessions take place during the week Monday through Friday. Scoring sessions will last 2 days and occur on an intermittent basis, every 4 to 8 weeks depending on the subject. The scoring day runs from 8:30 a.m. to approximately 4:30 p.m., including training.
Note: Applications are accepted on an ongoing basis.
This position is NOT bonus/benefits eligible. Information and guidelines on benefits offered is here .
Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected]. Job: Evaluation
We are the world’s learning company with more than 24,000 employees operating in 70 countries. We combine world-class educational content and assessment, powered by services and technology, to enable more effective teaching and personalized learning at scale. We believe that wherever learning flourishes so do people.
Evaluation Systems of Pearson offers dynamic teacher licensing and performance assessment solutions. Our custom teacher licensure testing programs are 100 percent aligned to state standards. We also provide a wide variety of teacher licensure testing services such as test development, administration, and scoring. We work in a collaborative environment and are passionate about education.
Scoring offers the opportunity to network with other professionals and stay abreast of the latest developments in your field. Scorers have a direct impact on the quality of the next generation of teachers and help to maintain professional standards. Scorers enjoy the change of pace, the mental challenge and the opportunity to give back to their educational field.
We have immediate openings for candidates to score the subjects below remotely for our San Antonio, TX office:
Texas Assessment of Sign Communication (TASC)
Texas Assessment of Sign Communication-American Sign Language (TASC-ASL)
Qualifications
Applicants must meet all of the following:
Have demonstrated experience with, and proficiency in, sign communication
Have a minimum of three years of experience in the education of the deaf and hard of hearing or ASL instruction
An educator, candidate, or other test taker shall not:
solicit information about the contents of test items on an examination that the educator, candidate, or other test taker has not already taken from an individual who has had access to those items, or offer information about the contents of specific test items on an examination to individuals who have not yet taken the examination; or
otherwise engage in conduct that amounts to violations of test security or confidentiality integrity, including cheating, deception, or fraud.
Agree to NOT:
use training/experience as a scorer to receive compensation for any work in test preparation related to this assessment
take the exam you are scoring within 180 days of scoring
AND
Must also:
Recuse yourself from scoring any candidate responses where you served as the interviewer
Overall Responsibilities
Evaluate responses to test questions by Texas teacher candidates
Internalize scoring standards, participate in discussions, and engage with other scorers in consensus scoring activities
Recognize and discuss various types of bias (e.g., implicit bias, cultural bias, leniency bias, central tendency bias, halo effect) and effect strategies to reduce personal biases in scoring
Meet quality and productivity requirements established for the scoring program, including passing a qualifying test before scoring
Key benefits
Starting rate of $17.50 per hour
Working remotely
Working Conditions
Scoring sessions take place during the week for 3 days, Monday through Friday and occasionally on Saturday. Scoring sessions will occur on an intermittent basis every 8 weeks. The scoring day runs from 8:30 a.m. to approximately 4:00 p.m., including training. Scorers can expect to work roughly 20 hours every two months.
Training takes place before scoring begins. There may be a brief orientation meeting before the day of scoring occurs.
Pearson is an Equal Opportunity Employer and a member of E-Verify. Employment decisions are based on qualifications, merit and business need. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, sexual orientation, gender identity, gender expression, age, national origin, protected veteran status, disability status or any other group protected by law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
If you are an individual with a disability and are unable or limited in your ability to use or access our career site as a result of your disability, you may request reasonable accommodations by emailing [email protected]. Job: Evaluation
The ideal candidate will have 1–3 years of laboratory accessioning experience and will be responsible for reviewing and processing new orders efficiently and accurately. This role requires strong analytical skills, attention to detail, and the ability to work both independently and collaboratively in a fast-paced, remote environment.
KEY RESPONSIBILITIES
· Accurately input and process data from various sources into company systems, databases, and spreadsheets.
· Review and verify test data for accuracy and completeness.
· Perform regular data audits to ensure data integrity.
· Identify and resolve discrepancies, working with internal departments as needed.
· Provide feedback about processes and roadblocks.
QUALIFICATIONS
Required
Education:
· High School Diploma or equivalent required.
Experience:
· 1–3 years in laboratory accessioning.
Preferred:
BA in Business preferred.
COMPETENCIES
PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequently required to sit.
Frequently required to utilize hand and finger dexterity.
Occasionally required to travel for meetings and conferences.
EEO STATEMENT
Baylor Genetics is proud to be an equal opportunity employer dedicated to building an inclusive and diverse workforce. We do not discriminate based on race, religion, color, national origin, sex, sexual orientation, age, gender identity, veteran status, disability, genetic information, pregnancy, childbirth, or related medical conditions, or any other status protected under applicable federal, state, or local law.
Note to Recruiters:
We value building direct relationships with our candidates and prefer to manage our hiring process internally. While we occasionally partner with select recruitment agencies for specialized roles, we do not accept unsolicited resumes from recruiters or agencies without a written agreement executed by the authorized signatory for Baylor Genetics (“Agreement”). Any resumes submitted to Baylor Genetics in the absence of an Agreement executed by Baylor Genetics’ authorized signatory will be considered the property of Baylor Genetics, and Baylor Genetics will not be obligated to pay any associated recruitment fees.
REMAX Hawaii (formerly Better Homes and Gardens Real Estate Advantage Realty) provides comprehensive residential real estate services across Oahu and Maui.
Celebrating 20 years of doing business in Hawaii, locally owned REMAX Hawaii has 6 offices across Oahu and Maui in Kahala, Kailua, Kakaako, Haleiwa, Kapolei and Wailuku with over 200 employees and licensed agents.
They have created a clear strong corporate culture which has been a key to the growth and success of our company. Their agents and support staff are client centric and put the clients’ needs ahead of their own. Their core values of honesty, transparency, collaboration, commitment, charity, innovation and strong work ethic are communicated to the agents and employees from the initial interview and throughout every company interaction
Voted Hawaii’s Best Real Estate Firm the past 13 years and a Best of Honolulu Company for 11 years. The company was also recognized as one the Best Places to Work by Hawaii Business magazine for the 6th year in a row.
Learn more at http://remaxhawaii.com
Job Description
In your role as a real estate data entry operator, you will play a crucial role in upkeep and updating our database. In order to maintain correct and current records, you will be responsible for accurately entering a variety of data. The ideal candidate for this role will have strong organizational skills, a sharp eye for detail, and the capacity to work independently in a remote setting.
Pay: $26.81 – $29.97 per hour
Responsibilities
Update and add transactions, client information, and real estate data to the database.
Examine and amend data to make sure it is accurate and comprehensive.
Collaborate with your teammates to resolve any discrepancies found in the data.
Be mindful of privacy and abide by data security regulations.
Assist in creating reports and presentations using the data acquired.
Performing secretarial duties entails filing, monitoring office supplies, scanning, and printing as needed.
Qualifications
A high school certificate or its equivalent; a bachelor’s degree is ideal but not necessary.
Solid background in data entry or a related field.
Strong command of the language and procedures used in real estate.
A strong command of computers, including the MS Office suite and data input programs.
Remarkable precision and attention to detail.
The capacity to operate autonomously with little guidance.
Outstanding organizing and time management skills.
Good communication abilities, particularly while working in a remote team.
Additional Information
REMAX Hawaii is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law. All your information will be kept confidential according to EEO guidelines.
This role is a part of our Customer Success team health and is integral to the company’s success, as every individual client interaction matters. The Patient Advocate Data Entry I is a part of the larger Customer Success team, who works to resolve and preempt customer issues to ensure a positive customer experience. This role is responsible for the timely and accurate data entry and management of patient orders. They are a significant contributor to our high-throughput workflow and an integral part of our CLIA lab.
Responsibility
Translate critical healthcare information and test orders from test request forms into database accurately and timely.
Review received orders for required elements and effectively communicate missing elements.
Ensure a high level of quality throughput.
Complies with applicable CLIA and HIPAA regulations.
Qualifications
Data entry experience.
High School diploma or equivalent.
Detail oriented.
Quick learner.
Problem solving and research abilities.
High level of accuracy.
Excellent communication and interpersonal skills.
Adaptability to changing policies and procedures.
Proficiency in Windows and Internet Browsers.
Preferred 6 months to 1 year of medical setting experience.
Preference given to higher net typing speed applicants.
Physical Requirements
Lifting Requirements – sedentary work or exerting up to 10 pounds of force occasionally. Physical Requirements – stationary positioning, moving, communicating, and observing. Use of equipment and tools that are necessary to perform essential functions of the job.
#LI-LB1
About Us
Ready to transform the future of patient care through the power of genetics?
For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions. As a leading molecular diagnostic testing and precision medicine company, we are dedicated to advancing health and well-being for all. Our innovative genetic tests are used across specialties including oncology, women’s health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes.
What inspires us – and you – is simple: Every test, every insight, and every patient story emphasizes our commitment to improving lives through science, innovation, and care. you’re ready to help shape the future of medicine. Your work will have meaningful impact, and your dedication can change lives. Learn more at https://www.myriad.com and follow Myriad Genetics on LinkedIn.
We are an equal opportunity employer and place high value on inclusion and belonging. We prohibit discrimination and harassment on the basis of any protected characteristic, including race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, marital or veteran status, pregnancy or disability, or any other basis protected under applicable law. In accordance with applicable law, we make reasonable accommodations for applicants’ and employees’ religious practices and beliefs, as well as any mental health or physical disability needs. If you need assistance submitting your application due to a disability, you can request an accommodation by contacting [email protected].
Please answer all questions completely. Please do not provide any information not specifically requested on this Employment Application form. To get the best candidate experience, please consider applying for a maximum of 3 roles within 12 months to ensure you are not duplicating efforts.
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
The mission of the Audit Fulfillment Program is to track, retrieve, & deliver timely, accurate medical record sets, for all valid use cases, to high-volume institutional requestors. This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must always safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Essential Job Functions:
Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
Specifically focused on retrieval projects for health plan and CMS campaigns, including but not limited to: HEDIS, DRG, Risk Adjustment, Payment Integrity, RAC, CMS Audits
Receive and review audit requests from external entities, ensuring understanding of requirements and deadlines.
Identifies audit use case, validates requests and authorizations for release of medical information according to established procedures.
Maintains up-to-date client account logins/credentials for all assigned locations, including tracking expiration dates and renewal requirements.
Performs quality checks on all work to assure completeness, accuracy, and compliance with audit criteria and requirements.
Maintain equipment in excellent operating condition (inside and out).
Provides excellent customer service by being attentive and respectful; ensures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
Maintains a neat, clean, and professional personal appearance and observes the dress code established.
Maintains a clean and orderly work area, ensures that records and files are properly stored before leaving area.
Maintains working knowledge of the existing state laws and fee structure
Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
Maintains confidentiality, security and standards of ethics with all information.
Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
High School Diploma (GED) required
A minimum of 2 years prior experience in a medical records department or like setting preferred
Must have strong computer software experience – general working knowledge of Microsoft Word and Excel required
Requires ability to work remotely and at times provide support in client locations. Geographical proximity to the assigned client site required.
Excellent organizational skills a must
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly.
Must be self-motivated, a team player
Must have proven customer satisfaction skills
Must be able to multi-task
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Metro Public Adjustment is looking for people who are interested in helping homeowners receive the maximum amount they are entitled from their insurance claim. Join Metro, a renowned and trusted 30 year old business to take charge of your future.
Position Details:
Reliable Training – No prior experience in public adjusting is required. We provide ongoing training and development opportunities to ensure that you will have the skills and knowledge needed to succeed.
Flexible Schedule and Location – Our claim representatives have the opportunity to set their own schedule. This can be worked as a part-time or full-time position, and can be done either in-person or remotely.
Responsibilities:
Conduct a virtual or in person walk-through inspection of the property to identify damage that may be covered under insurance
Utilize skills to drive business growth and success.
Interpreting insurance policies
Provide exceptional customer service and address clients’ needs.
Fill out paper work, as needed, to process claims
Who would do well:
We welcome applicants who have a positive attitude and enjoy working with people. This position is a great fit for people who are looking to work around their busy schedule.
If you think you would be a great fit for our team, click Apply to seize this opportunity and shape your own future You will receive a link to schedule an informative interview session.
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
This position is responsible for completing FMLA/Disability forms in a timely and efficient manner, ensuring accuracy and providing customers with the highest quality product and customer service. Applicants should have familiarity with medical terminology and medical office processes and procedures. Experience with FMLA/Disability forms is required. The candidate will also demonstrate that they are culturally aligned with Sharecare, by displaying and working within the values of Servant Leadership, Family, Compassion, Accountability and Respect for their leader and their peers. They will be innovative, open to change, and display honesty and integrity in all that they do.
Essential Job Functions:
Process FMLA/Short Term Disability paperwork.
Communicate with patients and physician coordinators about disability/FMLA paperwork in an upbeat, patient centered attitude.
Process medical record requests for clients, with proper adherence to HIPAA and HITECH compliance training and laws.
Complete FMLA/Disability forms by utilizing industry standard responses as per the type of specialty practice.
Answer incoming calls, assisting multiple lines & capturing call data on Excel tracking log; provide excellent customer service by being attentive and respectful.
Validate and process all incoming requests for PHI.
Ensure patient’s disability forms are completed after payment within 5-7 days (turnaround).
Pull patients forms and PHI requests on a daily basis for invoicing and loaded into RMS.
Establish and Maintain professional relationships with all account clients.
Monitor all EMR accounts to ensure that all requests are received and processed within required time frame.
Verify patient information using key identifiers.
Conduct quality screenings on incoming PHI to protect patient data.
Verify requesting party contact information including fax number or address.
Update and maintain an Accounting of Disclosure Log for all medical records released.
Provide attention and care to patients and patient representatives.
Qualifications:
1 year prior experience in a medical records department or like setting
Strong computer software experience: general working knowledge of Microsoft Word & Excel
Excellent organizational skills a must and must be able to multi-task
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly
Must be self-motivated, a team player and have proven customer satisfaction skills
Must have excellent Communication skills
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is a digital healthcare company that delivers software and tech-enabled services to stakeholders across the healthcare ecosystem to help improve care quality, drive better outcomes, and lower costs. Through its data-driven AI insights, evidence-based resources, and comprehensive platform – including benefits navigation, care management, home care resources, health information management, and more – Sharecare helps people easily and efficiently manage their healthcare and improve their well-being. Across its three business channels, Sharecare enables health plan sponsors, health systems and physician practices, and leading pharmaceutical brands to drive personalized and value-based care at scale. To learn more, visit www.sharecare.com.
Job Summary:
Data Entry Specialist is responsible for accurately inputting patient information into Sharecare’s internal systems and client Electronic Medical Record (EMR) platforms. This role requires keen attention to detail, efficient data management, and strict adherence to HIPAA compliance standards, supporting the Release of Information (ROI) process. The ideal candidate thrives in a fast-paced, collaborative environment, demonstrating a strong commitment to accuracy, productivity, and the protection of sensitive patient data.
Essential Functions:
Accurately enter and update patient data in internal and client-facing systems
Access and navigate multiple EMR platforms to retrieve, validate, and process patient health information (PHI)
Ensure data accuracy and consistency while meeting productivity benchmarks
Maintain strict confidentiality and comply with HIPAA and company privacy policies
Collaborate with team members to support process improvements and service quality
Provide courteous, timely, and professional communication with internal and external stakeholders as needed
Qualifications:
Proficiency in Microsoft Office applications
Strong organizational and multitasking skills essential
Demonstrated ability to manage time effectively and meet task deadlines
Willingness to learn programs and processes quickly
Strong documentation, communication, and customer service skills
Self-motivated, dependable, and able to work independently or as part of a team
Proven ability to maintain productivity, utilization and quality performance standards
Physical Requirements:
Ability to sit or stand for extended periods of time
Physical capacity to lift and carry 25 lbs.
Manual dexterity is sufficient for long periods of typing, writing, and handling documents
Visual acuity to read documents and use a computer monitor
Clear speaking and hearing ability for communication
Adequate hand-eye coordination and sensory abilities for job-related tasks.
Information Governance Accountabilities:
Understand the organization’s information governance program & individual role responsibilities
Participate in required education and compliance training.
HIPAA/Compliance:
Maintain the confidentiality of patient and client information
Comply with HIPAA standards and all relevant corporate integrity and security obligations.
Report unethical, fraudulent, or illegal behavior
Maintain current HIPAA certification annually
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
*Candidates in the MountainTime Zone will be prioritized for consideration.*
As a Change Order Representative, you are responsible for reviewing and processing changes to existing patient orders to ensure accuracy, compliance, and timely shipment of medical supplies. This role focuses on prescription review, insurance and authorization validation, documentation accuracy, and coordination with internal teams to prevent delays in patient care. This is a remote, detail-driven role requiring strong organizational skills and healthcare administrative experience.
Our Mission: To revolutionize the way homecare is delivered, one patient at a time.
Why Join Us?
