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Cengage, a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready. Build and manage a robust pipeline of high-value opportunities through proactive prospecting (cold outreach, executive engagement, networking, and industry events).

Cengage Learning

Mid-Market Account Executive (Remote) US

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The base salary for this position is reflective of the range of salary levels for all roles within this pay grade across the U.S. Individual salaries within this range will vary based on factors such as role, relevant skillset, relevant experience, education and geographic location. GENERAL FUNCTION: Assist and direct in the orderly liquidation/exit and rehabilitation of large and complex credits with a high dollar impact to the organization.

Fifth Third Bank

SAG Workout Officer III-Remote

Understand Avantis Investors’ highly differentiated investment process and philosophy as well as American Century’s distinctive story, including its mission-driven purpose, unique private ownership structure and broadly diversified investment capabilities. Avantis Investors, part of American Century Investments, is focused on helping clients achieve their investment goals through the delivery of broadly diversified, low-cost, efficient investment strategies.

Avantis Investors

VP, Relationship Director and Investment Specialist

The Senior Denials Prevention Process Improvement Advisor serves as a subject matter expert and strategic partner in reducing clinical and technical denials across the revenue cycle by driving root cause analysis and implementing sustainable process enhancements. Conducting data-driven assessments of denial drivers, developing and deploying best practices, facilitating cross-functional workshops, and monitoring the effectiveness of implemented solutions through KPIs such as denial rate reduction and appeal avoidance.

Ensemble Health Partners

Senior Denials Prevention Process Improvement Advisor

Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.

Specialized Coder - Cardiology, Vascular and CVTS

Engineering Craftsmanship & Code Quality - Demonstrates high accountability for architectural initiatives and proofs of concept from inception through adoption; champions disciplined version control practices, automated testing, and CI/CD as the default way of working, not an afterthought; considers cost and resourcing impact to ensure maximized output, reduced waste, and exceptional results. This role serves as a technical escalation point and architectural authority for the Data Platform, influencing software design, repository and branching strategy, CI/CD practices, performance, scalability, cost optimization, developer experience, and long‑term sustainability of Ensemble’s data ecosystem through credibility and technical judgment rather than formal authority.

Principal Software Architect- Data Platform, Data

They work to provide a positive financial impact to the institution through extensive interaction with physicians, nurses, other patient care givers, and coding professionals to ensure that medical record documentation accurately reflects the level of services rendered to patients and the clinical information utilized in profiling and reporting outcomes is complete. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

Lead Utilization Review, RN

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. The Bedded Insurance Authorization Senior Specialist is responsible for performing initial and concurrent insurance authorization securement, clinical submission and denial prevention for all patients admitted to the hospital for clients.

Senior Bedded Insurance Authorization Specialist

Under indirect supervision, the Coding Appeals Specialist is responsible for reviewing and writing appeals for inpatient Diagnosis Related Group, (DRG) denials in order to support the assigned DRG and to address the clinical documentation utilized in the decision-making process to support the validity of the assigned codes. Draws on ICD10CM, ICD10PCS, HCPCS, NCCI, CMS and CMG coding expertise and industry knowledge to substantiate coding principles to determine potential billing/coding issues, and quality concerns.

Acute Coding Appeals Specialist

This role supervises credentialing specialists, monitors operational performance, ensures accurate provider data and documentation, and supports completion of credentialing, recredentialing, enrollment, revalidation, maintenance, delegated roster, and related payer activities. The Credentialing & Payor Enrollment Supervisor leads daily credentialing and payor enrollment operations to support timely provider readiness, payer participation, and compliance with applicable regulatory, accreditation, payer, and internal requirements.

Credentialing & Payor Enrollment Supervisor

As a Telephony Data Engineer, you will play a crucial role in designing, implementing, maintaining, and optimizing our telephony infrastructure to ensure seamless communication and exceptional customer experiences. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.

Senior Engineer, Telephony

The Senior Insurance Authorization Specialist will support the Insurance Authorization I staff in their responsibility for selecting accurate medical records for patient safety, obtaining and validating demographic and insurance information, working with insurance companies and/or physician offices to complete insurance authorization requirements to secure payment, and ensure active/eligible coverage. They'll support the Department's Supervisor with the daily workflow and distribution of workload, answer questions as the assigned subject matter experts, assist with mentoring and training new members of the team and report any system or process issues identified.

