Remote Process improvement Jobs β€’ US

16 results

Job listings

Health Plan Compliance Specialist (Remote - PST Hours)

Pair Team πŸ₯πŸ§‘β€βš•οΈπŸ€
$70,000–$75,000
USD/year

As the Quality and Compliance Lead, you will play a critical role in supporting our Operations team in ensuring all Plan requirements and quality metrics are met through auditing, documentation upkeep, and timely submission of regulatory reporting. You will own completing and communicating internal audit results, executing on multiple compliance projects, and proactively suggesting improvements to our operational processes.

Sourcing and Procurement Sr. Specialist

Acorns 🌰🌱🌳
$101,700–$106,500
USD/year

Acorns is seeking a Sourcing & Procurement Sr. Specialist to partner with internal stakeholders and manage end-to-end procurement activities. Reporting to the Director of Sourcing & Procurement, you’ll drive strategy, negotiation, vendor management, contract reviews, and proposal analysisβ€”primarily in Software, with additional exposure to Marketing, Services, and Infrastructure. You’ll also have the opportunity to support leadership on key sourcing initiatives.

Senior Procurement Specialist

Parsons πŸš€πŸŒπŸ’‘
$72,900–$127,600
USD/year

Parsons is seeking a talented Senior Procurement Specialist to become a member of our team! Participates in procurement functions to ensure quality, efficiency, and timeliness of services. Manages life-cycle acquisitions for material, charters, equipment rentals, professional services, and Davis Bacon construction. All purchasing activities must be managed and documented in compliance with corporate and federal regulations.

Reimbursement Specialist - Follow Up & Appeals

Guardant Health πŸ§ͺπŸ©ΈπŸ”¬
$42,702–$58,740
USD/year

As a Reimbursement Specialist, you will play an important role in Guardant Health's success by driving payment for services and optimizing billing processes. You’re responsible for tracking, reporting and addressing complex outstanding claims, troubleshooting EOBs, appealing non-covered & low pay claims, and driving positive coverage determinations through external appeals. You will manage documentation for appropriate payer communication and insurance claim research.

Fraud Operations Specialist (Weekend Days)

Extend βœ¨πŸ›‘οΈπŸ“ˆ
$50,000–$63,000
USD/year

Join a growing Fraud Ops team as a Fraud Operations Specialist to perform fraud investigations to detect bad actors and improve user experience for legitimate customers. Through your investigations, you will detect trends in fraud and abuse and find new opportunities to positively impact Extend’s internal processes. This role requires direct experience with fraud and abuse operations, an understanding of fraud concepts, communication skills to work with cross functional stakeholders, and knowledge of spreadsheet and data processing software.

Senior Procurement Analyst

NYC Department of Consumer and Worker Protection πŸ’πŸ›‘οΈπŸ—½
$67,541–$77,672
USD/year

As a Procurement Analyst you will be responsible for preparing documentation for solicitation of goods and services; checking specifications for adequacy; analyzing bids and proposals for fair and reasonable pricing and/or responsiveness; and assessing whether bidders are responsible. You will also be conducting contract negotiations, ensuring contract compliance, and monitoring the operation of funded programs.

Professional Coder II

Shriners Children’s 🧸πŸ₯🩺

The Professional Coder II performs at an advanced level medical coding position and serves as an expert utilizing International Statistical Classification of Diseases (ICD-10) and Current Procedural Terminology (CPT 4) classification system coding to all diagnoses and procedures on a variety of encounter types. They will interpret health record documentation and assign codes for services rendered accurately and completely, maintaining coding quality and following coding guidelines.

Compliance Program Manager

Coinbase πŸͺ™πŸ›‘οΈπŸ”—
$157,590–$185,400
USD/year

As the CX Compliance Program Manager at Coinbase, you'll lead the charge in combating money laundering and ensuring cryptocurrency accessibility. You will oversee high-priority regulatory compliance Programs, ensuring integration of regulatory requirements into policies, their documentation and practical implementation. You will work closely with your team to develop effective solutions meeting goals.

Billing Operations Contractor

Moxie βœ¨πŸš€πŸ“ˆ

We’re looking for a highly operational contractor to rebuild our billing processes and systems from the ground up by taking ownership of the end-to-end billing process, evaluating tooling options, and driving automation for provider-facing teams, sitting under our Operations function, and collaborating closely with Finance, Product, and other cross-functional leads.

$170,000–$190,000
USD/year

This role drives regional growth delivering software solutions for a business that develops high-tech software such as geospatial asset management, grid management & automation systems for the electric, utility, public service & telecom industries. The Manager will ensure project implementation team alignment through the Inquiry To Order process.