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Posted (Oct 12, 2026)
Fully remote (never coming onsite) Position Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often ...
Position Summary The Care Manager—Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often
Fully remote (never coming onsite) The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals ...
The Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) will provide processing and communication of Commercial Prior Authorizations (PA) and Appeals
Remote in any state Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral ...
Intake Care Senior Representative Delivers specific delegated Utilization Management tasks assigned by a supervisor. Assigns client to appropriate staff member or behavioral
Remote The client is seeking a Specialist – Mid-Level to provide standard GIS support services such as analysis and data processing but to also provide support for the ArcGIS platform in the areas of ...
The client is seeking a Specialist – Mid-Level to provide standard GIS support services such as analysis and data processing but to also provide support for the ArcGIS platform in the areas of
Posted (Oct 09, 2026)
Remote in any state except NY, CA, AK or HI This position is responsible for making phone calls to various facilities and provider offices to retrieve large amounts of medical records. Enters tracking ...
This position is responsible for making phone calls to various facilities and provider offices to retrieve large amounts of medical records. Enters tracking
Posted (Oct 08, 2026)
Fully remote (never coming onsite) Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an ...
Position Summary The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an
Fully remote Position Summary The Coverage Determination/Appeals Service Representative I is responsible for working and triaging in the data entry related fax queues. The Representative I’s primary ...
Position Summary The Coverage Determination/Appeals Service Representative I is responsible for working and triaging in the data entry related fax queues. The Representative I’s primary
Posted (Oct 07, 2026)
Remote The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional ...
The Data Entry Associate Representative is responsible for performing analytical and administrative functions to support Medicare Billing processes. This position is data-driven and transactional
Posted (Oct 02, 2026)
Fully remote position, open to candidates located anywhere in the U.S. Innovation Implementation Analyst Position Summary We are seeking a highly organized and self-motivated contractor to ...
Innovation Implementation Analyst Position Summary We are seeking a highly organized and self-motivated contractor to
Posted (Oct 01, 2026)
Work from Home Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs ...
Pharmacy Technician Senior Representative The Pharmacy Technician in the Pharmacy Call Center will work within the Part D – Star Operations Group. This call center role performs
Posted (Sep 29, 2026)
Fully remote (never coming onsite) Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...
Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based ...
Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the criteria based
Posted (Sep 28, 2026)
Remote Required Job Qualifications: Extensive Experience in Workday Compensation and Advanced Compensation Bachelor’s degree + 4 years’ experience in HR, IT or Cloud Based ...
Required Job Qualifications: Extensive Experience in Workday Compensation and Advanced Compensation Bachelor’s degree + 4 years’ experience in HR, IT or Cloud Based
Posted (Sep 25, 2026)
Remote- candidates cannot be in CA,NY,AK,HI The purpose of the Indexing Team is to accurately identify and classify medical records and prepare them for review by the Medical Record Coding Teams within ...
The purpose of the Indexing Team is to accurately identify and classify medical records and prepare them for review by the Medical Record Coding Teams within
Fully remote in IL HEDIS Medicaid Clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for ...
HEDIS Medicaid Clinical experience and will work under the supervision of the HEDIS Coordinator. They are a member of the medical record review team. The team is responsible for
Fully remote (never coming onsite) Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and ...
Position Summary The basic function of the pharmacist is Review and complete criteria based on prior authorization as per policy and
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the ...
Position Summary This position takes in-coming calls from members, providers, etc providing professional phone assistance to all callers through the
Fully remote (never coming onsite) The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the ...
The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all callers through the
Fully remote (never coming onsite) Position Summary This position is responsible for dispensing prescriptions and coordinating clinical services for specialty drugs serviced at ...
Posted (Sep 24, 2026)
Remote Responsibilities: Key Activities: Designs, develops, automates, and executes smoke, functional, integration, system, and end to end (E2E) tests using modern automation frameworks to ...
Responsibilities: Key Activities: Designs, develops, automates, and executes smoke, functional, integration, system, and end to end (E2E) tests using modern automation frameworks to
Remote in any state except NY, CA, HI or AK Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to ...
Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to
Posted (Sep 22, 2026)
Remote-candidates cannot be in CA,NY,AK,HI The ideal candidate will possess experience with enrollment operations within a Medicare Advantage environment. Candidates should also have a proven background ...
The ideal candidate will possess experience with enrollment operations within a Medicare Advantage environment. Candidates should also have a proven background
Posted (Sep 18, 2026)
This is a remote position but does require a BH licenses, those have to be active in Arizona. They can live anywhere in AZ doesn't have to be close to the office. Position Summary The Utilization ...
Position Summary The Utilization
Fully remote (never coming onsite) Position Summary This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based ...
Position Summary This position takes in-coming calls from members, providers, etc. providing professional phone assistance to all callers through the criteria based
100% Remote (Work From Home) Position Summary The Tech I Prior Auth takes in-bound calls from providers, pharmacies, members, etc providing professional and courteous phone assistance to all ...