Medical remote jobs matching listings

The Appeals and Grievances Clinical Coordinator is responsible for supporting the clinical team to ensure timely and accurate processing of cases. The clinical coordinator properly sets up case files for clinical review as needed and conducts general appeal research and filing including but not limited to organizational determination research, requesting member medical records, organizing documentation, preparing written summaries, scheduling the case, processing the review of the case, documentation of the appeal resolution and sending complete case files to external review organization as required by regulatory guidelines. The appeals and grievances may be related to all lines of business (Medicaid, Medicare, Commercial, etc.). • Prepare cases for the clinical team by gathering documentation, loading evidence, and making calls to members and providers. • Perform administrative activities including but not limited to generating and printing determination and authorization notification ...

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. We are seeking a highly motivated and experienced Training Specialist to join our team as a Claims Administration Trainer. In this role, you will be focusing on equipping our team members with the necessary expertise to effectively handle claims processing, customer inquiries, and ensure compliance with company policies and industry regulations. As a Training Specialist, you will play a critical role in maintaining the high standards of our claims administration department and contribute to the overall success of the organization. Job title: Spe ...

IT Lead, Data Solution and Migration The role of IT Technical Lead will be responsible for the functional data design, build validation and execution of the Data Objects during the data conversion and cutover, for the Accelerate S4 ERP system. Responsible to also co-ordinate with master data applications – material, business partner, supplier, customer, and finance master data. This role is also responsible to work with the eco system applications in the Stryker landscape for data design. What you will do: • Lead Data object scope identification sessions and Data Design sessions. • Provide functional and technical specifications for Data Objects. • Lead the design sessions with the Business and Enterprise Data Governance teams. • Develop and demonstrate the ability to translate functional requirements to technical requirements and test scenarios. • Lead mock data load and cutover activities for the workstream with various stakeholders and successfully execute the data migration activ ...

At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare. With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work. At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaning ...

Paired is a global staffing and recruiting agency that pairs remote work with top-tier talent. Our mission is to provide great jobs to talented people, no matter where they are located. We are seeking a Senior AI Web App & Automation Developer to lead the creation of internal tools and automations that leverage artificial intelligence to increase efficiency across our organization. Requirements • Senior-level experience: Extensive experience (5+ years) in software development, with a focus on AI-driven applications and workflow automation. • Web app development: Proven ability to design and implement web applications using modern frameworks and languages. Expertise in Python and JavaScript/TypeScript, including experience with Node.js and Next.js. • AI and ML proficiency: Strong understanding of artificial intelligence and machine learning concepts. Hands-on experience working with Large Language Models (LLMs) and AI APIs (e.g. OpenAI GPT-4), familiarity with frameworks like LangChain, ...

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Responsibilities may include the following and other duties may be assigned. Review and summarize scientific literature. Reports instances of complaints/adverse events from literature to GCH. Create responses for audit/submission queries. Maintains database of peer-reviewed literature. Appraise, analyze, summarize, and discuss clinical evidence from all the available sources. Conducts comprehensive literature searches and performs a critical evaluation of clinical evidence. Develop state of the art on product family for its intended purpose. Create & maintain plans and reports for regulatory authorities. Review/approve other documentation for device development. Knowledge of regulatory agencies’ guidelines on clinical evaluation ...

Job Title: Remote Customer Relationship Representative Location: Remote – United States Job Type: Full-Time | Entry-Level About the Role We’re hiring friendly and detail-oriented individuals to join our remote team as Customer Relationship Representatives. This entry-level position is perfect for those looking to gain professional experience while working from home. You’ll assist customers, help resolve issues, and maintain high-quality support across communication channels. Training is fully paid, and career growth is encouraged. Responsibilities • Respond to customer inquiries via phone, email, or chat • Provide helpful and accurate support regarding services or accounts • Document customer interactions using internal systems • Follow communication guidelines and company policies • Collaborate with internal teams to resolve customer issues • Maintain a positive and professional tone at all times Qualifications • Must be legally authorized to work in the United States • High schoo ...

Exciting Career Opportunity - Join Our Team! We are looking for dedicated and motivated individuals to join our team and contribute to our continued success. This position offers a chance to grow professionally in a supportive and inclusive environment, with flexibility and long-term career potential. Employment Type: Full-Time / Part-Time Salary Range: Competitive, based on experience and qualifications Job Summary The ideal candidate will perform a range of tasks to support daily operations, contribute to team goals, and uphold our standards of excellence. This role requires a proactive attitude, a willingness to learn, and a commitment to quality and professionalism. Key Responsibilities • Support day-to-day operations and team functions • Maintain accuracy and attention to detail in assigned tasks • Communicate effectively with team members and clients • Adhere to company policies, procedures, and deadlines • Take initiative and show flexibility in handling tasks • Contribute ...

Position Overview The Local Data Company (part of Green Street) are the UK’s most accurate retail location data provider, physically surveying shopping destinations across Britain to capture store openings and closures and track the ever-changing face of the high street. We are expanding our nationwide field and market research coverage and are therefore looking for researchers to join the team in Northern Ireland. Our commitment to you • Ongoing monthly opportunities • Flexible work • Full training on each project • Office-based team on hand to support and answer questions • This is a freelance/self employed role and pay is based on data collected (approximately £12-£18 per hour) • Travel costs reimbursed Job Responsibilities • Collecting retail based data out in the field (35-40 hours per week) Candidate Profile • Driver with own car • Methodical, organised, confident and professional candidates • Ability to work alone • Experience of using tablets/touch-screen devices Desired • ...

We are looking for content writers who have first hand experience about either Running, mud running, cycling, walking and coffee mornings. It would be a bonus if you have first hand experience in either running, mud running, cycling, walking and coffee mornings for charity and whom would be happy to use this first hand experience to write content around this experience. The writer must be based in the UK and have experience in running. When you apply for this writing job please can you give a brief background about yourself and you direct experience of organising, talking part or fundraising for charity running, mud runner, cycling, walking or coffee morning charity events. ...