Remote Healthcare administration Jobs

Support one of our growing Healthcare programs as an Associate Manager. Drive the performance of a remote team of Consultants, meeting and exceeding all KPI targets. Strengthen Relationships, manage attrition, shrinkage and other critical metrics of the team. Coach and mentor Consultants, providing feedback and performance management. Inform leadership on the latest trends of end-user customers.

This position processes medical record requests efficiently, ensuring accuracy and top-quality customer service. The role requires safeguarding patient privacy, ensuring authorized access to medical information, and compliance with requests, company policy, and HIPAA regulations. This intermediate-level position requires at least 1 year of related HIM experience.

The Utilization Management Clinical Specialist will play an important role in SmarterDx’s next product launch in the Utilization Management and Case Management space. This role will work closely with Product and Data Science to design and refine strategies that help hospitals optimize resource use, ensure appropriate levels of care, and support timely and effective patient management. The specialist will bring a clinical and operational view to patient status determination, documentation workflows, and utilization review, contributing to AI tools that support care coordination and medical necessity compliance.

Responsible for reviewing OASIS and/or coding for home health and hospice agencies, you’ll play a critical role in ensuring the integrity of clinical documentation and reimbursement. You’ll review OASIS assessments, validate ICD-10 coding, and provide actionable insights that support quality care and operational excellence. If you're detail-oriented, certified, and thrive in a remote, fast-paced environment, we’d love to have you on our team.

This role provides cross- market clinical leadership and oversight, ensuring excellence in care delivery across Nest Health's growing footprint by supporting and supervising Advanced Practice Provider (APP) Pod Leaders and contracted physicians. A key leader in Nest's clinical leadership team reporting to the Chief Clinical Officer. The role drives performance in quality, patient experience, clinical outcomes, and value-based care.

Applies Case Management principals in coordinating patient care across the continuum using assessment , care planning, implementation , coordination, monitoring and evaluation for cost effective and quality outcomes in a primarily inpatient setting, including complex discharge planning . Performs Utilization Management clinical review to ensure that services rendered to members meet clinical criteria and are delivered in the appropriate setting.

Manage a team of nurses, medical coders and analysts that create and maintain policies in the Cotiviti payment policy library. Work collaboratively with the global and onshore Medicaid teams as well as other payment policy teams. A hands-on position working diligently with team members to meet goals and deadlines; interpret guidelines, perform audits, and analyze claims data. Mentor team members to enhance their knowledge and growth.

Assist the Medical Review team by providing education and identifying training opportunities during mentoring process and participate in on-site audits and ALJ hearings as needed. Analyze, evaluate, and conduct medical review investigations, studies, and data review in accordance with the UPIC policies and contract responsibilities. Conduct in depth claim review of providers suspected of fraud.

As a Patient Intake Specialist, you’ll be the first person patients meet in their journey with Understood Care. You’ll manage the calendar, conduct appointment confirmation calls and answer the phone when patients call in, supporting and informing them about our services. This role involves documenting intake findings and ensuring a smooth onboarding experience for patients.

The Patient Enrollment Specialist plays a key role in delivering a seamless and supportive onboarding experience for patients participating in Impilo’s customers’ healthcare programs. This role involves high-volume outreach and inbound communication, guiding patients through program enrollment, mobile app setup, and device onboarding. The specialist ensures accurate documentation, order fulfillment, and proactive communication throughout the patient journey.