100% Remote
Equipment Provided
Fun, Inclusive Work Environment
Full Benefits Package (Sick Time, Vacation, 401K, Dental, Vision, Life Insurance)
2 Bonus Days Off (“Fun Day” and “Inclusion Day”)
6 Paid Holidays
Supportive Team with Role-Based Training to Aid in Your Success
Internal Opportunities for Growth
Interactive Clubs and Engagement Opportunities
What You’ll Do:
Review and process changes to existing patient orders
Validate prescription accuracy and determine when updated documentation is required
Verify insurance coverage and submit or follow up on authorizations
Calculate and verify enteral formula requirements
Navigate insurance and payer portals
Maintain accurate, HIPAA-compliant documentation
Communicate with patients and internal teams as needed to resolve order issues
The Right Fit Is:
Strong attention to detail and accuracy
Experience reviewing medical documentation, prescriptions, or insurance information
Ability to manage multiple order changes and meet turnaround expectations
Comfortable working independently in a remote environment
Effective written and verbal communication skills
Quality- and compliance-focused, with respect for patient confidentiality
Remote Work Requirements:
Ability to maintain a quiet, dedicated workspace that is free of background noise and ongoing distractions
Ability to participate in virtual meetings with a professional, camera-ready presence
Ability to demonstrate strong time-management skills, as well as accountability and self-direction
Must be able to operate off reliable, high-speed internet
Position Qualifications:
2+ years of healthcare administrative, order processing, or insurance experience
This position is responsible for processing all release of information requests in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Essential Functions:
Completes release of information requests including retrieving patient’s medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and productivity.
Date stamps all requests and highlights pertinent data to facilitate processing.
Validates requests and authorizations for release of medical information according to established procedures.
Performs quality checks on all work to assure accuracy of the release, confidentiality, and proper invoicing.
Maintain equipment in excellent operating condition (inside and out).
Provides excellent customer service by being attentive and respectful; insures understanding of customer request and follows-through as promised; and being proactive in identifying client concerns, or problems.
May receive incoming requests including opening mail, telephone inquiries, and retrieving facsimile inquiries, depending on the needs to the client.
Maintains a neat, clean, and professional personal appearance and observes the dress code established.
Maintains a clean and orderly work area, insures that records and files are properly stored before leaving area.
Maintains working knowledge of the existing state laws and fee structure
Works within scope of position and direction; willingly accepts assignments and is available to take on additional facilities or help out during backlogs
Carries out responsibilities in accordance with client/site policies and procedures, including HIPAA, state/federal regulations related to operations, and labor regulations.
Maintains confidentiality, security and standards of ethics with all information.
Work with privileged information in a conscientious manner while releasing medical records in an efficient, effective, and accurate manner.
Qualifications:
High School Diploma (GED) required
A minimum of 2 years prior experience in a medical records department or like setting preferred
Must have strong computer software experience — general working knowledge of Microsoft Word and Excel required
Excellent organizational skills are a must
Must be able to type 50 wpm
Must be able to use fax, copier, scanning machine
Must be willing to learn new equipment and processes quickly.
Must be self-motivated, a team player
Must have proven customer satisfaction skills
Must be able to multi-task
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
If you want an exciting job with one of the largest off$18.00/hrprice retailers in the nation, join Burlington Stores, Inc. team as an Order Specialist! The Merchant Operations Order Specialist (OS) supports the Merchant buying team by efficiently compiling necessary purchase information, ensuring accurate and prompt purchase order issuance to vendors. Serving a pivotal role for the company, the OS ensures order details are promptly and accurately communicated to all parties in the order chain, including merchants, vendors, allocations and the distributions center, to secure quality purchases in a timely fashion in support of sales.
A Day In The Life
Problem Solving
Frequently and effectively writes Excel formulas and functionality to manage and modify order spreadsheets to seamlessly prepare and upload order requests.
Looks for ways to improve the accuracy and efficiency of the order execution operation.
Learns from mistakes to meet accuracy standards.
Understands the importance of using technology to enhance productivity.
Order Execution
Responsible for efficient, accurate and prompt creation and issuance of purchase orders and changes
Utilizes Dashboard to execute work as assigned to achieve productivity goals.
Identifies and promptly communicates obstacles in the order execution operation to Order Execution Team Lead (OETL) and Order Execution Management (OE Mgmt).
Demonstrates continued growth of Excel knowledge.
Collaborative Relationships
Effectively, succinctly and accurately communicates with business partners, including merchants and support teams, through ServiceNow.
Promptly escalates concerns to OE Lead and Management as issues arise.
Strong team player who embraces change and fosters an open environment of continual training and development.
You’ll Come With
Bachelor’s Degree preferred
Strong Microsoft Excel skills – experience with formulas and functions a must
Strong numbers aptitude and math skills
Strong problem solving and attention to detail
Strong written communication skills
Exceptional ability to retain and follow process
Strives for continuous improvement, learning and excellence
Ability to adapt to frequent changes in priorities and processes
Excellent time management skills and organizational skills to maximize productivity
Must be able to work at a fast pace while achieving productivity and accuracy goals
Come join our team. You’re going to like it here!
You will enjoy competitive wages, flexible hours, and an associate discount. Burlington’s benefits package includes medical, dental and vision coverage including life and disability insurance. Full$18.00/hrtime associates are also eligible for paid time off, paid holidays and a 401(k) plan. We are a rapidly growing brand and provide a variety of training and development opportunities so our associates can grow with us. Our teams work hard and have fun together! Burlington associates make a difference in the lives of customers, colleagues, and the communities where we live and work every day. Burlington Stores, Inc. is an equal opportunity employer committed to workplace diversity.
Individual pay decisions will be based on a variety of factors, such as but not limited to, qualifications, education, job$18.00/hrrelated skills, relevant experience, and geographic location.
Sixty million Medicare seniors live with chronic disease. The care system sees most of them twice a year. Cadence is building the infrastructure to support them every day.
Cadence is a clinical AI company that delivers continuous, proactive care for older adults with chronic conditions like hypertension, heart failure, and diabetes. We pair patients with a dedicated clinical team, integrate deeply into health system EMRs and workflows, and use our Clinical Intelligence platform to monitor vitals, surface risk early, optimize medications, and close care gaps between visits. The result: patients engage with care 100x more than before Cadence, clinicians focus on judgment instead of administrative work, and Medicare saves $2M a week.
We operate as a full clinical care delivery organization, not a software vendor. Our clinicians work alongside health system partners, extending the reach of local primary care providers into patients’ homes. We’re now applying AI agents across these workflows – from alert review and medication titration to lifestyle coaching and care coordination – with clinicians always in control of clinical decisions.
The Role
We’re hiring a Data Analytics Lead – Remote Patient Monitoring (RPM) to define the KPIs, data models, and analytical infrastructure that support Cadence’s clinical, operational, and product decisions. You will partner closely with care delivery, operations, product management, and customer success to build a scalable analytics roadmap and translate complex data – including patient vitals, EHR records, and clinical outcomes – into insights that drive strategy. This role sits at the center of how Cadence measures and improves care delivery at scale.
What You’ll Do
Build and maintain labor productivity models and workforce supply/demand forecasts that give clinical operations leadership a clear, real-time picture of staffing needs, capacity constraints, and efficiency trends across the RPM program.
Develop financial and operational models, including revenue forecasting and cost-per-patient analyses, that support resource planning and strategic decision-making at the executive level.
Explore patient vitals, EHR data, and clinician-generated data to surface insights that benefit clinical care, inform product strategy, and support care gap closure across Cadence’s patient population.
Build reusable analytical workflows and automation that reduce manual overhead, accelerate insight generation, and raise the quality and consistency of outputs across the analytics function.
Collaborate with internal stakeholders to identify data needs, define what data should be collected, and ensure metrics are consistently defined and reliable across teams.
Maintain and evolve Cadence’s data stack (Snowflake, Fivetran, dbt) with well-documented, scalable infrastructure — and collaborate across teams to define how data is collected, structured, and standardized as a reliable foundation for analytical work.
What You Need
5+ years of experience working with SQL or other data querying languages, with hands-on experience building and maintaining analytics, reporting, and dashboarding solutions.
Proficiency with modern data stack tools such as Snowflake, Fivetran, and dbt, or equivalent technologies.
Bachelor’s degree in Mathematics, Statistics, Economics, Computer Science, or a related quantitative field, or equivalent practical experience.
Practical knowledge of statistics and data analysis techniques, with the ability to translate findings clearly for both technical and non-technical stakeholders.
Experience working with clinical or health data – including patient vitals, EHR records, or outcomes data – and familiarity with the data structures and sensitivity considerations that come with it.
Fluency with LLM APIs, prompt engineering, and AI-assisted development tools; demonstrated experience building or evaluating AI-powered systems in production.
Compensation
Our job titles may span more than one career level. The base salary for this role typically ranges between $160,000 – $200,000, depending on experience, skills, seniority, and business needs. In addition to base salary, this role is eligible for equity as part of the total compensation package. Actual compensation may vary by location.
Benefits & Perks
Competitive pay & equity*
Fully remote
Comprehensive health coverage: Medical, dental & vision
Paid time off
401k plan + matching
Paid parental leave
Home office stipend
*benefit offerings may vary depending on job profile, job level and worker type
Cadence is committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws.
A notice to Cadence applicants: Our Talent team only directs candidates to apply through our official careers page at https://www.cadence.care/our-team. Cadence will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. We receive all applications through our website and anyone suggesting otherwise is not with Cadence.
What Customer Service Operations contributes to Cardinal Health
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.
Job Summary
The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, and tracking payer approvals for durable medical equipment (DME) orders, including diabetes devices and other clinically prescribed supply categories (e.g., ostomy, urological, wound care). This role submits prior authorization requests through payer portals or via fax, and conducts phone-based follow-ups with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets daily productivity targets, and adheres to quality, compliance, and HIPAA standards.
Responsibilities
Review assigned accounts to determine prior authorization requirements by payer and product category.
Prepare and submit complete prior auth packets via payer portals, third-party platforms, or fax (including DWO/CMN, prescriptions, clinical notes, and other required documentation).
Conduct phone-based follow-ups with payers (and provider offices when needed) to confirm receipt, resolve issues, and obtain approval or referral numbers.
Log approvals accurately so orders can be released and shipped; correct rejected/pending decisions by addressing missing documentation or criteria.
Monitor upcoming prior auth expirations and initiate re-authorization early to prevent delays on new and reorder supply shipments
Prioritize work to give orders a “leg up” based on aging, SLA, and payer requirements.
Capture all actions, decisions, and documentation in the appropriate systems with complete, audit-ready notes.
Ensure secure handling of PHI and maintain full compliance with HIPAA, regulatory requirements, and company policy.
Promptly report suspected non-compliance or policy violations and attend required Compliance/HIPAA trainings.
Achieve daily throughput goals (accounts/records per day) across mixed work types (portal/web, fax, phone).
Meet standardized quality metrics through accurate documentation and adherence to process; participate in supervisor live-monitoring, QA reviews, and 1:1 coaching.
Share payer/process knowledge with teammates and support a strong team culture.
Adapt to changes in payer criteria, portals, and internal workflows; offer feedback to improve allocation, templates, and documentation standards.
Perform additional responsibilities or special projects as assigned.
Qualifications
High School diploma, GED or equivalent work experience, preferred
3-6 years of experience in healthcare payer-facing work such as prior authorization, insurance verification, medical documentation, revenue cycle, or claims, preferred
Proven ability to meet daily productivity targets and quality standards in a queue-based environment.
Strong phone skills and professional communication with payers and provider offices; comfortable with sustained phone work.
High attention to detail and accuracy when compiling documentation (DWO/CMN, prescriptions, clinical notes).
Self-motivated with strong time management; able to pace independently without inbound-call cadence.
Customer-centric mindset with a sense of urgency; capable of multitasking (working web/portal tasks while on calls).
Working knowledge of HIPAA and secure handling of PHI.
Experience with diabetes devices (CGMs, insulin pumps), and familiarity with ostomy, urological, and wound care product categories, preferred.
Knowledge of payer criteria for DME prior authorization, including common documentation requirements and medical necessity standards, preferred
Familiarity with payer portals and third-party platforms; experience with Grid or other work allocation tools, preferred.
Exposure to ICD-10/HCPCS coding and basic authorization/claims terminology, preferred,
What is expected of you and others at this level
Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
In-depth knowledge in technical or specialty area
Applies advanced skills to resolve complex problems independently
May modify process to resolve situations
Works independently within established procedures; may receive general guidance on new assignments
May provide general guidance or technical assistance to less experienced team members
Anticipated hourly range: $16.75 per hour – $21.75 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 06/20/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Summary of Position: The Care Coordination Representative is responsible for completing tasks related to assigned Care Coordination services (CCS) / Health Information Management (HIM) service. CCS services include e-Filing (electronic filing), order and referral management, insurance verifications, prior authorizations, and completing patient medical forms. The Care Coordination Representative reports directly to the Operations Supervisor. This position may be onsite, hybrid and/or remote allowing you to work from your own home office environment.
Duties & Responsibilities: • Process assigned tasks with a focus on accuracy, efficiency, and compliance with client protocols • Evaluate medical documents and file them electronically into patient charts • Navigate client electronic health records(EHR)software and internal systems with ease • Ability to handle high volumes of work with high quality and accuracy • Utilize strong data entry and typing skills with ability to move quickly on a keyboard • Crosstrain in multiple EHRs to provide additional team coverage when needed • Follow pre-defined filing processes, and if needed, refer to company internal documentation, or ask your supervisor for assistance in filing the document properly • Understand and utilize assigned clients’ protocols and Service Level Agreement • Track your completed work to log time and transaction counts on an hourly basis or as directed by management • Know the PGLs(Planning Guidelines) or Target Transactions per Hour for the client accounts you are working on • Complete all work as assigned by management • Report to management any reasons for a variance to standard, including all issues preventing or delaying planned job completion, and report any actions taken to resolve • Study and continually reference internal documentation and protocols • Exercise confidentiality concerning the affairs of the business and follow HIPAA guidelines and procedures; report all HIPAA violations, maintain good HIPAA practices • Expected to provide exemplary customer service to all, including external customers, vendors, visitors, coworkers, and management, with clear and effective communication, professionalism, and courtesy while representing the company • Attend any meetings or training as required • Understand and comply with company/client agreed compliance standards • Understands that this role requires specific responsibilities for protecting sensitive data • Perform other duties, as assigned, to ensure effective operation of the department and the Company
Minimum Qualifications: • High School Diploma or equivalent required • Experience with health information management concepts, EHRs and/or medical terminology is a plus • Proficient in managing a high-volume, fast-paced environment with accuracy • Intermediate computer skills, including Microsoft Office Suite and the ability to adapt to company-specific software • Capable of efficiently navigating multiple open programs, windows and applications • Strong attention to detail and accuracy • Must be able to perform physical tasks such as sitting, talking, hearing, using hands, reaching, standing, walking, driving, and occasionally lifting up to 25 lbs • Occasional after-hours or weekend work may be required • Ability to fulfill responsibilities in a remote capacity while ensuring access to strong/reliable internet within a designated, secure and private workspace
Job Details
Job FamilyCCSJob FunctionCCSPay TypeHourlyEducation LevelHigh SchoolHiring Min Rate15.25 USDHiring Max Rate17.50 USD
At Gifthealth, we’re revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We’re a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people’s lives.
Position Summary
A Reimbursement Analyst is responsible for being the primary point of contact in assisting patients or healthcare providers in obtaining access to therapy for the reimbursement hub program to which they are assigned. Primary activities may include researching and analyzing moderate to complex reimbursement policies, billing, benefit investigations, prior authorization, appeals and patient assistance support programs. Responsibilities, may include interactions with client contacts as well as handling of escalated cases/issues.
Key Responsibilities
Assist patients and healthcare providers with moderate to complex billing and coding, insurance benefit investigations, prior authorization, appeals and patient assistance support programs inquiries.
May include acting as regional contact for senior level client contacts.
Manage patient cases and interact with external contacts like payers and other stakeholders.
Assist with coordination of relevant tasks/activities between Gifthealth and the client.
Review and resolve denied or underpaid insurance claims.
Identify and assess patient specific insurance coverage options for client specific products.
Reverify patient benefits at predetermined time frames
Document all activities in program database within required timelines.
Research payer medical policy
Monitor and update payer prior authorization requirements and coverage policies for specified client program.
Prepare and/or assist with preparation of reports as requested, including adverse event and product complaint reports.
Review and process documentation to determine patient specific eligibility for client patient support program(s), as appropriate.
Complete quality monitoring and quality assurance activities, as assigned.
Travel to and attend client meetings, off-site training, and/or conferences. Travel time estimate: 5%.
Qualifications
Minimum four years recent healthcare experience (2 years’ direct industry preferred).
Exhibit proficiency in Microsoft Office products
Excellent customer service skills (call center experience preferred).
Advanced problem solving, research and analytical skills.
Advanced communication skills, both written and verbal.
Attention to detail, data entry accuracy required.
Ability to multi-task and manage time independently.
