Remote Healthcare administration Jobs

• Conduct detailed audits of clinical coding for accuracy, compliance, and reimbursement integrity.
• Develop and deliver engaging training sessions for coding staff and providers.
• Identify trends, risks, and opportunities for process improvement.

As a Study Management Associate III, you will be part of a dynamic, centralized study management team responsible for executing global clinical trials. The Study Management Associate III works as an independent member of a cross-functional and global partnership to plan, execute, and manage Phase 0-4 clinical trials under the guidance of the Study Project Manager. The Study Management Associate III ensures assigned studies are executed with quality and efficiency, following timelines and budget to support company strategic objectives.

The Senior Consultant delivers performance improvement to healthcare systems, actively leads and participates in engagement work streams, and assists in the implementation of recommended improvements. They will determine client needs, lead data analyses, interpret data analyses, develop potential solutions, and develop deliverables and presentations materials for various audiences. The Senior Consultant helps identify issues; form hypotheses; plan and conduct interviews; plan, oversee, and conduct analytics; develop recommendations and solutions; synthesize information into cohesive presentations.

• Review and verify insurance information and patient eligibility for prior authorizations.
• Communicate with healthcare providers to gather necessary medical documentation and information.
• Submit prior authorization requests to insurance companies following established protocols.

Conduct outreach to educate members on available clinical programs and screenings, ensuring they remain connected to care. Schedule initial appointments and reschedule visits for the team, thoughtfully adjusting calendars to meet urgent care needs. Provide inbound call support/call routing for patients with clinical or administrative questions.

• Supervision of Case Managers who assess patient needs and evaluate plan of care.
• Act as a resource for the Case Managers and support staff.
• Identify and address quality issues and participates in quality management activities.

• Seeking a Senior Director to lead global and domestic network operations in fertility and women’s health, overseeing the provider ecosystem. Responsibilities include leading network development and maintenance, overseeing network strategy, and ensuring relationships with fertility network partners.
• Own global fertility network strategy.
• Lead provider partnerships across fertility, women’s health, and ancillary services.
• Oversee network economics and contracting.

Drives clinical and administrative support functions across the market, such as customer service, scheduling, registration, referrals, and prior authorizations. Serves as a Synapticure’s representative to our members, external healthcare organizations, payer partners, and other partners to ensure that our members have the care and assistance they need to thrive.

This role is responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. You will cross functionally collaborate with sales, marketing and the value and access team to effectively coordinate and engage targeted regional customers. This highly visible role will play a pivotal role supporting commercial customer engagement and responding to customer inquiries.

Serve as the executive leader for the Health Policy and Patient Access Research (HPPAR) Center of Excellence (COE) within the Global Access Value and Economics (GAVE) organization at Intuitive, managing and providing leadership oversight to the COE and three key supporting functions within the center. This leader will work cross-functionally with various teams to execute strategies and tactics within operating plans, including programmatic development and execution of the COE.