UNKNOWN

FEED

Maintain NDC updates, NCCN guidelines, and work with A/R and billing teams to resolve claim rejections, troubleshoot billing issues, and ensure claims are processed correctly. Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team.

Career Strtegies Group is a national, full service recruiting, outplacement and career services organization.&nbsp; The firm specializes in the career needs of attorneys, financial professionals, and C-suite and other senior executives. It also has a smaller recruiting operation for healthcare professionals and administrators&nbsp; in the NY, CT and NJ area. The firm has particular&nbsp; experience with professionals aged 50+, and in the area of career change for attorneys and professionals. Firm founder Bruce Blackwell is an original member of the career transitions team established by the New York City Bar Association, and is a noted author and lecturer on career issues for lawyers and other professionals.&nbsp;

Career Strategies

Remote Medical Coder II - (MUST LIVE IN THE SALEM AREA)

ea_via_bold

Experience: 5+ years of medical coding experience, including 2+ years in multispecialty coding and 2+ years in a quality analyst or leadership role. This is a Contract to hire role, offering $35-$41 an hour, and is on a hybrid remote work schedule and fully remote after first week training.

Sr. Medical Coding Quality Analyst -Hybrid/Remote

OTHER

This includes daily calls and training as well as having a large support system of fellow agents who are there to support and welcome you. The Edelson Agency is looking for individuals interested in working remotely as sales representatives.

The Edelson Agency

Remote Sales Opportunity

BreezyHR

Collaboration: Partner with Sales Engineers, Solution Architects, Sales Leadership, and Marketing teams to align on customer needs and enhance our product offerings, ensuring seamless execution of strategies for customer success. RFI/RFP Management: Respond to functional and technical elements of RFIs/RFPs, tailoring responses to align with customer requirements and demonstrate Qualys' capabilities.

YEAR

Qualys, Inc., is the pioneer and leading provider of cloud security and compliance solutions with over 8,800 customers in more than 100 countries, including a majority of each of the Forbes Global 100 and Fortune 100. The Qualys Cloud Platform and integrated suite of solutions helps organizations simplify security operations and lower the cost of compliance by delivering critical security intelligence on demand and automating the full spectrum of auditing, compliance and protection for IT systems and web applications. Founded in 1999, Qualys has established strategic partnerships with leading managed service providers and consulting organizations including Accenture, BT, Cognizant Technology Solutions, Dell SecureWorks, Fujitsu, HCL Comnet, Infosys, Optiv, NTT, Tata Communications, Verizon and Wipro. The company is also a founding member of the Cloud Security Alliance (CSA). 
Qualys is always looking for great talent. For career opportunities, please see http://www.qualys.com/careers

Qualys Inc

Account Director

As a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.

HOUR

Cambia Health

Remote Care Management Nurse

As a member of the Clinical Services team, our Appeals Clinician I utilizes clinical expertise to complete the clinical component of all appeal types to resolve member and/or provider appeals - all in service of making our members' health journeys easier. What You Bring to Cambia: Qualifications: Bachelor's Degree in Nursing and 3 years of experience in a clinical setting, health insurance, coding/claims review, case management or equivalent combination of education and experience.

Appeals Clinician I

Vimo currently has the largest state-based marketplace footprint, and our consumer-friendly interface and decision support tools empower millions of consumers across the country to make better health plan decisions. Vimo builds and operates award-winning cloud-based enrollment tools that serve state-based exchanges, brokers, insurers, and consumers.

GetInsured

Spanish Bilingual Remote Customer Service Representative

Develops and Implements Behavioral Health Policies and Programs: Assists in developing high-quality, market-competitive behavioral health medical policies and programs, and provides leadership in developing short and long-range plans, goals, and objectives for integrated utilization management. Subject Matter Expert and Clinical Leadership: Serves as a subject matter expert on behavioral health, provides medical advice, oversight, and leadership for staff, and ensures members receive safe, effective, and cost-efficient services.

Associate Medical Director Behavioral Health Or Utilization Management Medical Director DOE

Their IT and PLM consulting offerings include; Advisory, PLM Software/Services, Program Management, Solution Architecture Training/Staffing, Cloud Solutions, Servers/Networking, Infrastructure, ERP Practices and QA Services. Lead integration build and configuration, including APIs, middleware, SFTP/file transfers, endpoints, certificates, credentials, service accounts, firewall/network connectivity, and scheduled jobs.

PROLIM Global Corporation

Senior Integration Lead - R&D Application Separation & Migration

The value and benefits of stem cells found in umbilical cord blood are clear; cord blood collection saves lives today and medical researchers are exploring new uses for umbilical cord blood stem cells for tomorrow, including diabetes, heart disease, and stroke. The base pay actually offered to the successful candidate will take into account internal equity, work location, and additional factors, including job-related skills, experience, and relevant education or training.

Revvity Inc

Senior Inside Sales Representative (REMOTE)

As a member of the Behavioral Health team, our Clinicians provide utilization management (such as prospective concurrent and retrospective review) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier. 3 years direct Behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician in one of the areas of Psychology, Counselling, Social Work, Marriage or Family Therapy.

