- Jobleads-US (San Francisco, CA)
- …high-growth EHR and practice management software company built for modern eye care practices. We help eye doctors run their businesses more efficiently and ... team dedicated to maximizing revenue and improving the financial health of our eye care practice clients. Reporting directly to the COO, you will be responsible for… more
- Cardinal Health (Albany, NY)
- …research and problem/dispute resolution **_Responsibilities_** + Analyzes and monitors payer trends, managed care contract compliance, contract and ... ** Remote Hours:** Monday - Friday, 7:00 AM -...Works closely with all Revenue Cycle Departments and Managed Care + Coordinates with departments and insurance companies to… more
- Sharecare (Carson City, NV)
- …visit www.sharecare.com . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is ... hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure...be the place for you. **Location:** This role is remote , except for candidates located in the Mesa, AZ… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **Thi** **s is a remote position** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews ... referred by case management staff and/or other health care professionals to meet regulatory requirements and in accordance with the system's objectives for assuring… more
- CommonSpirit Health (Englewood, CO)
- **Job Summary and Responsibilities** **This is a remote position.** **This position represents 1 of 2 available opportunities.** We are seeking a highly skilled ... across all levels (1-5), including IRO and ALJ reviews, utilizing payer -specific tracking tools. The successful candidate will also collaborate cross-functionally… more
- CommonSpirit Health Mountain Region (Salt Lake City, UT)
- …roles, preferred. + Experience as a Physician Advisor in the acute care setting and/or the payer environment, preferred. + Education and experience in ... and Kansas, we deliver the same high standard of care to our employees as we do to our...position is a hybrid role requiring a mix of remote and on-site work at the five CommonSpirit Hospitals… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Physician Advisor ** , you will help our client facilities navigate the path ... documentation was available for the admission status, procedure, and care setting that was requested. You will also advise...basic computer skills is essential for excelling in this remote position. **Here's what you will experience working as… more
- The Cigna Group (Bloomfield, CT)
- **Work Location: Remote - Work at Home** The **Competitive Unit Cost Advisor ** will focus on the analysis of competitive unit cost information, validation of ... COB, MCR/State Cost Data, UC Plan, Hospital Transparency Analytics, Payer Transparency Analytics, NS&E updates, Local Market Affordability reviews, Market/Provider… more
- Tufts Medicine (Burlington, MA)
- …require additional hours on weekends/off hours as needed. **Location:** Primarily remote . May require occasional travel to local facilities including Tufts Medical ... of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. The health system is the… more
- Nuvance Health (Danbury, CT)
- *Description* *FULL TIME DAY SHIFTS- VARIABLE HOURS / WEEKEND ROTATIONS REQUIRED* * *Hybrid/ Remote * * *Summary:* The purpose of the Denial Prevention Nurse is to ... will require specialized system skills, best practice application of investigating payer practices, successfully challenging payers as they prevent obstacles and… more
- UNC Health Care (Chapel Hill, NC)
- …conditions, patient safety indicators, hierarchical condition categories and complexity of care rendered to all patients. Educates on proper creation of provider ... CPT codes in accordance with the Official Coding Guidelines, and third party payer , state and federal regulations. 10. Identifies cases for CDI Physician Advisor… more
- Humana (Sacramento, CA)
- …Partner with national innovation teams to pilot and scale emerging technologies and care models (eg, remote monitoring, clinical pathways, tech-enabled care ... and cross-functional collaboration. The RVP acts as a key advisor , innovator, and relationship builder, ensuring alignment with Humana's...years clinical practice + 5 + years in managed care industry, either provider or payer . +… more
- Arnot Health (Elmira, NY)
- Job Description Remote work available! Up to $10,000 Sign on Bonus for qualified Case Managers! MAIN FUNCTION: The Case Management (denial/prior auth) will review ... and trend, record and collect patient accounts denied by payer . Under the direction of the System Director of.... Under the direction of the System Director of Care Coordination coordinates data with other Arnot Health departments… more
- Medexus Pharma (AZ)
- Medical Science Liaison (Ohio Valley) remote Remote , Ohio Valley, United States . full-time . September 22, 2025 Description **Company Bio** Medexus ... Affairs team. The MSL will serve as a scientific expert and trusted advisor , engaging with Key Opinion Leaders (KOLs), healthcare providers (HCPs), payors, and… more
- Carle Health (Urbana, IL)
- …+ Bachelor's Degree: Related Field **Work Experience:** + Hospital Inpatient (Acute Care ) and Outpatient Coding - 5 years + Coding Supervisory or Management ... - 3 years + Experience leading a large remote workforce - 45 FTE or greater + System...levels. + Ability to function as an educator and advisor to physicians and staff. + Working knowledge of… more
- Cardinal Health (Springfield, IL)
- …(TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy ... better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class...ensure all teams deliver on commitments. This is a remote , work from home opportunity that requires travel for… more