Client interaction experience preferred.
Advanced knowledge of medical insurance (public and commercial), billing and
coding and associated terminology.
Work Environment
Location: Remote
Schedule: Full-time
May require availability or flexibility for escalations.
Regular meetings with teams, departments, or leadership to ensure alignment.
Key Essential Functions
Ability to sit for extended periods of time while working at a computer and on the phone throughout the workday.
Ability to engage in continuous phone and computer use, including navigating multiple systems simultaneously, for the duration of the shift.
Ability to perform repetitive motions for an entire shift, including typing, mouse use, and phone handling.
Ability to view and read information on a computer screen for prolonged periods.
Ability to communicate clearly and professionally via phone, email, and internal systems.
Ability to manage a high volume of inbound and outbound calls while maintaining attention to detail and accuracy.
Ability to work in a remote environment with minimal distractions and maintain productivity and performance standards.
Ability to adapt to changing priorities, workflows, and processes in a fast-paced environment.
Ability to meet attendance, schedule adherence, and performance expectations, including flexibility for occasional extended hours or weekends as business needs require.
Employment Classification
Status: Full-time FLSA: Non-Exempt
Equal Employment Opportunity (EEO) Statement
Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.
We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!
Disclaimer
This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist serves as a key liaison between members, providers, and internal departments to resolve issues effectively, ensuring the integrity of the appeals and grievance process and compliance with CMS, NCQA, URAC, and state regulatory requirements.
Essential Functions
Case Management
Research and analyze case documentation, including benefit coverage, prior authorizations, claims, and regulatory guidance.
Communicate with members, providers, or representative to clarify appeal intent and gather missing documentation including incoming calls, outgoing calls, and phone queue work as assigned.
Prepare complete and compliant case files, ensuring all required documentation is included.
Track case progress and maintain compliance with turnaround times and documentation standards.
Generate accurate and timely determination and acknowledgement letters.
Investigation and Resolution
Collaborate with internal departments such as Claims, Medical Management, Legal, and Compliance to obtain necessary information for resolution.
Identify potential compliance issues or risk factors requiring escalation.
Participate in case discussions, internal committee reviews, or external fair hearing preparation as assigned.
Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy.
Compliance & Quality
Ensure case handling meets all application federal and state regulatory requirements, including with CMS, NCQA, and URAC.
Maintain confidentiality and protect member information in compliance with HIPPA regulations.
Identify opportunities for process improvements to enhance quality and efficiency.
Team Collaboration
Serve as a resource to peers and administrators for routine case-related questions.
Maintain professional communication with members, providers, and internal stakeholders.
Participate in team meetings and contribute to continuous improvement initiatives.
Education/Experience
Associate’s Degree: in Health Administration, Business, or related field preferred
High School Diploma/GES Required
Preferred Experience Level:
Knowledge of medical terminology, benefit interpretation, and regulatory processes preferred. Prior experience working with CMS, Medicaid, or state-regulated appeals processes preferred.
2 to 3 years experience in healthcare operations, managed care, or grievance/appeals coordination.
Other Skills
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
Strong attention to detail and organization.
Excellent written and verbal communication.
Ability to manage multiple priorities in a fast-paced environment.
Strong analytical and problem-solving abilities.
Customer service orientation with professional communication etiquette.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
We believe every American household deserves access to counsel in life’s biggest moments. At Finch, we’re building the infrastructure to make justice radically more accessible. Our modern approach to consumer law automates the admin work and puts clients first, starting with personal injury.
In just over a year, we’ve grown 10x, raised a $20M Series A, and become the pre-litigation partner of choice for top personal injury firms across the country. We believe the best outcomes happen when expert operators and purpose-built AI work together – which is why we handle every step of pre-lit, from intake and claim opening to medical records, lien management, and demands, with humans leading every case.
We’re backed by Sequoia, Redpoint, and the founders & CEOs of generational companies like DoorDash, Ironclad, and Digits. We’re rebuilding how the law serves everyday Americans from first principles, and we’re hiring exceptional operators to help us scale it nationwide.
This Role As an Intake Data Entry Specialist you’ll own the accuracy, completeness, and flow of all incoming case data. This role sits at the front of the funnel—ensuring every case is set up correctly from day one and ready to move quickly through the system. You’ll play a critical role in maintaining a clean, reliable Case Management System by validating, structuring, and updating intake data in real time. If you’re detail-oriented, process-driven, and thrive in fast-paced environments where precision matters, this role is for you.
What You’ll Do
Own Intake Data Accuracy: Review, validate, and enter new case information (client details, incident data, documentation) with a high level of precision.
Set up cases for success: Ensure every new case is properly created, structured, and aligned with firm standards
Manage in real time: Process intake updates quickly to keep cases moving without delays
Maintain consistency across systems: Ensure alignment between intake tools, Finch, and partner firm systems
Identify and resolve issues early: Partner with intake and operations teams to flag and fix missing or inconsistent data
Keep clean records: Document updates and changes to maintain transparency and auditability
Continuously improve processes: Look for ways to increase speed, accuracy, and efficiency in intake workflows
You Might Be a Fit if You
Have a proven track record in task management, or a related field
Have strong attention to detail—you catch what others miss
Can move quickly without sacrificing accuracy
Are comfortable working across multiple systems and tools
Are highly organized with strong process discipline
Communicate clearly and collaborate well across teams
Are adaptable and open to evolving workflows and systems
Compensation $50,000 to $60,000 annual salary
Additional Benefits Include • 100% coverage for health, dental, and vision • 401(k) retirement plan • In-office snacks, drinks, and daily team lunch and dinners • Flexible PTO (we trust you to take the time you need)
At Finch Legal, we believe in practicing what we advocate.
As a company dedicated to upholding justice and protecting people in the workplace, we are equally committed to fostering a safe, inclusive, and equitable environment within our own walls. We welcome and support individuals from all backgrounds and lived experiences — regardless of race, ethnicity, gender identity, sexual orientation, religion, disability, or veteran status.
We recognize that diversity strengthens our team, enriches our perspectives, and empowers us to better serve our clients and communities. At Finch Legal, inclusion isn’t just a value — it’s a practice.
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation’s leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
The Appeals & Grievance Case Resolution Specialist is responsible for the full life cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts case intake, investigation, and documentation to ensure accurate and timely resolution consistent with federal state, and accreditation standards. The Specialist serves as a key liaison between members, providers, and internal departments to resolve issues effectively, ensuring the integrity of the appeals and grievance process and compliance with CMS, NCQA, URAC, and state regulatory requirements.
Essential Functions
Case Management
Research and analyze case documentation, including benefit coverage, prior authorizations, claims, and regulatory guidance.
Communicate with members, providers, or representative to clarify appeal intent and gather missing documentation including incoming calls, outgoing calls, and phone queue work as assigned.
Prepare complete and compliant case files, ensuring all required documentation is included.
Track case progress and maintain compliance with turnaround times and documentation standards.
Generate accurate and timely determination and acknowledgement letters.
Investigation and Resolution
Collaborate with internal departments such as Claims, Medical Management, Legal, and Compliance to obtain necessary information for resolution.
Identify potential compliance issues or risk factors requiring escalation.
Participate in case discussions, internal committee reviews, or external fair hearing preparation as assigned.
Document all activities, correspondence, and outcomes in the case management system with attention to detail and accuracy.
Compliance & Quality
Ensure case handling meets all application federal and state regulatory requirements, including with CMS, NCQA, and URAC.
Maintain confidentiality and protect member information in compliance with HIPPA regulations.
Identify opportunities for process improvements to enhance quality and efficiency.
Team Collaboration
Serve as a resource to peers and administrators for routine case-related questions.
Maintain professional communication with members, providers, and internal stakeholders.
Participate in team meetings and contribute to continuous improvement initiatives.
Education/Experience
Associate’s Degree: in Health Administration, Business, or related field preferred
High School Diploma/GES Required
Preferred Experience Level:
Knowledge of medical terminology, benefit interpretation, and regulatory processes preferred. Prior experience working with CMS, Medicaid, or state-regulated appeals processes preferred.
2 to 3 years experience in healthcare operations, managed care, or grievance/appeals coordination.
Other Skills
Proficiency in Microsoft Office Suite (Word, Excel, Outlook, etc.).
Strong attention to detail and organization.
Excellent written and verbal communication.
Ability to manage multiple priorities in a fast-paced environment.
Strong analytical and problem-solving abilities.
Customer service orientation with professional communication etiquette.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures.
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Essential Duties and Responsibilities:
Review outpatient encounters (pre visit, concurrent, and/or post visit) to assess documentation accuracy and completeness.
Identify opportunities for improved documentation related to: Chronic conditions and disease specificity Risk adjustment (e.g., HCCs)Quality measures and medical necessity.
Provide compliant documentation clarification via query and feedback to providers through approved communication channels Support accurate problem list management and ongoing condition validation.
Collaborate with coding, quality, compliance, and revenue cycle teams as needed.
Track and report CDI interventions, trends, and outcomes. Participate in provider education and training initiatives.
Stay current on outpatient coding, risk adjustment, and regulatory guidanceCompliance & Regulatory OversightEnsure compliance with CMS, payer, and organizational documentation and billing requirements.
Identify potential compliance risks, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses. Apply knowledge of HCCs, risk adjustment, quality measures, and outpatient reimbursement methodologies as applicable.
Minimum Qualifications:
An active coding credential required such as – RHIA, RHIT, CPC, COC, CCS-O, CCS, CDEO, CCDS, CDIP or CCDS-O
Experience working in an ambulatory EHR (Epic, Cerner, or similar)
Skills & Competencies:
Strong clinical and analytical judgment.
Professional communication style.
Excellent written documentation skills. Comfortable working independently in a fast-paced environment.
Proficient in Microsoft Office Applications
Desired Minimum Qualifications:
Experience with telecommuting, working with EMRs and other electronic tools.
Strong analytical skills.
Strong Microsoft Office skills.
Works well with numbers.
Strong team player.
Ability to work with multiple and diverse clients and projects.
Ability to work with minimal supervision.
Ability to maintain and access multiple files.
Assure that work product is completed with high levels of accuracy and attention to detail.
This is a remote position
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
At Reserv, we’re reimagining what modern claims handling can be — faster, smarter, and relentlessly customer‑centric. As our Claims Director, you’ll lead a team of Claims Professionals managing real property and auto damage claims, bodily injury claims, driving operational excellence through technology, analytics, and a deep commitment to customer experience.
You’ll own the full customer journey, ensuring every interaction is seamless, empathetic, and efficient. This role blends strategic leadership with hands‑on execution, requiring someone who can inspire teams, influence cross‑functional partners, and scale a claims operation built for the future.
What You’ll Do
Customer Experience & Strategy
Develop and execute a comprehensive customer experience strategy aligned with Reserv’s mission and growth goals.
Define KPIs and performance metrics to drive satisfaction, retention, and overall experience quality.
Identify emerging trends and technologies to continuously evolve our claims experience.
Act as the voice of the customer in key business decisions.
Leadership & Team Development
Build, lead, and develop a high‑performing claims team.
Oversee recruitment, onboarding, coaching, and ongoing professional development.
Conduct regular performance evaluations and foster a culture of excellence, innovation, and accountability.
Design and implement training programs to strengthen technical, insurance, and customer service skills.
Operational Excellence
Serve as the escalation point for complex or sensitive customer issues, providing strategic guidance and resolution.
Use data, analytics, and customer feedback to identify pain points and implement improvements.
Partner with Product and Engineering to inform the development of tools, systems, and processes that enhance efficiency and outcomes.
Ensure scalable, compliant, and efficient operations across all claims workflows.
Cross‑Functional Collaboration
Work closely with leaders across Claims Operations, Product, Engineering, and Marketing to drive customer‑centric initiatives.
Influence organizational priorities and ensure alignment with broader business objectives.
Requirements
Bachelor’s degree in business, marketing, communications, or a related field (advanced degree preferred).
10+ years of experience in insurance claims across multiple lines; property and/or auto strongly preferred.
5+ years of management experience, ideally leading remote teams.
Proven ability to deliver results, overcome obstacles, and drive continuous improvement.
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
locationsUnited Statestime typeFull timeposted onPosted 5 Days Agojob requisition idR-0000023039
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Job Description:
The Authorization Specialist role is responsible for all administrative aspects of outpatient diagnostic testing and procedure benefit verification and authorization. This role will ensure patient’s insurance requirements for reimbursement before diagnostic testing or procedure. Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier. Ensure the financial feasibility of treating each patient in our clinics by communicating and working closely with patients, physician, nurse and social worker. Work in specific areas of concern in the department on a project basis. Assist Patient Finance Manager in training staff, projects and implementations. Maintain in-depth knowledge of authorization process as well as reimbursement methodologies. Maintain knowledge of collection techniques and collection laws.
Responsibilities:
Obtains pre-authorizations for Physician Orders for diagnostic testing or procedure as required by the patient’s insurance carrier.
Communicates with physician/clinical staff on reimbursement issues and/or pre-certification requirements by the patient’s insurance carriers.
Ensures up-to-date documentation on patient’s accounts in Electronic Medical Record on authorization approvals and denials.
Communicates with Insurance Authorization Coordinators the need for updated referrals.
Communicates with front office manager and staff in the case of denials that will require rescheduling and/or peer-to-peer review by the ordering physician.
Communicates with hospitals or other diagnostic facilities to correct any discrepancies.
Contacts Insurance Authorization Coordinators to notify of termed insurances.
Communicates as necessary and in a timely fashion with Front Office and imaging center staff with regards to the status of pending authorizations.
Contacts Clinical Trial team to notify of denied scans for patients on study to verify coverage of scan by study.
Keeps current on insurance carrier requirements for diagnostic testing and procedures.
Follows policy and procedures outlined by management to ensure standardization of processes across the clinics.
Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.
Lab Information System, Pharmacy Information System, Entire Chart/Electronic Medical Record (EMR), Electronic Billing System (EBS).
Works denial worklist completing retro authorization request and or medically necessary appeals.
Review payer guidelines for medically necessity guidelines including frequency and prior testing requirements.
Required Qualifications:
High School diploma or equivalent.
One year experience in a directly related role preferred, but not required.
High School diploma or equivalent required.
1+ year(s) of Prior Authorization experience.
Medical insurance background required.
Essential Competencies:
Attendance is an essential job function.
Ability to work effectively with all levels of management and other colleagues
Ability to demonstrate initiative and mature judgment.
Ability to demonstrate high degree of professionalism and adaptability.
Ability to demonstrate proficiency in the use of end-user computer applications (MS work, Excel, Outlook), database and patient scheduling and other medical information systems.
Ability to demonstrate strong customer service delivery skills.
Ability to utilize websites, portal and electronic options when available to increase efficiency
Ability to follow oral and written instructions.
Ability to recognize and solve problems using creative thinking skills, hands on problem solving skills and the ability to analyze and respond to data.
Skilled at effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations.
Skilled at Multi-tasking, organizational skills and superb attention to detail.
Working knowledge of Hospice and other payer requirements.
Knowledge of clinic office procedures, medical practice and medical terminology.
Thanks for your interest in Oklo! We are searching for a Document Control Specialist Contractor to support our EPC Project Management and central Document Control teams.
Position Description
The Document Control Specialist supports the execution of document management activities for Oklo’s internal processes and EPC construction projects under the supervision of senior document control or project management personnel. This role is responsible for following processes that ensure Oklo/project documents are accurate, traceable, and compliant; documentation may cover a range of activities, including engineering, procurement, construction, commissioning, turnover, and recordkeeping.
The Document Control Specialist ensures documents are properly received, logged, reviewed, distributed, revised, retained, and transmitted in accordance with Oklo standards, project requirements, contractual obligations, quality assurance expectations, and other applicable regulatory requirements.
Success in this role requires strong attention to detail, organizational discipline, customer-service outlook, sound judgment, the ability to follow established processes while identifying areas for improvement, and the willingness to work within a team to achieve shared objectives.
Please note this is a contract position that has the potential to covert to a permanent position after 6 months based on hiring needs and performance.
Specific responsibilities may include:
Support the day-to-day administration of document control processes using approved document management systems such as SharePoint, InEight Document, Bluebeam Revu, Procore, M-Files, or similar platforms.
Manage the full document lifecycle for incoming and outgoing project deliverables, including both Oklo-generated and vendor-generated documents and records, including the sending/receipt of transmittals.
Maintain master document register metadata to ensure traceability to final records.
Ensure current revisions are available to relevant stakeholders and that superseded/obsolete documents are properly controlled and archived.
Support the controlled review of design deliverables and other project documents, including distribution, tracking of comments/deadlines, and supporting comment resolution activities.
Enforce document control procedures, to include naming and numbering, metadata requirements, and review workflows; verify document submissions and coordinate with stakeholders to resolve nonconforming submissions.
Support management-of-change activities by ensuring associated document revisions are properly tracked, distributed, archived, and retained.
Support the incorporation and tracking of field markups, redlines, as-builts, and final record documentation.
