Senior Medical Reviewer - Remote, Data & Payment QA
CGS Administrators LLC
- Remote job
CGS Administrators LLC is seeking a qualified RN to create and analyze reports that support operations and senior management decisions. You will ensure data accuracy and provide clear, concise findings used in financial and clinical decisions. The role is full‑time and can be remote, with a typical 8:00 AM–4:30 PM CST shift. You will review medical claims, apply criteria, document rationale, and educate staff while contributing to quality control and special projects. #J-18808-Ljbffr CGS Administrators LLC
- ...qualified RN to create and analyze medical claim reviews and support operations. You... ..., documenting rationale for payment denials or approvals while ensuring data accuracy for senior management. The role... ...complex cases, with full-time remote work during business hours CST...Remote jobDataSeniorFull time
- ...Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient records for coding accuracy, DRG assignment, and compliance... ...collaborate with clinical reviewers and data analysts to identify anomalies, conduct...Remote workDataSenior
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$175k - $185k
...personalized nutrition plans, medication delivery, and... ...is looking for a Senior Product Manager to own our payments and checkout experience... ...with engineering, data, growth, and CX.... ...manage releases through QA and launch.... ...Balance : Fully remote work policy, Unlimited...Remote workDataSeniorWeekly payFlexible hours- A growing fintech firm in Atlanta is looking for a Senior Payments Data Optimization Analyst. This role serves as a liaison between consulting... ...work environment with a hybrid model, allowing for three days of remote work per week. #J-18808-Ljbffr Optimized PaymentsRemote workDataSenior
- Gigawatt AI is seeking a Senior Product Manager for its Customer team to own the transactional backbone—payments, billing interactions, and service orders—delivered across self... ...and AI engineers to define MVPs, specs, and data models, with KPIs like digital adoption and...Remote jobDataSenior
- ...ultimate mission is to deliver a best-in-class payments experience for our users by owning the... ...of our users through research and data, and using those insights to define and execute... .... ~You are comfortable working in a remote team environment. The broader Payments team...Remote workDataSeniorFull time
- ...is seeking a Product Manager to shape the Payments Intelligence product. You will work with... ...Design, Sales, and Customer Success to build data-driven features that optimize payment... ...and cross-functional collaboration. This remote-friendly position welcomes applicants from...Remote jobDataSenior
- HackerOne is looking for a Senior Manager for AI Engineering in Port Washington... ...intelligence dashboard and researcher payments, driving direct customer impact... ...teams, particularly in AI-driven or data-intensive systems. This remote position requires collaboration across...Remote jobDataSenior
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$170k - $240k
...Description We’re hiring a senior, hands-on Product Manager to join WooCommerce Payments and take ownership of a... ...bugs and incidents ~Reviewing and shaping flows in... ...trust. ~Use data, support signals, and merchant... ...home job: we are a fully-remote company with an open...Remote workDataSeniorFull timeLive inLocal areaWork from home- ...informed decisions. You will ensure data accuracy and communicate findings concisely to senior management. The role supports operations and may involve remote work within normal business hours CST. Responsibilities include reviewing medical claims, determining medical...Remote jobDataSenior
- ...seeks an experienced engineer to build its payments platform. The role involves backend system... ...in backend development and strong API and data modeling skills. Benefits include medical, dental, vision, unlimited PTO, and remote flexibility. Join us to help redefine...Remote workDataSenior
- ...strong Database Engineer to own, scale, and evolve their data infrastructure in a high-scale payment orchestration system. The successful candidate will... ...while ensuring their reliability and performance. This remote position offers flexibility and the chance to...Remote jobDataSenior
- ...Develop new products and features by analyzing data, conducting user interviews, studying the... ...new opportunities. ~Become the bank payments expert in Agicap. ~Work with Tech,... ...on profile and experience. ~2 days of remote work per week or Full-remote. ~A dedicated...Remote workDataSeniorFull timeWork at officeLocal area