Senior Insurance Authorization Specialist - Infusion

The consultant partners with senior leaders, HR business partners, Operations, SG&A functions, Compensation, and Organizational Effectiveness to conduct discovery, evaluate spans and layers, clarify work and accountabilities, and create iterative organization models and charts. The Temporary HR Consultant, Organizational Design is a six-month consulting assignment focused on assessing current organizational structures and developing practical future-state design options.

HR Consultant

Maintains a schedule of key update dates for expected reimbursement rules, such as Medicare OP quarterly updates, yearly Diagnostic Related Group (DRG) updates, and yearly increases for the Managed Care contracts utilizing such tools as a Smartsheet for tracking. The Contract Management Technician will actively participate with the Contract Management knowledge share opportunities to expand their knowledge base and role along with assisting in expanding the knowledge of their peers by assisting with training and other knowledge share opportunities.

Contract Management Technician

The DRG Senior Coding Educator acts as a subject matter expert to educate, train, and develop/revise processes in coordination with leadership to assist in achieving CDI’s goal of facilitating accurate and complete documentation for coding and the capture of severity, acuity, and risk of mortality and most accurate Diagnosis Related Group (DRG) assignments. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.

DRG Senior Educator, Coding

Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes. By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare.

RN, Senior Utilization Review Quality

Contributes to the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused improvement, and that initiatives are consistently implemented and successfully executed to achieve goals. Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols.

Medical Mutual

Assistant Medical Director

Technical Program Management - Independently leads a portfolio of complex, cross-functional technology initiatives from strategy and intake through release, production stabilization, and outcome realization; establishes program governance and owns roadmaps, scope, schedules, resources, risks, dependencies, change control, executive communication, and delivery tradeo. This role independently leads programs across multiple clients, platforms, engineering teams, and operational workstreams from intake through production readiness and stabilization, with accountability for technical roadmaps, scope, schedules, releases, risks, dependencies, change control, governance, and delivery outcomes.

Senior Technical Program Manager

Agility core practices, Agility core practices, Agreements and negotiations, Analytical Thinking, Business Acumen, Commercial Acumen, Communication, Continuous Improvement, Continuous Learning, Creativity and Innovation, customer and competitor understanding, Customer centric thinking, Customer data knowledge, Data Analysis, Data visualization and interpretation, Decision Making, Digital Collaboration, Digital Fluency, Industry knowledge and advocacy, Integrated pricing, Knowledge Sharing, Leading transformation, market, Negotiation planning and preparation, Offer and product knowledge {+ 13 more} . This position works as part of a traveling field team responsible for completing store resets, reflows, cooler resets and refreshes, remodel support, fixture changes, planogram implementation, promotional execution, backroom and storage organization, and other merchandising projects.

Field Merchandiser

Using company-provided equipment and our Talkdesk application, you'll handle inbound customer calls and provide friendly, professional service while addressing post-sale related questions and concerns. Whether it's tracking a package, returning an item, answering warranty questions, or finding the right automotive part, you'll help customers find the answers and solutions they need.

Work From Home Jobs in Newark, OH

Mid-Market Account Executive (Remote) US Cengage Learning

SAG Workout Officer III-Remote Fifth Third Bank

VP, Relationship Director and Investment Specialist Avantis Investors

Senior Denials Prevention Process Improvement Advisor Ensemble Health Partners

Specialized Coder - Cardiology, Vascular and CVTS Ensemble Health Partners

Principal Software Architect- Data Platform, Data Ensemble Health Partners

Lead Utilization Review, RN Ensemble Health Partners

Senior Bedded Insurance Authorization Specialist Ensemble Health Partners

Acute Coding Appeals Specialist Ensemble Health Partners

Credentialing & Payor Enrollment Supervisor Ensemble Health Partners

Senior Engineer, Telephony Ensemble Health Partners

Senior Insurance Authorization Specialist - Infusion Ensemble Health Partners

HR Consultant Ensemble Health Partners

Contract Management Technician Ensemble Health Partners

DRG Senior Educator, Coding Ensemble Health Partners

RN, Senior Utilization Review Quality Ensemble Health Partners

Assistant Medical Director Medical Mutual

Senior Technical Program Manager Ensemble Health Partners

Field Merchandiser BP

Remote Customer Service Representative Summit Racing

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