Remote Healthcare administration Jobs

The Upstream Senior Clinical Program Manager will design and execute pre-market feasibility and pivotal clinical studies, ensuring regulatory compliance while supporting marketing claims. This role requires close collaboration with physician collaborators and internal stakeholders to collect, analyze, and interpret clinical data. The role offers remote flexibility, with occasional travel for on-site meetings and conferences.

This position is posted by Jobgether on behalf of a partner company.

• Plans, directs, coordinates and supports the activities of MSLs within a designated geographic region.
• Coaches and mentors medical level professionals (MSLs) in a therapeutic region.
• Works cross-functionally within U.S. Medical Affairs to identify, develop, implement, and monitor MSL strategies and tactics.

AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow.

• Assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
• Review medical records to code diagnoses, procedures, and evaluation and management services.
• Resolve NCCI, NCD/LCD or other outpatient edit claim failures.

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace.

• Support health plan partnerships and strategy.
• Drive innovative research initiatives.
• Work collaboratively with cross functional teams.

Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.

Primarily responsible for the accurate assignment of CPT, HCPCS, modifiers, and diagnosis codes. Utilizes expert knowledge and application of CPT, HCPCs, and ICD-10 coding guidelines to ensure accuracy of coding and charge capture. Communicates effectively with providers or other teams to resolve CPT, ICD-10, HCPCs, or modifier discrepancies and resolve complex coding-related denials.

Cook Children's is a not-for-profit organization comprised of a flagship medical center, a physician network, and other health-related services throughout Texas.

• Conduct thorough audits of medical records and coding practices.
• Develop and deliver educational programs on coding best practices.
• Collaborate with billing, clinical, and revenue cycle teams.

Jobgether is a Talent Matching Platform that partners with companies worldwide to efficiently connect top talent with the right opportunities through AI-driven job matching.

• Identify documentation and coding improvement opportunities.
• Provide guidance around operational and clinical best practices in the risk adjustment methodology.
• Perform analysis of performance indicators and put together a formal presentation for reporting out to providers.

Humana Inc. is committed to putting health first – for our teammates, our customers and our company by providing insurance and healthcare services.

• Assesses member needs in various areas including physical and mental health.
• Oversees the development of client care plans and goal settings.
• Connects clients to social services and supports that are needed.

Vynca is passionate about transforming care for individuals with complex needs and provides comprehensive care for more quality days at home.

The Lead Care Manager serves as the client’s primary point of contact and works with all their providers. The Lead Care Manager manages client cases, coordinates health care benefits, and provides education. The Lead Care Manager collaborates and communicates with client’s caregivers/family support persons, other providers and others in the Care Team.

Vynca is passionate about transforming care for individuals with complex needs and provides comprehensive care for more quality days at home.

• Assign appropriate procedure and diagnoses codes according to the AMA coding guidelines.
• Review provider documentation and prepare feedback to the Sr. Coding Manager.
• QA review of charts coded by vendors and the AI coding tool for coding accuracy.

SimonMed Imaging is the fastest growing outpatient radiology practice in the Nation, committed to excellence and improving patient care.