Assist with the verification and organization of project turnover packages and final project records for commissioning, operations, and long-term records retention.
Support quality assurance audits, surveillances, and assessments by locating and providing requested documentation.
Provide first-line support to personnel regarding document control workflows, systems, and requirements.
Maintain confidentiality and security of sensitive/proprietary and export-controlled information (ECI) in accordance with company and regulatory requirements.
Identify and escalate document-control risks, workflow bottlenecks, or compliance concerns that may impact project execution milestones or introduce latent errors.
Minimum Qualifications:
Associate’s degree or equivalent education
3 years of relevant document control experience
Proficiency with common business/collaboration software tools, including Microsoft Office/Teams, Google Workspace, Adobe Acrobat Pro, Zoom, Slack, Confluence, Jira, or similar platforms
Ability to work effectively in a remote and cloud-based work environment
Willingness and ability to travel up to approximately 15% as required
Bonus Qualifications:
Supporting document control activities on EPC, capital construction, industrial, energy, or other complex infrastructure projects
Managing document lifecycles, including transmittals, revision control, metadata management, and turnover documentation
Processing engineering, procurement, construction, quality, vendor, and commissioning documentation (experience with owner-side document control is a plus)
Maintaining document registers, transmittal logs, distribution matrices, and document status reports
Coordinating with EPC contractors, vendors, subcontractors, engineering teams, project controls, construction teams, and quality personnel
Using document management systems such as SharePoint, InEight Document, Procore, M-Files, Devonway, or similar platforms
Familiarity with management-of-change workflows and project documentation processes such as RFIs, NCRs, DCNs, TQs, redlines, and as-builts
Exposure to commissioning, turnover, operational readiness, or asset handover documentation processes
Familiarity with QA requirements for controlled documents and records in a highly regulated industry, nuclear strongly preferred
Competencies
We are looking for a Document Control Specialist that has:
Strong attention to detail with a high standard for accuracy, consistency, and completeness
Excellent organizational, time-management, and prioritization skills
Strong written and verbal communication skills with the ability to coordinate effectively across multiple teams and stakeholders
Analytical and logical problem-solving abilities with sound judgment and critical-thinking skills
Ability to work independently while following established procedures and escalating issues appropriately
Professionalism and discretion in handling sensitive or confidential information
A customer-service mindset with a collaborative and solution-oriented approach
Comfortability enforcing standards, maintaining compliance, and following structured workflows
A proactive attitude toward identifying risks, gaps, and process improvements
Strong data-entry and computer proficiency skills
An ability to learn quickly and adapt in a fast-paced, highly iterative project environment
A positive, team-oriented mindset with accountability for assigned responsibilities
A passion for clean energy and advanced nuclear technology
Who you are:
A startup person: You aren’t driven by titles or hierarchy, and prefer efficiency to excess process. You don’t need or expect to have a lot of guidance but you enjoy working in a fast-paced team. If you prefer the culture and feel of a large organization, that is great, but you likely won’t enjoy working with us! There is plenty of important work and plenty of good opportunities with organizations like that.
Motivated: You are self-motivated. You bring an enthusiasm to the team, and imbue a sense of passion that goes beyond clocking in and clocking out. This isn’t about a fake or arbitrary “pieces of flair” mentality or lack of work-life balance! It is about being a part of the vision and feeling a part of reaching team goals.
A team-player: Oklo genuinely is a team. We aren’t about taking credit for ourselves, and we aren’t about pushing blame to others. We do incredible things because we work as a team.
An excellent communicator: We need a person who is not only technically competent but also a clear and upbeat communicator.
Creative: Being creative means that when things fall outside clear scopes or processes or problems arise without clear solutions, you are able to identify it as well as invent ways to solve a problem or fill a need without micromanagement. The successful person in this job will not only be creative, but also enjoy being creative and solving open-ended problems which may change day-by-day.
Detail-oriented: This focus is a big part of excellence, consistency, and quality. Excellent grammar and spelling matter for both good communication as well as the image of the company that we put forward.
About Oklo travel requirements:
Oklo requires remote employees to travel to headquarters (Santa Clara, CA) twice a quarter annually, based on business or team needs, including attendance at team meetings, off-sites, and other company events or gatherings. For the first two weeks of onboarding, employees are required to be in person at headquarters in Santa Clara, CA.
About Oklo compensation:
Hourly: $38-$50/hour
For permanent employees only: Oklo offers flexible time off, equity, bonuses, competitive pay, 401(k), health insurance (with employer contribution), HSA, FSA, flexible work hours, wellness credits, and other benefits.
This position may involve access to information subject to U.S. export control laws. Only applicants who meet the definition of a U.S. person under applicable laws may be eligible.
About Oklo Inc.: Oklo Inc. is developing fast fission power plants to deliver clean, reliable, and affordable energy at scale; establishing a domestic supply chain for critical radioisotopes; and advancing nuclear fuel recycling to convert nuclear waste into clean energy. Oklo was the first to receive a site use permit from the U.S. Department of Energy for a commercial advanced fission plant, was awarded fuel material from Idaho National Laboratory, and submitted the first custom combined license application for an advanced reactor to the U.S. Nuclear Regulatory Commission. Oklo is also developing advanced fuel recycling technologies in collaboration with the U.S. Department of Energy and U.S. National Laboratories.
#CHOP: Oklo’s Values Collaboration: We go further, together. We bring diverse perspectives, listen actively, and build trust through transparency and respect. We work across disciplines, sharing ownership to turn complex challenges into shared successes. Humility: We are team players who act for the good of the company and for the world. We are focused on our mission, not personal recognition. Ownership: We take pride in what we do and how we do it. We are proactive in finding solutions and see tasks through to completion. We are committed to delivering on our promises to provide clean, reliable, and affordable energy. Pathfinding: We chart new ground where no path exists by approaching challenges with curiosity, courage, and creativity while navigating ambiguity.
Who We Are: With a diverse team of more than 800 people, HealthMark is set apart by our culture, commitment to excellence, and dynamic contributors. We believe in fostering growth, celebrating success, and providing opportunities for every team member to thrive. Joining HealthMark means being part of a thriving organization recognized as a Top Workplace by USA Today. Not only that, but we’ve made it on the Inc. 5000 list of fastest-growing companies for ten years.
Not only will you get to contribute to the healthcare ecosystem by making health information more accessible to patients, but you will also join a forward-thinking team of innovators who are passionate about the work we do and the people we serve.
What We Do: HealthMark is a mission to revolutionize how medical records are released to patients, providers, and other stakeholders. We provide tech-enabled solutions that help health systems, hospitals, FQHCs, provider-led networks, and other care providers deliver the right medical records to the right patient.
What We Offer:
A collaborative and supportive work environment that values your ideas
Opportunities for professional development and career advancement
Competitive benefits, including medical, dental, and vision insurance, 401k matching, remote opportunities, paid time off, and a paid volunteer day of your choice
The chance to make an impact in the health information field every day
Join us in shaping the future of the release of information!
LOCATION: Remote
We are expanding rapidly and have created unique roles that need qualified candidates.
Entry-level job duties include, but are not limited to:
Processing medical record requests
Effectively answering 30-40 calls per day on average for customer requests
High volume and fast-paced environment
Reports directly to the Processing Manager
Assist as needed in overflow processing due to high volume issues and/or coverage issues
Abide by HIPAA guidelines while ensuring the confidentiality of PHI
Maintain a consistent schedule by processing all requests within 24-48 hours of receipt for assigned accounts
Provide feedback regarding request volume and perceived issues
Monitors incoming requests received through various means
General office duties
Qualities that the candidate for this position should include:
Fast learner
Dependable
Quick worker
Team player
Positive attitude
Someone who strives to do more
Note: This job description is intended to provide a general overview of the position and does not encompass all job-related responsibilities and requirements. The responsibilities and qualifications may be subject to change as the needs of the organization evolve.
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem – including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health.
By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare.
This is an entry level position responsible for processing all release of information (ROI), specifically medical record requests, in a timely and efficient manner ensuring accuracy and providing customers with the highest quality product and customer service. Associate must at all times safeguard and protect the patient’s right to privacy by ensuring that only authorized individuals have access to the patient’s medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations.
Position Highlights:
Full-Time Mon-Fri 8am-4:30pm CST
Comfortable working in a high-volume production environment.
Documenting information in multiple platforms using two computer monitors.
Full Benefits: PTO, Health, Vision, and Dental Insurance and 401k Savings Plan and tuition Assistance
You will:
Receive and process requests for patient health information in accordance with Company and Facility policies and procedures.
Maintain confidentiality and security with all privileged information.
Maintain working knowledge of Company and facility software.
Adhere to the Company’s and Customer facilities Code of Conduct and policies.
Inform manager of work, site difficulties, and/or fluctuating volumes.
Assist with additional work duties or responsibilities as evident or required.
Consistent application of medical privacy regulations to guard against unauthorized disclosure.
Responsible for managing patient health records.
Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record.
Ensures medical records are assembled in standard order and are accurate and complete.
Creates digital images of paperwork to be stored in the electronic medical record.
Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately.
Answering of inbound/outbound calls.
May assist with patient walk-ins.
May assist with administrative duties such as handling faxes, opening mail, and data entry.
Must meet productivity expectations as outlined at specific site.
May schedules pick-ups.
Other duties as assigned.
What you will bring to the table:
High School Diploma or GED.
Ability to commute between locations as needed.
Able to work overtime during peak seasons when required.
Basic computer proficiency.
Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis.
Professional verbal and written communication skills in the English language.
Detail and quality oriented as it relates to accurate and compliant information for medical records.
Strong data entry skills.
Must be able to work with minimum supervision responding to changing priorities and role needs.
Ability to organize and manage multiple tasks.
Able to respond to requests in a fast-paced environment.
Bonus points if:
Experience in a healthcare environment.
Previous production/metric-based work experience.
In-person customer service experience.
Ability to build relationships with on-site clients and customers.
Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices.
Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.
The estimated base pay range per hour for this role is:
$15—$15 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even able to see whether you’ve responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the ‘Interview Accommodation Request’ category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy.
NTT DATA, Inc. is currently seeking a Remote – Provider Research & Resolution Specialist with 2+ years of experience in medical claims, provider credentialing, or medical billing/coding. This role supports a leading U.S. health plan.
Location: Fully Remote Pay Rate: $16.75/hour
Key Responsibilities
Analyze and process provider-related transactions in accordance with plan guidelines
Research and resolve pended claims by identifying missing or incorrect information
Apply critical thinking and problem-solving to ensure accurate claims processing
Maintain compliance with PHI and HIPAA standards
Follow established policies and procedures while identifying improvement opportunities
2+ years of experience in medical claims, provider credentialing, or medical billing/coding
2+ years of experience in a role requiring analysis, critical thinking, independent research, with the ability to investigate issues and resolve discrepancies in complex information (Strong attention to detail and accuracy)
3+ years of computer experience, including Microsoft Office (Outlook, Excel, Word)
Preferred Experience
Experience with provider data management or credentialing
Facets experience is a plus
Typing speed of 40+ WPM
Education
High School Diploma or equivalent
NTT DATA provides a reasonable range of compensation for specific roles. The hourly rate for this remote role is $16.75/hourly. This rate reflects the target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate’s actual work location, relevant experience, technical skills, and other qualifications.
This position may also be eligible for incentive compensation based on individual and/or company performance.
This position is eligible for company benefits including participation in medical, dental, and vision insurance, flexible spending or health savings account, and AD&D insurance, employee assistance, participation in a 401K program, and additional voluntary or legally required benefits.
About NTT DATA
NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job SummarySummary:
Responsible for maintenance of accurate billing records of complex customer and/or patient accounts, process payments and adjustments, and communicate with customers to answer questions or provide information.
Does this position require Patient Care? No
Essential Functions: Interact with internal and external customers to gather support data to ensure billing accuracy and work through billing discrepancies -Addresses issues of a more complex nature and support junior staff by answering day to day questions -Process payments and maintain up-to-date billing records -Reprocessing insurance denials and submitting all necessary documentation for payment -Maintain accurate billing records and files -Collaborate with other departments to resolve billing and payment issues -May prepare monthly and quarterly billing reports for management review
Qualifications
Education High School Diploma or Equivalent required
Experience in billing, finance or collections 2-3 years required
Knowledge, Skills and Abilities – Strong attention to detail. – Excellent interpersonal, written and verbal communication skills. – Proficient in Microsoft Office Excel and other relevant billing software. – Ability to prioritize and manage multiple tasks simultaneously. – Ability to work independently and as part of a team. – Ability to work in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range$19.81 – $28.30/Hourly
Grade3
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
remote typeRemotelocationsSomerville-MAtime typeFull timeposted onPosted 6 Days Agojob requisition idRQ4068484
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job SummarySummary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Care? No
Essential Functions: -Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information. -Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies. -Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes. -Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials. -Utilize coding software, encoders, and electronic health record systems to facilitate the coding process. -Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives. -Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education High School Diploma or Equivalent required or Associate’s Degree Medical Billing and Coding preferred
Can this role accept experience in lieu of a degree? No
Licenses and Credentials Certified Professional Coder – American Academy of Professional Coders (AAPC) preferred
Experience Medical Coding Experience 3-5 years required in Primary Care, Endocrine, Geriatrics, Urgent Care, Infectious Disease. Emphasis on strong skills for ICD 10 and EM leveling.
Knowledge, Skills and Abilities – In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing. – Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations. – Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes. – Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding. – Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff. – Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range$22.22 – $31.71/Hourly
Grade4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Bachelor’s Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required. 1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required. Strong Excel skills preferred. CFE (Certified Fraud Examiner) preferred.Pay Range: $56,200.00 – $101,000.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual’s skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
– Rework team hours of operation are Monday through Friday from 6:00 AM – 7:30 PM Central Standard Time (CST) – Schedule flexibility including nights, weekend, and holiday coverage. – This is a full time work from home position
Position Summary
Quality Specialist- Medicare D Quality role administers the quality management system to manage the review of clinical processes, documentation, and patient records. Interprets regulatory requirements from agencies and governing bodies to assist in the development of compliance policies and procedures.
Additional Responsibilities to include but not limited to the following:
– Learning the rework queues for each line of business – Working rework reports timely – Researching and troubleshooting failed claims – Adding and/or editing overrides in RxClaim – Logging audits and errors accurately and timely – Ability to identify trends and provide suggestions for process improvement – Researching and correcting any issues found in the overall process. – Raising issues to Coverage Determination Clinical Pharmacists and Management team as needed. – Reading, analyzing, and interpreting general business correspondence, technical procedures, and governmental regulations. – Solving practical problems and dealing with multiple concrete variables in standardized situations. – Performing basic mathematical calculations. – Ensuring all cases are properly closed. – Ability to interpret a variety of work instructions provided through multiple mediums. – Ability to anticipate needs and resolve issues with urgency and to meet quality and production standards.
Required Qualifications
– 2 years of Coverage Determination & Appeals experience. – MHK, RxClaim, and People Safe proficient. – Meeting quality and productivity metrics in current role.
Preferred Qualifications
– 3 years of Coverage Determination & Appeals experience.
– 1 year of Medicare PART B experience – MHK, RxClaim, and People Safe proficient.
– Meeting quality and productivity metrics in current role.
Education
High School Diploma or equivalent GED
Anticipated Weekly Hours40
Time TypeFull time
Pay Range
The typical pay range for this role is:$18.50 – $42.35
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/17/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
remote typeRemotelocationsWork From Home (HB)time typeFull timeposted onPosted Yesterdayjob requisition idR0051667
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.
In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.
Job Description o Resolve client, employee/member, or provider issues regarding escalated or complex claims. o Review and release over-authority claims up to limit specified by corporate policy. o Handle claim referrals, including pre-determinations, using internal and external resources as needed. Advice Claim Analysts and/or vendor regarding claim processing. o Handle network referrals as well as PPO repricing disputes. o Review, analyze and interpret claim forms and related documents. o Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports. o Appropriately investigate, pend and refer claims based on claim procedures and guidelines. o Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees. o Support the Claims reinsurance team, in the research and resolution of claims as assigned o Handle complex or technical claim adjudication using internal and external resources as needed, e.g. transplants, experimental & investigational, chemotherapy, etc. o Research and respond to vendor reconciliation requests. o Mentor and assist with onboarding new Analysts, including the oversight of work o Support the management, monitoring, and tracking of performance in collaboration with the Supervisor. o Provide mentoring and coaching o Assist Supervisor in documenting processes for analysts o Other duties as needed/assigned
Required Job Qualifications: o High School diploma or GED equivalent o 3 years prior medical claim processing experience o Ability to work in a fast-paced, customer centric & production driven environment o Excellent verbal and written communication skills o Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff o Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form o Flexible; open to continued process improvements o Self-directed individual who works well with minimal supervision o Good leadership, organizational and interpersonal skills o Ability to effectively handle with complex situations and reach resolution o Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) o Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications: o Health Insurance/Third Party Administrator Experience o High School diploma or GED equivalent
Required Job Qualifications:
High School diploma or GED equivalent
3 years prior medical claim processing experience
Ability to work in a fast-paced, customer centric & production driven environment
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
Flexible; open to continued process improvements
Self-directed individual who works well with minimal supervision
Good leadership, organizational and interpersonal skills
Ability to effectively handle with complex situations and reach resolution
Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications:
Health Insurance/Third Party Administrator Experience
Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:Medical Reimbursement Specialists work with insurance carriers and patients to resolve outstanding balances through research, follow ups and appeals.