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system. 

Through our health plans, innovative technology and strategic investments, we are delivering consumer-centric solutions that:

•       help people achieve better health and well-being 
•       make health care more available, affordable and accessible 
•       are easily understood by everyone

We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans.  

Cambia Health Solutions Inc

Behavioral Health Utilization Management Clinician

Lead complex business analysis activities, including process mapping, requirements elicitation, data analysis, and impact assessments, ensuring solutions are scalable and integrated across HR and downstream systems. Key Responsibilities: Establish and lead governance frameworks to intake, assess, prioritise, and approve Workday enhancements, ensuring alignment with strategic objectives, budget, and delivery capacity.

Raymond James Financial Inc

Senior Manager, HR Transformation - Workday PM/BA

ADAPTED_NOW

Own the onboarding experience for new Account Executives, Client Partners, Client Success Managers, and adjacent revenue roles — establishing clear ramp milestones, productivity benchmarks, and a continuous improvement loop that keeps the program current as the business evolves. + Establish repeatable operating frameworks for how enablement plans, communicates, and executes across different GTM initiative types (product launches, vertical plays, operational changes), creating consistent rhythms that scale across regions and markets.

FranklinCovey

Head of Revenue Enablement & Onboarding

Fairview Health Services

This role blends consultative sales expertise, technical acumen, and enablement leadership to influence customer outcomes, shape early-stage opportunities, and strengthen go-to-market execution. The ideal candidate brings a strong ability to connect business objectives with innovative network solutions while guiding internal teams to deliver meaningful customer impact.

At Lumen, talent matters. We place employees with the greatest potential in the most impactful roles by providing you with the tools to level up in your career. We are a global company of approximately 38,000 professionals dedicated to unleash the world's digital potential. Lumen frees businesses from the legacy communication experiences holding them back today by making IT environments more user-friendly and intuitive. Our experience-first approach to networking, edge cloud and cybersecurity connects people, data and apps quickly, securely and effortlessly. We ignite business growth and accelerate innovation for 8 of the 10 most valuable brands in the world. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, the government, and communities deliver amazing experiences.

Lumen Technologies Inc

Specialized Sales II - NaaS

Identifies and develops new Large Enterprise sales opportunities, provides product solutions, ensures customer satisfaction, and maintains positive ongoing relationships to maximize sales for the company. Develops and manages relationships with acquired and/or existing customers in order to gain strategic positioning with decision makers, attain additional business, and retain existing revenue.

Account Director II - Enterprise

As a member of the Clinical Services team, our Utilization Management Nurses provide utilization management (such as prospective concurrent and retrospective review) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier. Must have at least one of the following: Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Masters' degree in Behavioral Health preferred for behavioral health); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management).

Utilization Management Nurse

FULL_TIME

EITACIES is looking for a Business Analyst to support modernization initiatives by eliciting and clarifying business needs, documenting processes and requirements, assisting with solution assessment, and supporting testing and implementation. As a Business Analyst, you will support modernization initiatives by eliciting and clarifying business needs, documenting processes and requirements, assisting with solution assessment, and supporting testing and implementation.

Eitacies Inc

Business Analyst

The ideal candidate will provide SME-level application development and serve in a consultative role developing code for new and existing applications. The Senior Developer shall develop and deliver application updates, including software code changes and documentation.

Senior Java Developer

Remote Sales Opportunity (Remote)

Participates on various teams to provide clinical input on medical policy reviews and development and may participate on committees that develop programs impacting clinical interventions, utilization management and case management. What You Will Do at Cambia: Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes.

Remote Jobs in Corvallis, OR

Remote Medical Coder II - (MUST LIVE IN THE SALEM AREA) Career Strategies

Sr. Medical Coding Quality Analyst -Hybrid/Remote Career Strategies

Remote Sales Opportunity The Edelson Agency

Account Director Qualys Inc

Remote Care Management Nurse Cambia Health

Appeals Clinician I Cambia Health

Spanish Bilingual Remote Customer Service Representative GetInsured

Associate Medical Director Behavioral Health Or Utilization Management Medical Director DOE Cambia Health

Senior Integration Lead - R&D Application Separation & Migration PROLIM Global Corporation

Senior Inside Sales Representative (REMOTE) Revvity Inc

Behavioral Health Utilization Management Clinician Cambia Health Solutions Inc

Senior Manager, HR Transformation - Workday PM/BA Raymond James Financial Inc

Head of Revenue Enablement & Onboarding FranklinCovey

Specialized Sales II - NaaS Lumen Technologies Inc

Account Director II - Enterprise Lumen Technologies Inc

Utilization Management Nurse Cambia Health Solutions Inc

Business Analyst Eitacies Inc

Senior Java Developer Eitacies Inc

Remote Sales Opportunity (Remote) The Edelson Agency

Associate Medical Director Cambia Health

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