Analyze, select, and classify life insurance applications of moderate complexity.
Evaluate medical and financial information to determine insurability and risk classification.
Collaborate with field partners and underwriting teams to deliver exceptional customer experience.
Nationwide is a Fortune 100 insurance and financial services company with nearly $70 billion in annual sales, dedicated to protecting people, businesses, and futures. They have a caring culture and have been named one of the Fortune 100 Best Companies To Work For.
Evaluate medical history, occupational hazard, and financial background to determine whether to accept, modify, or decline a risk.
Communicate underwriting decisions effectively both written and verbally, and champion process improvements.
Work independently with minimal direction in a fast-paced environment.
Ethos is a leading life insurance technology company on a mission to protect families by democratizing access to life insurance and empowering agents at scale. The company has a robust three-sided technology platform and a diverse, inclusive workplace culture.
Lead and evolve guideline methodology, including AI-enabled approaches, to ensure consistency and rigor across AHA/ACC clinical guidelines.
Oversee comprehensive methodological review of recommendations, evidence grading, and compliance with industry relationships.
Supervise staff and develop training programs for writing committee members on evidence evaluation and guideline development.
The American Heart Association is a nonprofit organization dedicated to fighting cardiovascular disease and stroke, having cut related deaths in half since 1924. The Association employs thousands and fosters a culture of work-life harmonization and employee growth through resources like Heart U and Employee Resource Groups.
Own claims and savings projections and retrospective analyses across Maven's employer benefit programs.
Build, maintain, and scale Maven's actuarial and ROI models in Excel.
Support RFP responses and sales calls with actuarial projections and methodology documentation.
Maven is the world's largest virtual clinic for women and families, providing clinical, emotional, and financial support on one platform. Recognized for innovation, Maven has been named to the Time 100 Most Influential Companies and has raised over $425 million, with a culture that has earned numerous workplace awards.
Evaluates hospital records for diagnostic coding accuracy and clinical documentation alignment.
Conducts DRG validation, readmission, and level-of-care reviews using evidence-based guidelines.
Produces clear clinical summaries and supports utilization management and peer review activities.
The company provides medical record review and utilization management services to ensure accurate coding and appropriate reimbursement. It is a remote-first organization with a focus on clinical integrity and quality assurance.
Serve as a clinical subject matter expert supporting product and AI teams to evaluate new features for clinical safety and risk.
Conduct first-line clinical risk assessments across high-impact areas like documentation workflows and medication management.
Partner cross-functionally with product, engineering, regulatory, and clinical teams to guide safe innovation throughout the product lifecycle.
Our partner operates in healthcare technology, and we use an AI-powered matching process to connect candidates with roles. The environment is mission-driven and highly collaborative, focusing on improving outcomes across long-term and post-acute care settings.
Provide medical necessity reviews using evidence-based guidelines and clinical expertise.
Conduct peer-to-peer discussions with treating providers and document decisions in workflow tools.
Support clinical content team with evidence-based literature and operational improvements.
Cohere Health's clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. Backed by leading investors and recognized on the Inc. 5000 list, the company fosters a supportive, growth-oriented culture with diverse teams.
Conduct medical claim reviews using clinical information and established criteria to determine medical necessity and appropriate reimbursement.
Educate internal and external staff on medical reviews, coding procedures, and coverage determinations.
Participate in quality control activities and provide guidance to LPN team members.
Palmetto GBA is a healthcare service administrator and one of the nation's largest providers of high-volume medical claims and transaction processing. The company offers a diverse workforce, training programs for leadership, tuition assistance, and financial incentives.