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Edit and perform maintenance on Medicare claims.
Follow-up on billed claims in a timely and effective manner.
Maintain knowledge of current Medicare regulations and guidelines.
Monitor patient accounts for accurate payment.
Pursue account reimbursement through compliant action.
Edit rejected claims in DDE which are identified on RTP report.
Review patient bills for accuracy and completeness and obtaining any missing information.
Utilization and adherence to Medicare guidelines.
Other duties as assigned.
MINIMUM QUALIFICATIONS & REQUIREMENTS:
High School Diploma or GED equivalent
Two years (2) experience resolving medical Medicare claims
Knowledge of Medicare and/or Medicaid payors
Familiarity with CPT and ICD-10 coding preferred
Knowledge of insurance billing and medical terminology preferred
Familiarity with electronic and paper systems used in billing healthcare services
Ability to research unpaid or underpaid claims for resolution
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We’re constantly reimagining what’s possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.
About the Opportunity
At Machinify, we’re constantly reimagining what’s possible in our industry—creating disruptively simple, powerfully clear ways to maximize our clients’ financial outcomes today and drive down healthcare costs tomorrow. As part of the Complex Payment Solutions Team, you will, as a Claims Administrator, be responsible for supporting efficient claims processing and ensuring data accuracy throughout the review and auditing process. This role involves performing incoming claim reviews, organizing data, assigning statuses, and routing completed files to auditors while maintaining document hygiene and adhering to internal procedures.
The position requires close collaboration with internal teams to manage import queues, reconcile balances, validate charges, identify, and address errors, and facilitate claims routing. The Claims Administrator I oversee the intake and output of files, responding to inquiries, resolving discrepancies, and ensuring effective communication regarding claims.
Additionally, this role includes analyzing data trends, monitoring file-sharing processes, verifying data transfer accuracy, and ensuring appropriate volume levels are maintained. Data entry of documents and other administrative tasks are also integral to the position.
The ideal candidate demonstrates strong organizational skills, attention to detail, and the ability to work collaboratively in a dynamic environment.
What you’ll do
Review incoming claims, assign statuses, organize data, and route files to auditors.
Collaborate with teams to manage the import queue, reconcile balances, validate charges, correct errors, and route files.
Oversee file intake and output, addressing inquiries, discrepancies, and errors.
Analyze data trends and communicate updates on claims routing, efficiency, inventory, and volume.
Monitor file-sharing processes, ensure data transfer accuracy, and maintain appropriate volume levels.
Perform data entry and support additional administrative tasks as needed.
What experience you bring (Role Requirements)
Preferred experience in medical record review and knowledge of medical terminology.
Proficient in Microsoft Office Suite, Adobe Acrobat, and multi-monitor setups; adaptable to company-specific software.
Strong attention to detail, organizational, analytical, and critical thinking skills.
Excellent interpersonal and teamwork abilities, capable of collaborating across functions and driving change.
What Success Looks Like…
After 3 months
You will have a strong understanding of the role.
You begin building relationships and collaborating with peers.
You develop effective time and priorities management.
You receive initial feedback about your performance and are using it to improve.
You’ve gained confidence in your abilities and are starting to feel more comfortable in your role.
After 1 year
You have mastered the tasks and responsibilities of the position, executing them with confidence and efficiency.
You have established a strong network of internal relationships and are recognized as a key collaborator.
You’ve been entrusted with greater responsibility indicating the company’s confidence in your abilities.
You see opportunities for career progression and personal development.
Pay range: $24.00 USD per hour. This is a non-exempt position.
What’s in it for you
PTO, Paid Holidays, and Volunteer Days
Eligibility for health, vision and dental coverage, 401(k) plan participation with company match, and flexible spending accounts
Tuition Reimbursement
Eligibility for company-paid benefits including life insurance, short-term disability, and parental leave.
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
This is a remote position
ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Reports To: Director of HIM/Audit Services (RCM Services)
Location: Remote USA; work from home office
FLSA Status: Full time, exempt
Summary: Assist the Director of HIM in preparing claim audits, reviewing and recommending coding, revenue cycle and charge/billing changes on client hospital outpatient and Profee claims using proprietary software product. Use software to develop standardized reports, meet with clients, respond to coding questions in clear, concise, grammatically correct English, and provide support for other members of the revenue cycle consulting team. Client education, written FAQ answer preparation, and other duties as assigned.
QUALIFICATIONS
5+ years of current directly related experience
Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I)
CCS, COC or CPC certification required
Medical Terminology and anatomy knowledge is required
Clinical Documentation and Inpatient coding experience is preferred. New hires will be expected to learn IP during employment.
Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines.
Strong Microsoft Excel, PowerPoint, Word and OneNote skills
Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS and ICD-10 CM)
Strong analytical capability, independent thinker and good decision-making skills
Excellent written and verbal communication and presentation skills
Strong computer and technology knowledge and skills
Highly professional demeanor, great client satisfaction skills
ESSENTIAL DUTIES AND RESPONSIBILITIES
Become proficient in the use of the PARA Data Editor, our proprietary software;
Select and review claims for review based on trends/data analysis in the PARA Data Editor; organize information and access to medical documentation.
Audit all aspects of claim including (but not limited to):
-Omitted or incorrect charges,
-Review OPPS and CAH charges and apply guidelines.
-CMS/Payer specific guidelines
-Coding accuracy for ICD-10 CM, CPT/HCPCS (including but not
limited to 10000-69999, 80000, 90000, J codes, G codes, Q codes,etc)
-Departmental review for inaccuracies, omitted data/documentation
and charges
-NCCI edits, MUE edits, Medi-cal and Medicare guidelines/CMS
Manual guidance,
-Units of services
-E/M Profee/Facility
-Units of services
-Documentation improvement.
Assist in preparing written documents for publication under the direction of the Director, HIM, i.e., Q&A entries.
Develop a working understanding of the outpatient hospital reimbursement process, including documentation, coding, and billing.
Participate in presentations to clients and prospective clients, typically over web meetings.
Develop and maintain the skills and knowledge necessary related to the assigned specialty areas and the related services. Keep current on all related information from journals and bulletins. Distribute and pass on all necessary materials, including copying for reference files when relevant.
Maintain current certifications and accreditations (as applicable).
Research new guidelines, data elements, payer specifications, etc.
Other duties may be assigned as necessary.
This is a remote position
PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines. A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
The Billing Charge Entry Specialist II – RCM supports and promotes charge entry demographic processes, including troubleshooting mismatched records, validating accurate registration through escalation processes, or completing specialty registration, manual document extraction, and ensuring accurate billing to prevent revenue leakage.
At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.
The base pay estimate for this role is $16.49 – $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)
Supports core demographic production teams through escalation and clarification.
Troubleshoots cases as needed to determine the appropriate course of action, including escalation when necessary.
Reviews escalated charge tickets to ensure accuracy of supporting details and proper registration.
Manually extracts and attaches required documentation from external billing systems when necessary.
Contacts facilities as needed to obtain necessary information to ensure accurate and complete case billing.
Maintains strictest confidentiality.
Performs other duties as assigned.
Qualifications
KNOWLEDGE/SKILLS/ABILITIES (KSAs):
High school diploma or equivalent required.
Billing experience in a healthcare organization preferred.
Minimum of 2 years’ experience in a healthcare business office.
Knowledge of organizational policies, procedures, and systems.
Experience collecting, organizing, and reporting information.
Computer applications skills including MS Word and Excel.
Keyboarding/data entry skills.
Verbal and written communication skills.
Must have a pleasant disposition and be a team player.
Ability to read, write, and speak English.
Ability to communicate well with the public.
Ability to work independently with limited supervision.
Ability to work effectively with staff, physicians, and external customers.
Ability to meet minimum production and quality requirements once initial training is complete.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
Occasional Standing
Occasional Walking
Frequent Sitting
Frequent hand, finger movement
Use office equipment (in office or remote)
Communicate verbally and in writing
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
Remote Hours: M-F 8:30-5:00 pm EST (or based on business needs)
What Revenue Cycle Management (RCM) contributes to Cardinal Health
Revenue Cycle Management team focuses on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero.
Responsibilities
Submitting medical documentation/billing data to insurance providers
Researching and appealing denied and rejected claims
Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing
Following up on unpaid claims within standard billing cycle time frame
Calling insurance companies regarding any discrepancy in payment if necessary
Reviewing insurance payments for accuracy and completeness
Qualifications
HS, GED, bachelor’s degree in business related field preferred, or equivalent work experience preferred
2 + years’ experience within Revenue Cycle Management preferred
Strong knowledge of Microsoft Excel
Ability to work independently and collaboratively within team environment
Able to multi-task and meet tight deadlines
Excellent problem-solving skills
Strong communication skills
Familiarity with ICD-10 coding
Competent with computer systems, software and 10 key calculators
Knowledge of medical terminology
Prior EdgePark and/or Cardinal Health at Home Customer Operations preferred
What is expected of you and others at this level
Applies basic concepts, principles, and technical capabilities to perform routine tasks
Works on projects of limited scope and complexity
Follows established procedures to resolve readily identifiable technical problems
Works under direct supervision and receives detailed instructions
Develops competence by performing structured work assignments
Anticipated hourly range: $20.02 per hour – $25.78 per hour
Bonus eligible: No
Benefits: Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
Application window anticipated to close: 6/01/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position includes a variety of claim administrative and technical tasks that support a Claim Unit and/or vendor staff, as well as the Claims Team and serves as a liaison for any internal departments.
In addition to these tasks, the Senior Claims Analyst is responsible for all of the same tasks as a Claim Analyst including the accurate adjudication and processing of medical, dental, vision, or other related claims, including related correspondence and/or electronic inquiries for assigned groups. All claims and inquiries are handled according to the established plan documents, claim processing guidelines, and established total turnaround times. Also advise team members regarding claim processing procedures.
Job Description o Resolve client, employee/member, or provider issues regarding escalated or complex claims. o Review and release over-authority claims up to limit specified by corporate policy. o Handle claim referrals, including pre-determinations, using internal and external resources as needed. Advice Claim Analysts and/or vendor regarding claim processing. o Handle network referrals as well as PPO repricing disputes. o Review, analyze and interpret claim forms and related documents. o Determine benefit coverage based on clinical edits, plan documents/booklets, benefit reference documents, Claim Reference Manuals and claims-related memoranda, and reports. o Appropriately investigate, pend and refer claims based on claim procedures and guidelines. o Accurately handle correspondence, claims, and referrals in the established timeframes and/or performance guarantees. o Support the Claims reinsurance team, in the research and resolution of claims as assigned o Handle complex or technical claim adjudication using internal and external resources as needed, e.g. transplants, experimental & investigational, chemotherapy, etc. o Research and respond to vendor reconciliation requests. o Mentor and assist with onboarding new Analysts, including the oversight of work o Support the management, monitoring, and tracking of performance in collaboration with the Supervisor. o Provide mentoring and coaching o Assist Supervisor in documenting processes for analysts o Other duties as needed/assigned
Required Job Qualifications: o High School diploma or GED equivalent o 3 years prior medical claim processing experience o Ability to work in a fast-paced, customer centric & production driven environment o Excellent verbal and written communication skills o Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff o Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form o Flexible; open to continued process improvements o Self-directed individual who works well with minimal supervision o Good leadership, organizational and interpersonal skills o Ability to effectively handle with complex situations and reach resolution o Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs) o Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications: o Health Insurance/Third Party Administrator Experience o High School diploma or GED equivalent
Required Job Qualifications:
High School diploma or GED equivalent
3 years prior medical claim processing experience
Ability to work in a fast-paced, customer centric & production driven environment
Excellent verbal and written communication skills
Ability to work effectively with employees/members, providers, clients and differing levels of co-workers including Client Managers and all levels of staff
Demonstrated critical thinking, to carry out instructions furnished in oral, written or diagram form
Flexible; open to continued process improvements
Self-directed individual who works well with minimal supervision
Good leadership, organizational and interpersonal skills
Ability to effectively handle with complex situations and reach resolution
Ability to analyze and interpret documents and Summary Plan Descriptions (SPDs)
Ability to adapt to various system platforms, and to effectively use MS Excel/Word
Preferred Job Qualifications:
Health Insurance/Third Party Administrator Experience
Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Bring your skills to a deeply purposeful, financially rewarding career
Thrivent is more than a financial services company – we’re a community that puts generosity at the heart of saving and investing. At Thrivent, you’ll have the opportunity to grow a meaningful career providing clients with purpose-based advice around investments, insurance, banking and generosity, empowering lives of service and faith.
As a Virtual Financial Advisor, you’ll play a vital role in delivering meaningful financial guidance that helps clients achieve greater financial confidence and take action. Leveraging Thrivent’s robust advice framework, you’ll use your strong interpersonal and consultative skills to connect with clients, build trust, and provide tailored recommendations that support their financial well-being.
This role focuses on re-engaging existing Thrivent clients—many of whom have not recently worked directly with a financial professional—by proactively reaching out to schedule and hold meaningful appointments via phone, shared screens, and video. You’ll also have the opportunity to engage and serve your own natural market.
Supported by Thrivent’s commitment to community engagement and a collaborative team environment, you’ll gain a strong foundation in sales and client service. Within 18-24 months, you’ll be equipped to join a local team or build your own practice with our support.
This is a remote role. You’ll meet with clients virtually using tools like Microsoft Teams and Zoom. You’ll also receive training and connect with your colleagues virtually, with occasional opportunities for in-person development and teambuilding.
Your Success; Our Blueprint
Nothing influences your success more than a solid roadmap to your growth. Your onboarding will be an immersive and engaging experience. You’ll receive the support, stability and opportunity of a Fortune 500 leader. And if you’re new to the financial services industry, we offer up to 3 months of pay and coaching as you obtain the state insurance and securities licenses necessary for this position.
Role Description
As a Virtual Financial Advisor at Thrivent, you’ll:
Leverage your relationship-building skills and build sales experience to engage clients with confidence and clarity.
Guide Christians and others who align with Thrivent’s mission and values to create and maintain their financial plans, enabling lives of service and faith.
Meet with clients virtually to provide personal, actionable and achievable advice and connect clients to Thrivent products and programs.
Have access to a large existing client base with the ability to also help your friends, family and natural market.
Access robust tools like the Thrivent Planning Platform, Salesforce, MoneyGuidePro® and Morningstar, and have modern computer hardware provided.
Get the support of collaborative culture with colleagues and leaders who want you to be successful and are willing to help you do so.
What You Bring
Our culture and our people are special. Whether you’re a seasoned sales professional or looking for a career change, you could be a successful Virtual Financial Advisor if you’re:
Self-disciplined, independent and driven to succeed.
Motivated by helping others and seeing them achieve their goals, not just selling products.
A natural coach or guide with strong interpersonal skills.
Positive, energetic and results oriented.
Collaborative and excited to contribute to your team.
Successful Thrivent financial advisors have come from a variety of career backgrounds, including outside sales, account executives, real estate, client services, hospitality, business development, recruiting, education, fundraisers, ministry and similar roles. Skills acquired in these fields transition well into the Virtual Financial Advisor role.
Requirements
Bachelor’s degree or equivalent experience. Military veterans are encouraged to apply.
FINRA Series 7, 63/65 or 66 required or obtained within 90 days.
State insurance licensed and appointed in life, health and variable lines of authority or obtained within 90 days.
Eligibility to be securities registered and insurance licensed in all 50 states.
Satisfactory background check (criminal and financial).
Compensation and Benefits
You’ll get all the benefits of a Fortune 500 organization and more. Here, you’ll enjoy:
A base pay of $21.64-$28.85 per hour with additional monthly sales bonuses based on sales results and your client impact. The average total compensation for this full-time role is $78,000, and our top Virtual Advisors exceed $120,000 in total compensation.
Comprehensive medical, vision and dental.
401(k) matching and a pension plan.
Life and disability income insurance.
Maternity/paternity leave as well as adoption and surrogacy assistance.
Tuition reimbursement.
Four weeks of paid time off, plus up to 20 hours of volunteer time off.
Well-being programs to help you manage your physical, emotional and financial health.
Gift matching program to double your contributions to eligible nonprofit organizations and volunteer programs that support your efforts to make a difference.