- ...configurations for merchant payment integrations and... ...Experience in configurations, QA, or Business Analysis... ...of SQL/PostgreSQL for data validation and... ...allocate to: ~Sports ~Medical ~Mental health ~Home... ...time off. ~Remote-first + tech support +...Remote workDataSeniorFull timeContract workHome office
$180k - $200k
Role Description As Senior Product Manager for Payments, you will own the vision, roadmap, and execution of this... ...~Analyze adoption and engagement data rigorously, using what you learn to sharpen... .... Requirements This role is remote work eligible, with three office...Remote workDataSeniorFull timeWork at officeFlexible hours- ...to design and develop scalable payments microservices using Java and... ...RESTful APIs, CRUD operations, and data handling with MySQL, while... ...environment, participate in code reviews, and maintain API... ...Swagger. The position offers 100% remote work within the U.S. and requires...Remote jobDataSenior
$69.4k - $99.2k
...in our country and communities. The Payment Integrity Analytics, Senior Analyst plays a critical, client-facing... ...) analytic models to Medicaid claims data and delivering monthly, prequalified... ...Medicaid and OIG stakeholders. ~Fully remote opportunity with the option to work...Remote workDataSeniorFull timeWork at officeFlexible hours- ...with a focus on making digital payments and ownership more accessible.... ...using digital assets. As a Senior Backend Engineer, you’ll work... ...decisions around system design and data models ~Deliver well-tested... ...communication skills in a remote setting ~Comfortable using...Remote workDataSeniorFull timeWorldwide
- ...~Build and optimize payment routing across PSPs/MIDs... ...scheme programs). ~Data-driven decision-making... ...work. Benefits ~Remote-first setup, modern offices... ...~Fair pay with regular reviews; after probation, compensation... ...and course access. ~Medical insurance coverage,...Remote workDataSeniorFull timeTrial period
- ...Senior Product Manager, Salesforce Platform Why... ...to improve Salesforce data models, objects, and system... ...~ Establish QA and UAT processes to improve... ...Experience in fintech, lending, payments, or complex operational... ...Pay Flexible PTO Remote — U.S. (Eastern Time...Remote workDataSeniorFlexible hours
- Role Description This is a remote role that may only be hired in the... ...Engineer on the Enterprise Payments team with strong Java foundation... ...reporting API applications. The Senior Software engineer will be... ...troubleshooting of code defects, data errors and configuration problems...Remote workDataSeniorFull time
$150k - $160k
...Description We are looking for a Senior Engineer to join our Partner... .... ~Integrate with payment platforms (e.g., Stripe or equivalent... ...and reconciliation. ~Ensure data quality, consistency, and security... .... Requirements ~This remote opportunity based out of the U...Remote workDataSeniorFull timeWork visaFlexible hours$165k - $180k
...collecting and reconciling B2B payments. Our solutions connect finance... ..., and strong execution. As Senior Product Manager, Payments , you... ...customer and business value through data-informed decisions, and... ...165,000 - $180,000 a year #LI-Remote We are an equal opportunity employer...Remote workDataSenior$75k - $100k
...Senior Analyst, Edits | Payment Integrity (Remote) CGI is seeking a results-oriented Senior Analyst to join our growing... ...Identify Opportunities: Use claim data analysis to pinpoint high-impact... .... Translate Policy: Convert medical policy, CMS rules, and coding guidance...Remote workDataSeniorLocal area- ...Senior Frontend Engineer At ClickUp, we're building... ...Work with QA to ensure strong test coverage... ...and processes personal data in accordance with applicable... ...never request fees, payments, or sensitive personal... ...learning technologies to help review and screen candidates'...Remote workDataSeniorVisa sponsorshipWork visa
- ...particularly within Capital Markets, focusing on Payment and Cash domains. The successful candidate... ...methodologies experience, critical for data analysis and effective project management. Benefits include comprehensive medical coverage, 401(k) with company match, and...DataSenior
$130k - $150k
...service of a trusted partner. The Role As Senior Product Manager, Payments, you are responsible for end‑to‑end... .... Role Specifics Work Location: Remote (US) with a strong preference for... ...direction and long‑term strategy Lead data‑driven, hypothesis‑led product development...Remote workDataSeniorWork at office$80k - $105k
...Senior Accounts Receivable / Accounts Payable... ...3 days on-site, 2 remote) Systems QuickBooks... ...recording customer payments and reconciling bank... ...Payable Monitor and QA the outsourced... ...maintain vendor master data and W-9 / 1099 tracking... ...import pipelines Review and approve...Remote workDataSeniorContract work
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