Remote Healthcare administration Jobs

• Generate PCP referral PDFs using information from our internal systems.
• Maintain a consistent follow-up cadence with offices that have not responded.
• Support broader operational data-entry and cleanup tasks beyond PCP referrals.

Recora, Inc. is focused on virtual cardiac recovery care. They don't specify employee count, but their culture emphasizes operational excellence and patient-centered care.

• Conduct clinical reviews for inpatient admissions and post-acute settings using evidence-based guidelines and CMS criteria.
• Serve as the primary physician reviewer for escalated or complex cases requiring high-level medical judgment.
• Partner with care management teams to identify utilization trends and develop interventions to reduce unnecessary admissions or extended stays.

It appears to be a healthcare organization. They ensure timely and appropriate care determinations for their Medicare Advantage members.

• Answers first level calls in Utilization Review.
• Evaluates certification requests by reviewing group specific requirements.
• Triage the call to determine if a Utilization Review Nurse is needed.

Cottingham & Butler sells a promise to help clients through life’s toughest moments by hiring, training, and growing the best professionals. The company culture is guided by the theme of “better every day” constantly pushing themselves to be better than yesterday.

• Support Headway health plan partnerships and strategy.
• Drive creative, innovative, exploratory data analyses to prove patient outcomes.
• Work collaboratively with cross functional teams including product, design, growth, marketing, payer relations, data & analytics, and operations.

Headway is building a new mental healthcare system that everyone can access. They have grown into a national network of over 60,000 mental healthcare providers across all 50 states. They are a Series D company with over $325m in funding.

• Define and lead HIM strategy by building scalable processes to fulfill records requests.
• Define, develop, and maintain standard medical record report outputs responsive to various record & audit request scenarios.
• Process medical records of patients, checking for compliance with established policy on nomenclature and procedures.

Omada Health inspires and engages people in lifelong health, one step at a time, and has served 1.4 million individuals since 2011. Its workforce is 100% remote, and it is committed to building an inclusive culture where differences are celebrated.

• Creates and delivers education to improve documentation quality.
• Collaborates with CMOs to ensure integrity of the health record.
• Monitors the clinical dashboard to demonstrate improvement.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.

• Performs Current Procedural Terminology (CPT) and International Classification of Diseases, volume 10 (ICD10) coding through abstraction of the medical record.
• Trains physicians and other staff regarding documentation, billing and coding, and performs various administrative and clerical duties to support the roles core function.
• Demonstrates expertise to resolve Optum coding edits.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. As an integral part of the team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system.

• Lead teams conducting value demonstration and economic modeling studies.
• Actively participate in setting business strategy and promoting business growth.
• Manage multiple assigned accounts and build new business opportunities.

Precision Medicine Group is an organization that works in the HEOR space, helping biopharma companies with research and consulting. They are an equal opportunity employer that values colleague engagement and satisfaction.

• Ensure compliance with healthcare regulations.
• Prepare and submit facility license applications.
• Manage Medicaid and Medicare enrollment and compliance.

Jobgether is a platform that connects job seekers with companies. They use AI-powered matching to ensure applications are reviewed quickly and fairly.

• Be the expert for implementing Experian's complex software solutions across patient access and revenue cycle management workflows, providing deep technical insights and guidance
• Lead technical discussions for product integrations and solutions spanning multiple technical applications
• Consult with clients and internal partners, explaining complex solution methodologies and implementation results to both technical and non-technical audiences

Experian is a global data and technology company, powering opportunities for people and businesses around the world. A FTSE 100 Index company listed on the London Stock Exchange (EXPN), they have a team of 23,300 people across 32 countries and corporate headquarters are in Dublin, Ireland.