About Thrivent Thrivent is a diversified financial services organization that, with its subsidiary and affiliate companies, serves more than 2.4 million clients, offering advice, insurance, investments, banking and generosity products and programs. For more than 120 years, Thrivent has been helping Christians build their financial futures and live more generous lives. Today, Thrivent is a not-for-profit, membership-owned Fortune 500 company with $194 billion in assets under management/advisement (as of 12/31/24). Thrivent carries ratings from independent rating agencies which demonstrate the strength and stability of the organization, including an A++ rating from AM Best; an Aa2 rating from Moody’s Investors Service; and an AA+ rating from S&P Global Ratings. Ratings are based on Thrivent’s financial strength and claims-paying ability, but do not apply to investment product performance.
To learn more about the privacy of your information, visit ourworkforce privacy policy at thrivent.com/privacy.
Thrivent is the marketing name for Thrivent Financial for Lutherans. Insurance products, securities and investment advisory services are provided by appropriately appointed and licensed financial advisors and professionals. Only individuals who are financial advisors are credentialed to provide investment advisory services. Visit Thrivent.com or FINRA’s Broker Check for more information about our financial advisors.Pay Transparency
ezCater is the #1 food tech platform for workplaces in the US. The company makes it easy for any organization to manage its food needs and order from over 125,000 restaurants nationwide. For workplaces, ezCater provides flexible and scalable solutions for everything from employee meal programs to one-off meetings, all backed by beyond helpful 24/7 service and business-grade reliability. For restaurant partners, ezCater helps grow their business by bringing them new high-value customers and large orders.
Our 125k+ restaurants partners all began their journey at ezCater with a first impression, and our Onboarding Specialists make up the team responsible for creating that first impression today. When restaurants seek to join our platform, our Onboarding Specialists evaluate them and bring their account parameters to life using a mixture of technology, transcription, and human connection. Each restaurant partner’s individual account setup requires an incredible amount of detail, quality, and consistency in order to enable the restaurant to go live and fulfill orders successfully.
And what does the actual onboarding process look like? Our Onboarding team is responsible for upholding our onboarding requirements and qualifying the inbound restaurants that are interested in joining our platform. From there, they process the restaurant addition through our Guided Onboarding tool and direct phone & email communication with the restaurant. The Onboarding team is also responsible for building out the restaurant’s profile in our homegrown system, reviewing the work of our account automation tools, communicating cross-functionally with relevant stakeholders, and working within project management frameworks for larger restaurant onboarding rollouts.
When all is said and done, our Onboarding Specialists are the ultimate experts in the account setup of our restaurant partners, from the smallest mom & pop indies to the largest enterprise chains. In this role you will learn the ins & outs of our system and help us make it better.
What You’ll Do:
Synthesize Information: You’ll work to onboard new and existing catering partners using our partner-facing Guided Onboarding tool as well as other automation tooling to translate data points into Freedom to create stores.
Prioritize: You’ll juggle multiple work streams along with competing stakeholder priorities and SLAs.
Uphold: We have onboarding requirements that are proven to set our partners up for success. We’ll need you to be well versed and comfortable with explaining “the why” behind the requirements and upholding them, both internally and externally.
Communicate: You’ll work with restaurant partners directly; from those who want to expand their footprint on our Marketplace to new partners who are eager to join. You’ll need to go beyond helpful to make every catering partner’s experience easy and efficient.
Collaborate: Solution-oriented feedback is our bread and butter. We’ll need your help in improving our process and tools.
Make an Impact: You’ll make an immediate impact on our company goals and will be an essential part of the success of thousands of restaurant partners.
Identify, test, and support the implementation of process improvements in our team tools.
Get Scrappy: You’ll be at the forefront of the testing & implementation of new processes and we’ll need you to be nimble, solution-oriented, and vocal with feedback.
What You Have:
Devoted to details: There are many moving pieces and you’ll need to keep track of them all.
A confident communicator: You’ll need to be comfortable explaining our processes, standards, and timelines to our restaurant partners and prospects.
A big-picture thinker: Our team innovates as a group, and we’ll expect you to meet us two steps ahead.
Hungry for change: If something isn’t working, we fix it. And then we fix it again.
A circus-level juggler: You’re comfortable with a high-volume list of varied tasks and prioritizing them feels like second nature to you.
Tech-knowledgeable: You have experience with technical services and platforms (Hubspot is a plus).
Adaptable & Inquisitive: You’re a natural problem solver – constant change is your fuel and you thrive in ambiguous situations.
Driven towards excellence: We’ll expect you to consistently meet or exceed expectations on delegated performance objectives.
A team player: You’ll work with teams across our department and will need to build relationships with internal stakeholders to ensure success for all parties.
Ability to travel up to 5 days per quarter for Together Weeks, team gatherings and other events, when applicable.
The national total targetcash compensation range for this position, including base salary and bonus target, is $50,872 – $60,848 annually.*
*Please note: Final offer amounts are determined by multiple factors, including prior experience, expertise and region & may vary from the amount above. This range does not represent additional compensation benefits (such as equity, 401K or medical, dental or vision insurance).
ezCater does not sponsor applicants for work visas or legal permanent residence.
What You’ll Get from Us:
You’ll get a terrifically compelling experience in an innovative, high performing environment. You’ll get to work with engaged and passionate colleagues on challenging and impactful projects. You will have opportunities to grow in your career, and work in a place that values work/life harmony.
Oh, and you’ll get all this: Market competitive salary, stock options that you’ll help make worth a lot, 12 paid holidays, flexible PTO, 401K with ezCater match, health/dental/FSA, long-term disability insurance, mental health and family planning resources, remote-hybrid work from our awesome Boston office OR your home OR a mixture of both home and office, a tremendous amount of responsibility and autonomy, wicked awesome co-workers, employee meal program (and many more goodies) when you’re in our office, and knowing that you helped transform the food for work space.
ezCater is an equal opportunity employer. We embrace humans of every background, appearance, race, religion, color, national origin, gender, gender identity, sexual orientation, age, marital status, veteran status, and disability status. At the same time, we do not employ jerks, even brilliant ones. Following a conditional offer of employment, ezCater may require a background check.
For information on how ezCater collects and uses job applicants’ personal information, please visit our Job Applicant Privacy Policy.
Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments – creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.
Claims Processor (Remote)
Are you detail-oriented with claims experience and looking for a remote opportunity where your performance is rewarded? We’re hiring Claims Processors to join our team!
Pay & Schedule:
Training Pay: $18/hour (Monday–Friday, 8 AM–6 PM EST) 8 weeks
Post-Training Pay: Piece rate or Subsidy 18/hour
Hitting standard goals? Earn $18/hour
High performers have the potential to earn more moving to Piece Rate pay
Production Hours: Start at 8 AM EST and work until “clean desk” meaning your day ends when the work is complete
Important Requirement: You must be comfortable working on camera for your full shift during both training and team meetings This is a key part of the role. You will be processing Flexible Spending Account Claims (FSA) and Health Savings Account Claims (HSA) with this role.
Pay is $ 18/hour which may be below your state’s minimum wage. Please take this into consideration when applying.
What We’re Looking For:
Previous claims processing or related experience
Strong keyboard and MS Office skills
Excellent attention to detail and problem-solving abilities
Ability to multi-task efficiently
High school diploma or GED
Additional Requirements:
Must be 18 or older
Must pass a criminal background check (includes employment and education verification)
Must have reliable internet (Download ≥ 25 Mbps, Upload ≥ 5 Mbps, Ping ≤ 175 ms)
Must connect via Ethernet (not Wi-Fi)
Must reside in an eligible U.S. state (see list below)
We are currently NOT hiring in the following geographies, including but not limited to:
States: AK, AZ, CA, CT, CO, HI, IL, MA, MD, ME, MO, MT, NE, NJ, NY, RI, OR, VT, WA. Metro Areas: Minneapolis – MN, Washington, DC, Denver – CO, Boulder – CO, Edgewater – CO, Flagstaff – AZ.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $18.00 per hour.
Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law.
At AlertMedia, everything we do supports our mission: To save lives and minimize loss by identifying active threats globally and facilitating timely communications when an emergency threatens personal safety and business continuity.
Our core values drive us in our important mission of keeping people safe & informed:
We’re humans not robots
Customers always come first
We work better together
Simplicity is our strength
Our reputation is priceless
Hard work pays off
As one of the fastest growing software companies in the nation, we’re focused on finding the best talent and building the best team to continue accelerating our rapid growth to keep up with our demand.
The HR Operations Specialist is a high-touch subject matter expert responsible for some of the most employee-facing domains in People Operations: payroll, benefits administration, and leave management. You will own US payroll processing end-to-end, serve as the day-to-day point of contact for our global benefits programs, and administer complex leave cases with precision and empathy, all while keeping our HRIS (Rippling) accurate and audit ready.
You will work closely with our HR Operations Manager, People Partners, Finance, and outside vendors to ensure these programs run smoothly and that employees feel supported when they need it most.
This role is right for someone who wants to go deep, not wide. You are energized by getting the details right, proactive about compliance, and capable of holding space for employees navigating difficult personal moments while keeping the operational work moving.
As an AI-forward company, we expect everyone on the People team to use modern AI tools: Claude, ChatGPT, and others, to work smarter, move faster, and deliver better employee experiences. In this role, that means using AI to accelerate research, drafting, audits, and documentation, while keeping the human judgment that benefits, payroll, and leave work demand.
What you get to do every day:
Payroll Administration (approx. 30%)
Prepare, process, and audit US payroll accurately and on time, in close partnership with Finance and the HR Operations team.
Own multi-state payroll compliance: tax registrations, unemployment accounts, SUI rate updates, and jurisdiction-specific requirements across all states where AlertMedia has employees.
Support international payroll coordination for our global population in partnership with the HR Operations team and in-country vendors.
Conduct regular payroll audits: reconcile deductions, verify data integrity across Rippling, and catch and resolve discrepancies before they become employee-facing issues.
Manage payroll-related employee questions with accuracy and responsiveness.
Partner with Finance on payroll reporting, cost tracking, and reconciliation.
Stay current on US federal and state payroll regulations, tax law changes, and international payroll requirements relevant to our footprint.
Benefits Administration (approx. 25%)
Manage day-to-day US benefits administration: enrollments, life events, qualifying event changes, employee questions, and coverage troubleshooting.
Support annual open enrollment end-to-end: system configuration in Rippling, employee communications, education sessions, enrollment assistance, and post-enrollment audits.
Conduct regular benefits audits including carrier reconciliations, eligibility confirmations, billing reviews and resolve discrepancies proactively.
Partner with Finance on monthly benefits billing and cost reconciliation.
Assist in administer global benefits programs in coordination with the HR Operations team including UK, Ireland, and Mexico.
Serve as the primary employee contact for benefits questions; resolve issues with empathy, accuracy, and speed.
Maintain current, employee-friendly benefits documentation, resources, and knowledge base articles.
Stay current on regulatory changes affecting benefits: ACA, ERISA, COBRA, Section 125, and international equivalents.
Leave Management (approx. 30%)
Own the full leave administration lifecycle for all leave types: FMLA, ADA accommodations, short-term disability, long-term disability, parental leave (maternity and paternity), military leave, bereavement, and state-specific programs.
Serve as the employee and manager guide through leave: intake conversations, eligibility determinations, documentation, required notices, pay coordination, return-to-work planning, and touchpoints throughout.
Administer global leave programs in alignment with local law: UK statutory maternity/paternity/shared parental leave, Irish parental and sick leave entitlements, Mexican IMSS maternity benefits and sick leave, Canadian provincial leave programs, and Netherlands statutory leave frameworks.
Own and maintain the Leave Playbook, keeping country-specific guidance, regulatory changes, and process documentation current for the People team.
Partner with HRBPs and People Partners on sensitive leave situations requiring additional coordination or accommodation.
Maintain accurate leave tracking and records in Rippling; ensure timely notifications, approvals, and pay continuity coordination with Finance and payroll.
Identify recurring leave administration friction points and drive process improvements.
HRIS & Data Integrity (approx. 10–15%)
Serve as a Rippling power user: employee record management, data changes, and module support.
Maintain data accuracy across employee records, benefits enrollments, and leave records; run regular audits and reconciliations.
Build and maintain standard People reports for benefits, leave, headcount, and ad-hoc requests.
Maintain accurate data in our HR Bot to ensure employee-facing information is current and reliable.
Identify and escalate HRIS workflow gaps or data integrity risks; partner with the HR Systems & AI Automation Analyst on improvements.
Compliance & Global Operations (approx. 5%)
Support recurring compliance activities: Form 5500 benefits testing, ACA reporting, COBRA administration, SOC/ISO audits, and employment-related filings.
Assist the HR Operations Manager with global compliance activities across international jurisdictions.
Maintain policy documentation and support employee-facing communications for benefits and leave policy updates.
Stay current on US federal, multi-state, and international leave and benefits regulations.
What you bring to the role:
3+ years of experience in HR Operations with demonstrated depth in the following: US payroll processing, benefits administration, and leave management.
Hands-on experience processing multi-state US payroll end-to-end, not just supporting it.
Hands-on experience administering FMLA, STD/LTD, parental leave, ADA accommodations, and state leave programs from intake through return-to-work.
Working knowledge of US payroll law, multi-state tax compliance, and federal/state wage and hour requirements.
Working knowledge of US leave law: FMLA, ADA, USERRA, ADAAA, and key state programs (CA, NY, WA, CO, CT, etc.).
Some exposure to international leave and benefits frameworks: UK, Ireland, Mexico, Canada, and the Netherlands preferred.
Experience with Rippling HRIS required; must be comfortable as a daily Rippling user, not just an occasional one.
Active user of AI tools to optimize processes and improve efficiencies
Comfortable working in Excel, pulling reports, auditing data, and catching discrepancies before they become problems.
Deeply empathetic communicator — you know how to hold space for employees navigating hard moments while keeping the administration moving.
High ownership, strong follow-through, and sound judgment with confidential employee information.
Proactive about compliance and regulatory updates; you don’t wait to be told when something has changed.
Bachelor’s degree or equivalent experience.
Nice to haves:
PHR, SHRM-CP, CEBS, or similar certification.
Prior involvement in a payroll system implementation, benefits migration, open enrollment overhaul, or leave program build-out.
Hands-on international leave administration experience (UK statutory leave, Irish entitlements, Mexican IMSS, Canadian provincial programs, Dutch statutory frameworks).
Preference for Austin, TX based candidates or remote and working in Central time zone.
Comfort using AI tools (Claude, ChatGPT, etc.) for drafting, documentation, and research.
Location: While we have a preference for Austin based employees, this role is open to remote, U.S.-based candidates. Please note that we currently do not hire candidates residing in the following states: Alaska, California, Hawaii, Louisiana, Mississippi, Montana, New Hampshire, North Dakota, Oregon, Pennsylvania, Rhode Island, Vermont, Washington, West Virginia, and Wyoming.
Sponsorship: AlertMedia does not sponsor employment visas. Candidates must have existing authorization to work in the U.S. without the need for sponsorship now or in the future.
What success looks like:
First 30 days: You have learned our benefits plans, Rippling setup, leave programs, and employee support channels. You’ve met key partners across People, Finance, and external vendors.
By 90 days: You are independently managing day-to-day benefits and leave administration. Employees receive timely, clear, and empathetic support. Leave cases are tracked and documented with no gaps.
By 6 months: You have owned at least one open enrollment cycle or major leave program milestone, improved at least one recurring process, and are the trusted go-to for benefits and leave questions across the organization.
By 12 months: You are the undisputed internal expert on benefits and leave, operationally sharp, compliantly current, and consistently trusted by employees and partners in the moments that matter most.
Why you’ll love working at AlertMedia:
At AlertMedia, you won’t just build your career — you’ll be part of something meaningful, surrounded by people who genuinely care about the work and each other.
Competitive base salary + Company-wide bonus program
Generous and flexible time off and parental leave policies
Health benefits – Medical, Dental, Vision and Life Insurance are 100% paid for employees!
401K with generous company match
Amazing rewards and incentives – we love celebrating each other!
Commitment to community service with opportunities to give back
A Best Places to Work company 10 years in a row and numerous other awards
Access to new downtown office with 360 views of Austin, high-tech building gym and nearby running trails
Ongoing career development opportunities through our Learning & Development team
You’ll do meaningful work—while growing your career in a fast-moving, global company with an award-winning culture
About AlertMedia:
AlertMedia, backed by Vista Equity Partners, helps organizations protect their people and businesses through all phases of an emergency. Our award-winning threat intelligence, emergency communication, and travel risk management solutions help companies of all sizes identify, respond to, and recover from critical events faster and more confidently. AlertMedia supports essential communication for thousands of leading businesses—including JetBlue, Coca-Cola Bottling, and Walmart—in more than 150 countries.
We are an equal opportunity employer focused on creating a collaborative and exciting place for all to work. Ensuring a diverse, inclusive, and equitable workplace for all people is key to our success and core to our values. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
The Human Resources Operations Generalist works to execute department activities and ensure the highest standards of data integrity across the organization. In this role, you will be responsible for the execution of all types of HR data management, workforce reporting, and advanced analytics functions. As the Human Resources Operations Generalist, you will provide exceptional data-driven strategies and translate complex workforce insights into actionable recommendations to help the continued growth of our fast-paced company. A-LIGN will depend on you as the Human Resources Operations Generalist to support management, serve as a strategic thought partner who challenges assumptions with data, and own complex problems end-to-end to drive measurable business outcomes.
