Remote Healthcare administration Jobs · US

• Showcase customer service and data entry skills as part of the healthcare team.
• Involved in claims adjudication and/or provider credentialing.
• Support customers by phone, email and chat.

Sutherland helps customers globally achieve greater agility and transform automated customer experiences. As a digital transformation company they have been in business for over 35 years and are Great Place to Work certified with nearly 40,000 employees.

• Source, interpret, and scope new payment integrity policies.
• Prioritize policy updates based on savings potential and client impact.
• Quantify and communicate policy value through data-driven analysis.

Rialtic, Inc. focuses on healthcare payment expertise, client strategy, and product innovation. They seem to have a culture that values collaboration and impact, although the job post doesn't specify size/employees.

• Address the needs of patients with a focus on customer support, coordination of logistics, and problem solving.
• Schedule and coordinate the flow of work within or between departments to expedite project efficiencies and resolution to escalations.
• Address and resolve assigned inquiries with a sense of urgency; Ensure timely closure of escalation cases using email, phone, or salesforce.com

Natera is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.

• Serve as a primary field-based scientific subject matter expert supporting Medical Affairs and Market Access.
• Build, cultivate, and enhance professional relationships with key payor and population health decision makers.
• Provide timely, accurate clinical, scientific, and economic updates—proactively or in response to unsolicited requests.

Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities. Mineralys is a fully remote company headquartered in Radnor, Pennsylvania.

• Lead and develop a high-performing regional team of Medical Science Liaisons (MSLs).
• Translate Medical Affairs strategy into effective field execution and scientific exchange.
• Act as a strategic partner to internal cross-functional teams to align on priorities.

Mineralys Therapeutics is a clinical-stage biopharmaceutical company focused on developing medicines to target hypertension and related comorbidities such as chronic kidney disease. Mineralys is a fully remote company with Medical Affairs Field team expanding and hiring experienced Regional Field Directors.

• Place a high volume of calls daily to enroll members.
• Share information about Mae's support, emphasizing doula support.
• Guide members through the enrollment process.

Mae is a venture-backed digital health solution focused on improving the health and quality of life for mothers and babies. They provide complete digital care with culturally-competent on-the-ground support, addressing access gaps and bolstering well-being through continuous engagement and a community-led support model.

• Conduct audits of claims and patient records to identify incorrect coding.
• Develop, implement, and coordinate corrective action proposals and plans.
• Prepare reports of findings and compliance issues identified with audits.

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

• Oversee prior authorization and financial assistance workflows.
• Drive quality and productivity across team members.
• Ensure work is compliant and meets quality standards.

Shields Health Solutions partners with hospitals to build and manage specialty pharmacies within the hospital. They focus on improving medication access, adherence, and overall patient outcomes, operating in a high-growth environment.

• Performs medical record coding and abstracting reviews with expert knowledge of ICD-10-CM, ICD-10-PCS and CPT-4 classification systems.
• Completes appeals processing tasks for both the inpatient and outpatient Data Quality Appeal Teams.
• Reviews and abstracts information from auditor denials to communication sheets.

Munson Healthcare is northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. They value excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for their patients and each other.

• Lead and develop a team of RN Care Coordinators and non-clinical Care Coordinators.
• Ensure timely progression of members through the surgical review and COE pathways.
• Identify workflow issues and recommend process improvements.

Transcarent and Accolade have come together to create the One Place for Health and Care, the leading personalized health and care experience that delivers unmatched choice, quality, and outcomes. Together, more than 20 million people have access to the combined company’s offerings.