Credentialing Specialist – Committee Specialist – Remote

Support a mission-driven healthcare organization improving outcomes for older adults.

About Curana Health
Curana Health is transforming senior healthcare through value-based care solutions designed for senior living communities and skilled nursing facilities. With more than 1,000 clinicians serving 200,000 seniors across 1,500 communities in 32 states, we deliver proactive, high-quality care through on-site primary care, Special Needs Plans, and Accountable Care Organizations. Our team is unified by a shared mission: radically improve the health, happiness, and dignity of older adults.

Schedule
• Full-time, remote
• Monday–Friday
• Work-from-home flexibility

Responsibilities
• Support the enterprise-wide credentialing process for practitioners and healthcare organizations
• Maintain confidentiality of practitioner records and sensitive information
• Manage credentialing database; ensure all data is accurate and complete
• Collect, analyze, and present provider-specific data for bi-monthly Credentials Committee reviews
• Track inbound and outbound communications on behalf of Medical Directors
• Communicate with providers to clarify questions and obtain missing documentation
• Draft and distribute approval letters, requests for additional information, and termination notices
• Prepare Credentials Committee agendas and accurately record meeting minutes
• Review and process NPDB Continuous Query reports in a timely manner
• Coordinate internal communication, ensuring decisions and requirements are clearly documented

Requirements
• High school diploma required; Associate degree preferred
• 2–5 years of credentialing experience in a hospital or insurance plan environment
• Working knowledge of Joint Commission, NCQA, URAC, and HFAP standards
• Strong attention to detail and ability to maintain confidentiality
• Excellent written and verbal communication skills
• Ability to prioritize tasks and manage deadlines in a remote setting
• CPCS certification preferred

Benefits
• Comprehensive health, dental, and vision insurance
• 401(k) plan with company match
• Paid Time Off and paid holidays
• Remote work flexibility
• Supportive, mission-driven culture
• Opportunities for growth within a fast-growing healthcare organization

Curana Health has been recognized as one of the fastest-growing private companies in the U.S., ranking No. 147 on the Inc. 5000 list and No. 16 in Healthcare & Medical.

Join a team improving the lives of seniors while growing your career in a supportive and meaningful environment.

Happy Hunting,
~Two Chicks…

APPLY HERE

Enrollment Specialist – Remote

Help families access life-changing prenatal and newborn support while working from home.

About Pomelo Care
Pomelo Care is a technology-enabled clinical care team improving outcomes for pregnant people and babies. We use evidence-based virtual care, early risk assessment, and coordinated support to reduce preterm births, NICU stays, c-sections, and maternal complications. Our multidisciplinary team blends clinical expertise with modern engineering to deliver personalized care at scale.

Schedule
• Monday–Friday, 8:30am to 5:00pm CT
• Fully remote; must have private workspace and reliable internet
• Occasional overtime as needed

What You’ll Do
• Conduct high-volume outbound calls to enroll patients into Pomelo Care services
• Educate patients on available clinical and social resources through their health plan
• Meet and exceed monthly enrollment and outreach metrics
• Answer patient questions, provide support, and build rapport by phone
• Document outreach activity thoroughly and accurately
• Coordinate scheduling for appointments and follow-up care
• Collaborate with internal teams and external partners to support patient needs
• Manage inbound calls from patients requesting enrollment or information
• Participate in ongoing training to stay informed on healthcare trends and program updates

What You Need
• Ability to work Monday–Friday, 8:30am–5:00pm CT
• Excellent verbal communication, empathy, and rapport-building skills
• Comfort working toward goals, KPIs, and monthly bonus metrics
• Strong organizational and time-management skills
• Ability to work remotely with minimal supervision
• Reliable internet and a private, dedicated workspace
• Passion for improving healthcare access and equity

Bonus Points
• Experience in outreach, enrollments, or patient engagement
• Background working with Medicaid populations
• Startup or fast-paced environment experience
• Strength in handling ambiguity and solving open-ended problems

Benefits
• Competitive healthcare benefits
• Generous vacation policy
• Membership in the First Round Network for mentorship and professional growth
• Mission-driven, supportive team environment

This role offers a base salary of $40,000–$50,000 with uncapped monthly performance bonuses. Typical on-target earnings range from $70,000–$100,000 depending on results.

Make an impact from day one—your work directly supports healthier pregnancies and healthier babies.

Happy Hunting,
~Two Chicks…

APPLY HERE

Appeals Specialist – Remote (United States)

Help support Medicare Appeals operations while working 100 percent remotely.

About Broadway Ventures
Broadway Ventures delivers program management, technology solutions, and consulting support to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we pride ourselves on integrity, innovation, and the ability to turn complex challenges into operational success. We support mission-driven work that strengthens systems, improves outcomes, and empowers organizations nationwide.

Schedule
• Full-time, Monday through Friday
• Remote work from home
• Standard 40-hour workweek

Responsibilities
• Perform non-medical reviews and process redetermination letters with high accuracy
• Ensure timely processing and compliance with established Medicare Appeals guidelines
• Prepare and analyze unit reports, including workload trends and processing issues
• Update departmental letters, templates, and internal documents
• Assist with documentation requests for legal inquiries and administrative needs

Requirements
• High School Diploma or equivalent required; Associate’s or Bachelor’s degree preferred
• Two or more years of experience in healthcare, insurance, or Medicare/Medicaid services
• Customer service experience preferred
• Medicare-specific experience helpful but not required (training provided)
• Proficiency with Microsoft Word, Excel, and Outlook
• Strong attention to detail, organization, and written communication
• Ability to work with confidential information and exercise sound judgment
• Accurate grammar, spelling, and documentation skills

Benefits
• 401(k) with employer match
• Medical, dental, and vision insurance
• Life insurance
• Paid Time Off (PTO)
• Paid holidays
• Fully remote work environment

Happy Hunting,
~Two Chicks…

APPLY HERE

Physician, Medical Case Reviewer – Part-Time, Remote (Flexible Hours)

Use your clinical expertise to meaningfully impact the quality of care delivered to U.S. veterans. This flexible, remote opportunity is ideal for board-certified physicians who want to contribute to healthcare improvement while maintaining their clinical practice.