The HR Operations Generalist will serve as a strategic thought partner who thinks critically before executing, ensuring every action is backed by data and purpose. Rather than simply taking orders, you will comfortably bring a clear point of view to the table and actively challenge assumptions with empirical evidence. Driven by intellectual curiosity, you will take complete, end-to-end ownership of complex problems, translating curiosity into actionable business outcomes.
Reports to
Senior Human Resources Manager
Pay Classification
Full-Time, Exempt
Responsibilities
Partner with employees and people managers on issues related to employee relations and performance management, providing thoughtful guidance in accordance with policies and procedures
Build, maintain, and continuously improve HR processes to support and scale the business
Proactively surface workforce risks and opportunities, frame the right questions, and recommend a path forward rather than waiting to be asked
Investigate HR data from multiple systems (HRIS, performance, engagement) with a critical eye to pressure-test the numbers, identify what they really mean, and challenge conclusions that don’t hold up to scrutiny
Shape HR policies and programs by bringing data, outside benchmarks, and a clear point of view to the table
Design and produce ad hoc and recurring HR analyses; ensure data accuracy and consistent methodology across all reporting
Provide HR guidance and advise leaders regarding legal and regulatory compliance of FMLA, ADA, FLSA, EEO, etc.
Maintain up-to-date knowledge of federal and state employment law and compliance requirements
Minimum Qualifications
EDUCATION
Bachelor’s degree in human resources, business or other related fields
EXPERIENCE
2–4 years of experience in human resources, consulting, or professional services
Demonstrated experience in analytics and reporting, with a solid understanding of the HR function
Advanced knowledge of computer software programs (e.g., MS Office and other relevant software as identified) and willingness to learn new HRIS systems
SKILLS
Confident and professional presence as is a business-facing role that regularly interacts with leaders
Exceptional attention to detail and a highly analytical mindset
Ability to identify trends, anomalies, and patterns in large data sets and translate them into clear business recommendations
Intellectual curiosity and a bias toward asking “why” before accepting the obvious answer
Ownership mindset – take problems from ambiguous question to clear recommendation without needing to be directed at each step
Advanced Microsoft Excel capabilities
Comfortable using AI tools when appropriate (e.g., Claude, Copilot) to accelerate tasks, analysis, and reporting
Excellent judgment in handling confidential, legal, or sensitive information
Benefits
Healthcare, Dental, and Vision Benefits
Employer Paid Life Insurance and Disability Insurance
EAP – Employee Assistance Program
Pet Insurance
401(k) Plan with Employer Matching
Competitive Bonus Structure
Home Office Reimbursement
Certification Reimbursement
Personalized Career Coaching
Generous Paid Time Off
Paid Office Closure December 25-January 1
Vacation Bonus
Summer Hours
About A-LIGN
A-LIGN is the leading provider of high-quality, efficient cybersecurity compliance programs. Combining experienced auditors and audit management technology, A-LIGN provides the widest breadth and depth of services including SOC 2, ISO 27001, HITRUST, FedRAMP, and PCI. A-LIGN is the number one issuer of SOC 2 and HITRUST and a top three FedRAMP assessor. To learn more, visit a-lign.com.
locationsRemote, USAtime typeFull timeposted onPosted 30+ Days Agojob requisition idJR1353
Join us for an exciting career with the leading provider of supplemental benefits!
Our Promise
Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. The Appeals and Grievances Coordinator is the primary point of contact for members, providers, and clients throughout the appeals and grievances process. Although this role will report to the Supervisor, Appeals and Grievances, this individual will receive day-to-day performance support and case guidance from the A&G Team Lead. You will, provide timely, accurate, and compliant resolution of dental and vision A&G cases within a regulated managed care environment. The coordinator collaborates with Claims, Provider Relations, Customer Service, and Clinical teams, and is expected to contribute to team onboarding and knowledge sharing as their experience grows.
Functional:
Responsible for the completion of appeals and grievances from all states
Perform reviews of member and provider appeals and grievances for dental and vision waiver services
Analyze medical records, supporting documentation, and applicable guidelines to make informed decisions
Document rationale clearly and accurately in alignment with organizational and regulatory standards
Work closely with clinical teams as well as other internal operational areas to resolve complex cases.
Communicate outcomes effectively to members and providers.
Review and complete all provider appeals and grievances within required timeframes
Review and complete member appeals and grievances within required timeframes
Apply Avesis policy, plan documents and/or state guidelines when processing appeals or grievances
Issue administrative denials appropriately
Refer denials based on medical necessity to appropriate clinical staff
Collaborate with appropriate stakeholders to prepare all requests for Independent External Review when required
Participate in training programs to maintain functional expertise
Perform any other job duties as requested
Core:
Draft formal correspondence such as acknowledgement and resolution notices.
Working knowledge of dental and vision benefit structures, CDT/CPT coding, and claims adjudication principles to evaluate coverage determinations
Intermediate proficiency with Microsoft Office products
Knowledge of NCQA, URAC and Medicaid regulations
Ability to navigate complex regulations while maintaining a commitment to high-quality care
Strong written and oral communication skills
Ability to work independently and within a team environment
Exceptional Time management skills to ensure regulatory compliance
Decision making/problem solving skills
Knowledge of Medicaid and Medicare
Change resiliency
Behavioral:
Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
Initiative: readiness to lead or take action to achieve goals.
Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
Member-focused: going above and beyond to make our members feel seen, valued, and appreciated.
Detail-oriented and thorough: managing and completing details of assignments without too much oversight.
Flexible and responsive: managing new demands, changes, and situations.
Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required.
Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.
Minimum Qualifications:
High school diploma or equivalent.
1+ years of exposure with medical, dental or vision terminology and/or coding (ICD-10, CDT, CPT).
1+ years of experience with case management platforms or healthcare administrative systems
Working knowledge of medical, dental, or vision terminology and coding (ICD-10, CDT, CPT) relevant to the line of business.
Proficiency in Microsoft Office Suite and experience with case management platforms or healthcare administrative systems.
Ability to draft formal correspondence.
Demonstrated understanding of HIPAA and the ability to handle protected health information in a compliant manner.
Proven ability to manage a high-volume caseload, prioritize competing deadlines, and meet strict regulatory turnaround time requirements.
Strong attention to detail, critical thinking, and sound judgment with the ability to work both independently and collaboratively across departments.
Flexible to work alternating Saturday during holiday shifts as required.
As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient.
Preferred Qualifications:
1+ years of experience drafting adverse determination letters, supporting audit readiness, or working in managed care A&G case management platforms.
Familiarity with applicable federal and state regulations governing appeals and grievances, including 42 CFR Parts 422 and 438 and NCQA standards.
Registered Dental Hygienist or Dental Assistant credential
At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate’s skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are:
Zone A: $18.33-$30.55 Zone B: $19.97-$33.29 Zone C: $21.50-$35.84 FLSA Status: Hourly/Non-Exempt
This role may also be eligible for benefits, bonuses, and commission.
Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter.
We Offer
Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way.
Competitive compensation package.
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period.
Life and disability insurance.
A great 401(k) with company match.
Tuition assistance, paid parental leave and backup family care.
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent.
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best.
Employee Resource Groups that advocate for inclusion and diversity in all that we do.
Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability.
How To Stay Safe
Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company.
Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom.
We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to [email protected].
To learn more about protecting yourself from fraudulent activity, please refer to this article link (https://consumer.ftc.gov/articles/how-avoid-scam). If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: https://reportfraud.ftc.gov/#/) with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity.
BetterHelp is on a mission to remove the traditional barriers to therapy and make mental health care more accessible to everyone. Founded in 2013, we are now the world’s largest online therapy service, providing affordable and convenient therapy across the globe. Our network of over 30,000 licensed therapists has helped millions of people take ownership of their mental health and change their lives forever. And we’re not stopping there – as the unmet need for mental health services continues to grow, BetterHelp is committed to being part of the solution.
As the Credentialing Specialist at BetterHelp, you’ll join a diverse team of licensed clinicians, engineers, product pros, creatives, marketers, and business leaders who share a passion for expanding access to therapy. And as a mental health company, we take employee mental health just as seriously as we do our mission. We deeply invest in our team’s well-being and professional development, because we know that business and individual growth go hand-in-hand. At BetterHelp, you’ll carve your own path, make an immediate impact, and be challenged every day – with a supportive community behind you the whole way.
What are we looking for?
This person will be responsible for first line management of the credentialing associate team. They will train the team on the tasks that the associates are responsible for completing day to day. As new processes and systems are adopted by the organization (soon: Salesforce enrollment manager, Help Scout, NCQA, etc.) they will be responsible for researching how the team will interact with them, and then supporting implementation. They will also document all knowledge of the BetterHelp Insurance Credentialing workflows, to then train the team and improve processes. They will work with the Credentialing Team Lead to monitor the performance of the associate team and provide feedback to the team and our contracting partner, TekSystems. They will also help with answering questions from other BH teams and internal credentialing team members. The Credentialing Team Lead will also assign additional projects to this person as the need arises.
What will you do?
Supervision of the credentialing associate team
Training of the credentialing associate team
Documentation of all BetterHelp Insurance Credentialing processes
Analyze and update processes to improve as needed
Provide day-to-day guidance, training, and support to credentialing associates and internal BetterHelp team
Identify and problem solve inefficiencies in credentialing and recredentialing processes
Develop and maintain the credentialing team’s relationship with other BetterHelp Teams
Track application statuses, credentialing deadlines, and recredentialing timelines to ensure timely completion.
Analyze and update processes to improve timelines
Maintain accurate and up-to-date provider information in internal databases and Verifiable.
Liaise with CVO to resolve any issues or delays in the credentialing process.
Provide regular updates to leadership on key metrics and process improvements.
What will you NOT do?
You will NOT worry about “runway”, “cash left”, or “how much time we have until the next round”. We have the startup DNA but we’re fully backed and funded, all the way to success.
You will NOT be confined to your “job”. You will get involved in product, marketing, business strategy, and almost everything we do.
You will NOT be bogged down by office politics, ego, or bad attitude. Only positive, pleasure-to-work-with people are allowed here!
You will NOT get yourself burned out. We work hard but we believe in maintaining a sustainable work/life balance. Really.
Can I work remotely?
Yes. We operate on PST and candidates in any time zone are welcome to apply. We ask employees to travel to our San Jose, CA office up to three times per year plus one company-wide offsite to collaborate in person and strengthen working relationships. Travel expenses are covered and reasonable accommodations are made for those under unique circumstances who cannot travel.
Requirements
1+ years of experience in healthcare credentialing, operations, or administrative support in a payer or provider setting.
Strong understanding of NCQA credentialing requirements and best practices.
Proficiency with Microsoft Excel/Google Sheets and experience with CRM or credentialing software (e.g., CAQH, Verifable).
Excellent organizational and communication skills, with the ability to manage multiple tasks and deadlines.
Experience in behavioral health or mental health provider credentialing.
Benefits
Remote work with regular in-person bonding experiences sponsored by the company
Competitive compensation
Holistic perks program (including free therapy, employee wellness, and more)
Excellent health, dental, and vision coverage
401k benefits with employer matching contribution
The chance to build something that changes lives – and that people love
Any piece of hardware or software that will make you happy and productive
An awesome community of co-workers
The base salary range for this position is $30/hr – $37/hr. In addition to the base salary, this position is eligible for a performance bonus and the extensive benefits listed here (subject to eligibility requirements): Teladoc Health Benefits 2026. Total compensation is based on several factors – including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable to all full-time positions.
At BetterHelp we thrive on difference and individuality, and as part of the Teladoc Health family, we are proud to be an Equal Opportunity Employer. We never have and never will discriminate against any job candidate or employee due to age, race, ethnicity, religion, sex, color, national origin, gender, gender identity, sexual orientation, medical condition, marital status, parental status, disability, or Veteran status.
Notice to Candidates: BetterHelp has been made aware of fraudulent job postings and unaffiliated third parties posing as our recruiting team – please know that we have no affiliation or connection to these situations. We only post open roles on our career page (betterhelp.com/careers) or reputable job boards like our official LinkedIn or Indeed pages, and all official BetterHelp recruitment emails will come from the domain @betterhelp.com. Our commitment is to ensure a safe and transparent hiring experience for all candidates. We will never ask you for money, gift cards, or any form of payment during our hiring process, and we will never send money or checks to candidates. If you experience this, it is a scam.
The Project Coordinator works closely with the Project Manager to implement Yellow Brick’s design, transition and activation planning process, and tools to successfully complete project deliverables within the allocated project budget. Scheduling and preparing for meetings and project activities are key job responsibilities. The Project Coordinator I is skilled at time management, meeting notes, and prioritization and management of multiple assignments.
HERE’S WHAT YOU’LL DO
Coordinate standard projects and manage assignments effectively.
Complete assigned work within the allocated project hours.
Updates project timelines and dashboards.
Prepare meeting materials and distribute them as appropriate.
Support the development of floorplan reports.
Provide logistics support for the project, including meeting scheduling, documentation of meeting minutes, and communication with the team and client.
Understand and implement closed-loop communication to foster effective and efficient communication for each project.
Document notes, action items, and decisions from meetings.
Complete project deliverables, ensuring that deliverables adhere to quality standards and are within contract scope.
Coordinate meetings with the Yellow Brick project team and maintain the Project Management Checklist.
Draft communication to clients, including post-meeting notes and deliverables.
Identify and escalate project risks/concerns to Project Manager.
Track project work and prepare monthly summary.
Work closely with clients and maintain positive relationships.
Continuously seeks opportunities to increase customer satisfaction and client relationships.
Adhere to Yellow Brick’s standard process and that appropriate tools and templates are utilized.
Develop tools as assigned for use with Yellow Brick projects.
Other duties as assigned.
HERE’S WHAT YOU’LL NEED
Associate degree or equivalent expertise and experience in the industry preferred.
Two or more years of relevant work experience preferred.
Competent in Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint.
Skilled at summarizing conversations and identifying key follow-ups.
Critical thinking and problem-solving skills.
Skilled in working effectively in teams with various disciplines and backgrounds.
Instills trust and respect from the team and clients.
Works effectively as a team player.
Develops and maintains effective relationships with clients and team members.
Communicates effectively and professionally, both in oral and written communications.
Manages uncomfortable situations with sensitivity and professionalism.
Comfortable sharing difficult messages, initiating conversations, and receptive to feedback.
Prioritizes job duties, assignments, and deliverables in a fast-paced work environment.
Plans, organizes, prioritizes, and works independently to meet deadlines.
OTHER REQUIREMENTS
Must be able to remain in a stationary position for up to 90% of the workday.
Must be able to move around an office or job site.
Must be able to lift up to 20 pounds.
Must be able to travel up to 75% of the time.
Must be willing to work irregular hours on occasion per the requirements of the assigned projects.
The salary range for this position is $21.92 to $27.40 annually. This salary range is the range we believe is the anticipated range of possible base compensation at the timing of the posting. We may ultimately pay more or less than the anticipated salary range for the position. Employees may be eligible for discretionary bonuses. We offer a full benefit package including medical, dental and vision coverage and flexible spending account options and voluntary insurances. We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk programs. For a general overview of our benefits, please visit our careers page at https://www.cannondesign.com/careers/benefits. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
ABOUT OUR FIRM
As part of CannonDesign’s industry-leading consulting family, Yellow Brick is dedicated to healthcare consulting. We specialize in operations planning, project management, behavioral health, licensing and regulatory preparedness, and activation planning services. At Yellow Brick, our mission is to deliver unparalleled project management expertise to the healthcare industry, and we accomplish this by partnering with our clients to ensure a seamless Day one.
ABOUT WORKING HERE
We are a start-up culture in an established firm: nimble, energetic, innovative and fun.
We are relentless in our pursuit of client adoration (not simply satisfaction). Consistent delivery of the best service is what we are about.
We are committed to ensuring our practice provides equal opportunities for all employees, as we strive to connect with communities around us and focus on the future of design. We support equity, diversity, and inclusion efforts that benefit all employees through the leadership of our DEI Council, our Employee Resource Groups which are open to everyone, and other community initiatives.
We’re about communication and transparency here. If you want to talk to someone about an idea you have, or a challenge that needs addressing, we’re ready for you.
Please note that candidates can only apply to our positions on our company Careers site. It’s not uncommon for scammers to create positions that look legitimate on other sites; never enter your information or apply for CannonDesign positions on any platform. Should an issue arise that you feel we should be aware of, please contact us. Please provide your resume and portfolio when applying.
As a condition of employment, all employees are expected to complete mandatory training, including compliance training, within required timeframes and adhere to our internal policies and our Code of Conduct.