About Broadway Ventures
Broadway Ventures provides program management, advanced technology solutions, and consulting support to government and private sector partners. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we deliver high-quality, mission-focused solutions built on integrity, collaboration, and innovation. We partner with organizations nationwide to improve operational outcomes and elevate healthcare standards.

Schedule
• Part-time
• Fully remote (U.S. only)
• Flexible hours — complete case reviews within 5 calendar days
• Monthly case volume varies by specialty

What You’ll Do
• Conduct independent medical case reviews using standardized VA assessment criteria
• Evaluate timeliness, appropriateness, and quality of care
• Identify gaps, risks, and opportunities for clinical improvement
• Review performance improvement cases and specialty-designated reviews
• Provide clear, evidence-based medical advisory opinions
• Analyze complex clinical documentation with an impartial, expert perspective

What You Need
• Active, unrestricted physician license in any U.S. state or territory
• Board certification in a specialty recognized by the American Board of Medical Specialties
• Minimum of five years of clinical experience
• Minimum of two years of recent, specialty-relevant clinical practice
• Currently engaged in at least 20 clinical hours per month
• Active hospital privileges
• Strong written and verbal communication skills
• Ability to synthesize complex medical information objectively

Open Specialties
Broadway Ventures is currently recruiting ABMS board-certified physicians in:

Anesthesiology & Pain Management: Anesthesiology, Anesthesiology/Pain Medicine
Cardiology: EP, Interventional, Invasive, Transplant Qualified
Surgical Specialties: Bariatric, Colo-Rectal, Thoracic, Vascular, Plastic & Reconstructive, Neurosurgery, Cardio-Thoracic, Orthopedics (Spine & Non-Spine), Urology
Gastroenterology & Hepatology: GI, GI with ERCP capability, Hepatology, Transplant Hepatology
Radiology & Oncology: Diagnostic Radiology, Interventional Radiology, Nuclear Medicine, Radiation Oncology
Nephrology: Nephrology, Transplant Qualified

Why Join Us?
• Fully remote work with complete scheduling flexibility
• Case-based work—no court appearances
• A meaningful opportunity to directly improve healthcare for veterans
• Confidential, independent review work that complements clinical practice

If you’re a board-certified physician seeking flexible, impactful consulting work, this role offers autonomy, purpose, and professional contribution without the demands of litigation or full-time administrative duties.

Happy Hunting,
~Two Chicks…

APPLY HERE

Medical Claims Reviewer (RN) – 6-Month Contract – Remote

Support a high-impact federal healthcare project by reviewing ESRD medical records to ensure accuracy, compliance, and proper data reporting. This contract role is ideal for an RN with dialysis, utilization review, or quality assurance experience who excels in structured, detail-driven work.

About Broadway Ventures
Broadway Ventures delivers innovative program management, technology, and consulting services to government and private sector clients. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business, we help organizations strengthen operations, improve outcomes, and drive sustainable growth. We operate with integrity, collaboration, and a commitment to excellence—serving as a strategic partner for modernization and compliance.

Schedule
• 6-month contract: November 3rd – May 3rd
• Monday–Friday, 8:00 AM to 4:30 PM
• 40 hours per week
• Fully remote (U.S. only)
• Requires high-speed internet and a private, lockable home office

What You’ll Do
• Conduct ESRD medical record reviews comparing source documentation against data submitted to EQRS and NHSN
• Identify, classify, and document discrepancies such as missing data, incorrect values, or misfielded entries
• Participate in quality control activities to support team and contract objectives
• Assist with special projects or additional responsibilities as assigned
• Ensure accuracy, compliance, and timely completion of all review tasks

What You Need
Licensure:
• Active, unrestricted RN license (state-specific or compact multistate)

Education:
• Associate Degree in Nursing or graduation from an accredited School of Nursing

Experience:
• Two years of clinical RN experience and two years in utilization review, medical review, quality assurance, or ESRD/dialysis
• Strong clinical background in dialysis, managed care, home health, rehab, and/or med-surg
• Proficiency using Microsoft Office and healthcare documentation tools
• Ability to work independently, manage priorities, and make sound clinical judgments
• Excellent communication, organization, and critical thinking skills
• High comfort level using multiple screens and programs simultaneously
• Ability to maintain confidentiality at all times

Preferred Qualifications
• Three or more years of clinical nursing experience in ESRD/dialysis (strongly preferred)

Benefits
• Remote work flexibility
• Paid holidays (if applicable to contract structure)
• Health, dental, vision, life insurance, and 401(k) with company match
• Paid Time Off (PTO)
• Supportive, mission-driven work environment

If you’re an RN who thrives on precision, compliance, and meaningful healthcare impact, this project offers a unique opportunity to contribute to national ESRD data quality efforts.

Put your expertise to work where accuracy matters most.

Happy Hunting,
~Two Chicks…

APPLY HERE