CannonDesign is an Equal Opportunity Employer. CannonDesign is committed to maintaining a work environment that is free from any and all forms of unlawful discrimination and harassment. It is therefore the firm’s policy to prohibit discrimination and harassment against any applicant, CannonDesign employee, vendor, contractor, or client on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, pregnancy, veteran status, genetic information, citizenship status, or any other basis prohibited by applicable law. It is also CannonDesign’s policy to prohibit any and all forms of retaliation against any individual who has complained of harassing or discriminatory conduct, or participated in a firm or agency investigation into such complaints.
Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot’s comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide.
Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company’s ‘Most Innovative Companies’ and CNBC’s ‘100 Barrier Breaking Startups’. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health. Learn more at get-carrot.com.
About the Role:
The Medical Records Coordinator plays a critical role in helping our fertility benefits platform capture and organize the clinical data that powers patient outcomes and customer reporting. In this role, you will be responsible for receiving medical records, working with fertility clinics, and ensuring accurate data entry into our systems. This is an excellent opportunity for someone early in their career to gain exposure to healthcare operations, fertility care, and data-driven health outcomes in a fast-growing startup. This part-time, contract opportunity is project-based with set weekly deliverables, a 6-month minimum time commitment is required.
Key Responsibilities:
Receive, log, and organize incoming medical records from fertility clinics and healthcare partners
Contact clinics by phone or email using established scripts to request or clarify records
Enter and update patient records accurately in internal systems
Follow standard operating procedures (SOPs) to ensure data quality and compliance
Identify missing or unclear information and escalate issues to the appropriate team members
Track and document communication and record status to support timely follow-up
Minimum Qualifications:
Education: Associate’s Degree or College Student pursuing a Bachelor’s degree
Experience: 6-12 months of experience in an administrative, operations, healthcare, or data-entry role
Enjoy working in a fast-paced, process-driven environment
Strong attention to detail and ability to follow written procedures
Comfortable using basic technology (email, spreadsheets, databases)
Ability to communicate clearly and professionally by phone and in writing
Ability to manage repetitive tasks with consistency and accuracy
Preferred Qualifications:
Bachelor’s Degree preferred
Experience working in a healthcare, medical records, or insurance environment
Familiarity with HIPAA or handling sensitive health information
Interest in women’s health, fertility, or healthcare technology
Compensation:
Carrot offers a holistic Total Rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, parental leave, family-forming assistance, and a competitive compensation package. The starting base salary for this position will range from $17-$20/ hr. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.
Fraud and Security Notice: Please note that all communication regarding job opportunities at Carrot will come exclusively from an @get-carrot.com email address. If you receive messages from any other domain, please disregard them and report the incident to: [email protected]
Why Carrot?
Carrot has received national and international recognition for its pioneering work, including Fast Company’s Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare’s Innovators. Carrot’s global workforce has been acknowledged with several accolades, including Fortune’s Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.
Join Cartwheel to help tackle the student mental health crisis.
Cartwheel is an early-stage company building a new kind of mental health program for kids that puts schools at the center. We see our role as supporting school staff who see kids every single day. Instead of going around them, we collaborate with them. This means:
Earlier intervention
Higher student and family engagement in care
Better coordination among the trusted adults in a student’s life
Kids shouldn’t just aspire to get out of bed and drag themselves to class. They should be able to experience joy. They deserve to envision and build a life they’re excited to live. If you join Cartwheel, you’ll help make this vision a reality for millions of students across the country. We’re backed by top investors including Menlo Ventures, Reach Capital, General Catalyst, BoxGroup, and Able Partners, and we’re looking for mission-driven teammates to join our team.
ABOUT THE ROLE
Since our founding in 2022, we have grown to serve more than fifty school districts across six states, providing care to thousands of students and families.
Cartwheel processes a high and growing volume of behavioral health claims across three revenue streams — school district partners, health plans, and members. Without dedicated support, denial and rejection recovery opportunities go unworked and result in preventable revenue loss. This role exists to close that gap.
As our Senior Revenue Cycle Specialist, you’ll own the workflows that directly protect Cartwheel’s bottom line: investigating and resolving denials and rejections, submitting corrected claims and appeals, managing aging AR, and keeping payer follow-up moving as claim volume grows. You’ll also serve as the internal expert on billing compliance and payer requirements across all three revenue streams.
This role is right for a senior behavioral health billing professional who sees a significant denial and rejection backlog as an opportunity — someone who digs into root causes, builds the systems to prevent recurrence, and wants to scale an RCM operation, not just maintain one.
Own the full AR cycle: payment posting, cash reconciliation, aging management, and payer follow-up across district, health plan, and answer member inquiries
Own denials and rejections recovery across a high-volume behavioral health claims portfolio — investigate root causes, submit corrected claims and appeals, track outcomes, and drive systemic fixes to improve clean claim rates over time
Investigate and resolve complex claim denials and rejections — identify root causes, submit corrected claims and appeals, track outcomes, and recommend systemic fixes to improve clean claim rates
Review, validate, and submit Massachusetts CANS assessments in compliance with state and payer requirements
Serve as the internal subject matter expert on payer requirements, billing regulations, and compliance standards — fielding escalations from clinical and operations teams
Respond to patient, provider, payer, and internal billing inquiries with professionalism and empathy
Analyze AR trends, denial patterns, and reimbursement activity to surface insights and drive continuous process improvement
Identify and lead operational improvements that enhance billing efficiency, revenue recovery, and member experience
WHO YOU ARE
3+ years of experience as a Billing Specialist, Accounts Receivable Specialist, Payment Coordinator, Revenue Cycle Specialist, or similar role required.
1+ years of behavioral health billing experience.
Deep expertise in denials management, appeals, corrected claims, and AR follow-up
Strong working knowledge of healthcare billing regulations, payer requirements, and compliance standards
Proven ability to independently identify billing issues, investigate root causes, and implement fixes — not just escalate
Experience with payment posting, cash reconciliation, and resolving complex payment discrepancies for members
Preferred
Experience with Apero and/or Healthie EMR
Massachusetts CANS experience
The above is a summary of the role, not an exhaustive list. If you think that you have most of the above but not everything, please apply. We’d love to hear from you!
WHY YOU’LL LOVE CARTWHEEL
Our hope is that Cartwheel will be your best career decision! In addition to tackling one of the biggest challenges of our time, at a company well-positioned to do so, you’ll have:
Equity ownership stake in the company
High-quality health insurance with a $0 monthly premium option for employees
Dental, Vision, and Employer-Sponsored Life Insurance
4 weeks of paid PTO (3 weeks any time + 1 week office closure in December)
Sick Leave + Holidays
401K with up to 2% employer match
$500 annual educational stipend
Team-based culture with mission-driven colleagues who will go to bat for you
Cartwheel is proud to be an equal opportunity employer. We embrace diverse backgrounds and perspectives and an inclusive work environment. We’re committed to equal employment opportunity regardless of race, color, religion, ancestry, national origin, gender, sexual orientation, disability status, or veteran status.
We participate in E-Verify. Please be prepared to provide acceptable documentation to verify your identity and work authorization
CodePath is the largest educator of college computer science students in the country. We have trained over 40,000 students from 1,000+ universities. Our partners include Amazon, Google, Meta, and 4,000+ companies across the industry. We’ve been training the next generation of technical talent for nearly a decade, and we just launched a $150M initiative with Anthropic, building one of the most ambitious AI workforce programs in the world.
We’re now expanding into new markets and scaling our team so we can move at the speed AI is transforming the workforce. People joining CodePath now will have the opportunity to help architect the next frontier of our work.
We are building toward millions of learners, hundreds of millions in revenue, and billions in economic impact for a generation of technical talent who have historically been locked out of tech. If you want to own something and be part of a 0-to-1 journey at an organization moving at the speed of AI, we think you’d love it here.
About the Role
Location: Remote, United States
Role Type: Full-Time
Reports To: Senior Manager, Talent Engagement
Compensation: $65,000 to $85,000 per year
CodePath is hiring a Senior Talent Engagement Coordinator to join our Talent Engagement team. This person will own interview coordination, candidate experience, and the operational backbone of our recruiting function, including Greenhouse administration, reporting, and process documentation.
We run like a startup. The team is small, the pace is fast, and the work matters. Every hire we make accelerates our mission, and this role is the engine that keeps hiring moving. You’ll be the person who makes sure nothing falls through the cracks. Candidates hear back on time, interviewers have what they need, data is clean and accessible, and the systems we rely on actually work the way they should.
Key Activities
Schedule and coordinate a high volume of interviews across time zones, keeping things moving quickly without sacrificing the candidate experience
Work closely with recruiters, hiring managers, and interviewers to deliver a consistent, high-touch process from first screen to offer
Serve as the primary administrator of Greenhouse (our recruiting ATS), maintaining job posts, workflows, permissions, tags, and data hygiene
Use AI tools (including Claude) to streamline workflows, draft candidate communications, generate reports, document processes, and surface patterns in pipeline data
Build and maintain reports and dashboards that give the team real visibility into pipeline health, time-to-fill, source effectiveness, and other recruiting metrics
Document processes, create templates, and identify opportunities to make our recruiting systems work smarter
Support offer letter generation, reference check coordination, and other operational tasks that keep the hiring process running cleanly
Be the main point of contact for candidates throughout the process, communicating clearly and professionally at every stage
Help execute sourcing strategies, referral campaigns, and first-round screens as needed
Collect, analyze, and share data that helps the Talent Engagement team make better decisions
Key Success Metrics
Time to hire top candidates is decreased by 20% through strong coordination and white-glove treatment, leading to greater offer acceptance rates
90%+ candidate satisfaction rate across all stages of the hiring process
Greenhouse data is accurate, up to date, and useful: the team can pull reports without needing to clean things up first
Hiring managers and stakeholders know what’s happening with their roles without having to chase updates
Qualifications
Required Qualifications
2+ years of recruiting coordination experience in a fast-paced environment
Hands-on experience with an ATS (Greenhouse strongly preferred) and a track record of keeping it well-organized
Strong written and verbal communication skills with the ability to handle sensitive information with discretion
Detail-oriented: Clean data, accurate calendars, and well-run processes matter to you
Genuine interest in CodePath’s mission to transform CS education and create pathways for underrepresented students in tech
Preferred Qualifications
Experience building reports or dashboards in Greenhouse or similar tools
Familiarity with Gem, LinkedIn Recruiter, and Google Workspace
Hands-on experience using AI tools (ChatGPT, Claude, Gemini, or similar) to speed up day-to-day work
Technical recruiting exposure
Comfort working with a high degree of autonomy in a remote, startup-style environment
Compensation
CodePath has standardized salaries based on the position’s level, no matter where you live. For this role, we’re hiring at an annual salary of $65,000 to $85,000. Salary is determined based on your relevant experience and skills as evaluated through our interview process.
Full-Time Employee Benefits
This is a 100% remote position—work from anywhere in the U.S.! CodePath prioritizes employee well-being with a competitive benefits package to support your health, financial security, and work-life balance.
Health & Wellness: Medical, dental, and vision insurance (90% employer-covered for employees and dependents), employer-funded healthcare reimbursement, FSAs, and Employee Assistance Program
Financial Security: 401(k), employer-paid life & disability insurance, and identity theft protection
Work-Life Balance: Generous PTO, paid holidays, 10 weeks of fully paid parental leave, and an annual year-end company closure (Dec 24 – Jan 2)
Professional Growth: $1,000 annual professional development stipend and home office setup support
Student Loan Forgiveness: CodePath is a qualifying employer for Public Service Loan Forgiveness (PSLF), helping employees manage student loan debt
Additional Perks: Pet wellness plans, legal services, home/auto insurance discounts, and exclusive marketplace savings
Deep Fission is a nuclear technology company pioneering the development of a revolutionary deep borehole pressurized water reactor. We recently completed a private placement financing and Alternative Public Offering and are now operating as a public company while maintaining our startup agility and innovation focus. With strategic partnerships in place, strong private and public investment, and active engagement with the U.S. Nuclear Regulatory Commission (NRC), we are executing our next phase of growth as we advance our groundbreaking nuclear technology toward commercial deployment.
Deep Fission is seeking a detail-oriented and systems-driven Document Control & Records Management (DCRM) Specialist to support the development and execution of its document control and quality records program within a regulated engineering environment.
This role will focus on spanning document and records control, EDRMS system administration, and technical editing of engineering deliverables. As Deep Fission’s engineering program grows and fabrication, testing, and construction activity increases, so too will the volume of design documentation, technical deliverables, transmittals, and records requiring control, tracking, and system maintenance. This role is being added to get ahead of that growth and to ensure the DCRM program scales effectively alongside engineering execution.The ideal candidate brings experience working within structured document control systems, is comfortable developing templates and workflows, and can provide technical editing and formatting support for engineering deliverables. This role requires comfort operating in fast-paced, startup environments where processes are actively being built and refined. The DCRM Specialist will serve as a key coordination point between design engineering, project teams, external suppliers, and quality assurance on all documentation requirements.
Key Responsibilites
Document Control & Lifecycle Management
Administer document lifecycle processes, including creation, review, approval, release, revision, and archival.
Coordinate cross-functional document reviews with Engineering, Quality Assurance, Licensing, and Operations.
Ensure proper version control, document traceability, and configuration management practices.
Maintain controlled document distribution through the EDRMS.
EDRMS Administration & Configuration
Support implementation and ongoing administration of the EDRMS platform (Forged Ops).
Configure and maintain document workflows, approval routing, metadata structures, and access controls.
Establish and enforce document naming conventions, classification systems, and folder structures.
Partner with the DCRM Manager to continuously improve system functionality, usability, and compliance.
Records Management – NQA-1 Compliance
Process, organize, and maintain quality assurance records in accordance with NQA-1 requirements.
Ensure records are complete, accurate, and audit-ready at all times.
Manage records retention, storage, retrieval, and disposition processes.
Support audit preparation and response activities related to document control and records.
Document Editing & Formatting
Perform structured editing and formatting of documents to ensure clarity, consistency, and professional presentation.
Apply standardized formatting across procedures, work instructions, forms, and program documents.
Provide technical editing support for engineering deliverables including specifications, test plans, inspection documents, and drawing packages.
Ensure documents align with established templates, style guidelines, and document control requirements prior to approval and release.
Engineering Program & Supplier Coordination
Support transmittal tracking and document exchange between internal engineering teams and external suppliers.
Coordinate documentation requirements across design engineering, project teams, and supply chain as deliverable volume grows.
Maintain visibility into outstanding document actions, review cycles, and deliverable status.
Assist with records volume management as fabrication, testing, and construction activities increase.
Template & Controlled Content Development
Develop and maintain standardized templates for procedures, work instructions, forms, and QA records.
Support creation of structured, programmatic documentation for non-technical content areas.
Ensure formatting consistency and compliance with internal and regulatory standards.
Program & Cross-Functional Support
Interface with Engineering, QA, Licensing, and Operations teams to support documentation needs.
Support documentation workflows for corrective actions, nonconformances, and related quality processes.
Assist in integrating document control processes with training program requirements.
Promote a culture of documentation discipline, consistency, and continuous improvement.
Required Skills and Experience
3–7+ years of experience in document control, records management, or QA support within a regulated industry.
Hands-on experience working within an EDRMS or enterprise document management system.
Familiarity with NQA-1, 10 CFR 50 Appendix B, or equivalent quality assurance standards.
Experience managing controlled documents, workflows, and records lifecycle processes.
Experience developing templates, forms, and structured documentation frameworks.
Strong document editing, formatting, and quality review skills (e.g., Microsoft Word, templates, styles, structured formatting).
Ability to maintain communication and stakeholder engagement in a virtual and hybrid team environment.
Ability to work independently in a fast-paced, evolving environment.
Must be a U.S. person eligible to meet DOE Export Control requirements under 10 CFR 810.
Desired Skills and Experience
Experience in nuclear, advanced energy, aerospace, or other highly regulated industries.
Experience configuring or implementing document management systems.
Familiarity with training program coordination and document-controlled training environments.
Experience working in startup or high-growth engineering organizations.
Proficiency with engineering software tools and AI-enabled platforms.
Key Competencies
Systems Thinking – Ability to design, manage, and continuously improve documentation processes as an integrated program, not a collection of isolated tasks.
Organizational – Experience on structured teams functioning across engineering disciplines, quality assurance, and external partners to support project objectives.
Attention to Detail – Commitment to accuracy, formatting consistency, and compliance in all document control activities.
Adaptability/Resilience – The capacity to adjust actions, strategies, and behaviors in response to unexpected or ambiguous situations, learning and pivoting quickly.
Stakeholder Influence – Builds trust and alignment across internal teams, regulators, and partner organizations on documentation standards and requirements.
Decision-Making – Balances process rigor with practical execution needs; uses judgment effectively in a dynamic, first-of-a-kind engineering environment.
Our Commitment:
Deep Fission is an equal opportunity employer committed to building a diverse and inclusive workplace. We welcome applicants from all backgrounds who share our passion for advancing clean nuclear energy and creating a sustainable future. We do not discriminate on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability, veteran status, or any other characteristic protected by applicable law.
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