Medical Review Operations Manager (Hybrid/Remote)
CGS Administrators
- Remote job
CGS Administrators is seeking a qualified individual to oversee the accurate processing of claims for medical necessity review in Nashville, TN. This full-time position involves ensuring compliance with regulations and identifying process improvement opportunities while managing a well-trained team. The ideal candidate has a Bachelor's degree, at least 5 years of experience in clinical review, and strong communication and organizational skills. We offer a comprehensive benefits package and opportunities for career advancement. #J-18808-Ljbffr CGS Administrators
$70k - $100k
...Title ~ Claims Operations Specialist Location... ...am – 6:00 pm ~ Hybrid after 90 days – 3... ...in office/2 days remote Reports to ~ Senior Claims Manager Position... ...recurrence Conduct reviews of existing... ...Benefits ~ Medical (PPO), dental (PPO...Remote workMedicalFull timeCasual workWork at officeMonday to FridayFlexible hours- 6AM City, LLC is looking for an experienced Utilization Review Nurse for a hybrid role based in Uniondale, Long Island. In this position, you will conduct utilization reviews, evaluate patient medical records, and collaborate with healthcare providers. The ideal candidate...Remote workMedical
$90k - $110k
...Create Alert Annuity Operations Specialist (Charlotte, NC ((Hybrid) or Remote) Where you’ll work: Our... ...role, you’ll get to: Review product/distribution requirements... ...Strong project management skills with experience... ...Wellness - Enjoy competitive medical, vision, and dental...Remote jobMedicalTemporary workWork at officeFlexible hours$120k - $170k
.... Job overview : The Manager, PromoMats & MLR Operations will play a critical... ...supporting the development, review, approval, and... ...compliant promotional and medical content across... ...environment. Location: Hybrid in our New York City office or remote on the East Coast in...Remote jobMedicalWork at officeVisa sponsorshipWork visa- ...looking for a HIM & Coding Manager in Boston, MA. This position requires hybrid work, balancing onsite presence with remote tasks. The role involves... ...HIM and coding operations, managing staff, and ensuring... ...package is offered, including medical, dental, and a 401(k) plan...Remote workMedical
- Russell Tobin is seeking an Operations Specialist (Mutual Fund Services) in Boston,... ...services experience. The position offers a hybrid schedule of 2 days remote and 3 days in-office. Russell Tobin... ...comprehensive benefits, including medical, dental, and 401(k) plans. #J-18808...Remote workMedicalWork at office
- ...in Albuquerque, New Mexico, is seeking a Referral Operations Referral Program Coordinator for day shifts. This... ...(EHR) are required, with a preference for certified medical assistants. There may be options for hybrid or remote work. #J-18808-Ljbffr Ardent Health ServicesRemote jobMedicalDay shift
$110k - $125k
...and tech‑savvy Legal Operations Manager to support its U.S.-based... ...), this position is a hybrid role, which will allow... ...office and working remotely from home. Strong candidates... ..., including invoice review, accruals, and outside... ..., or related medical conditions), sexual orientation...Remote workMedicalWork at officeWork from home- ...Description Job Description Medical Operations Coordinator Center (MOCC)... ...11 dispatch) Strong project management skills Demonstrated ability... ...Working Schedule and Travel: Hybrid – Indianapolis (3 days on-site, 2 days remote) Periodic in-state travel as...Remote workMedical
- ...level administrative and operational assistance. The ideal... ...operational efficiency, and managing confidential information. A hybrid work schedule is offered... ...both in-person and remote work. Benefits include competitive... ...compensation, excellent medical and retirement plans,...Remote workMedical
$80k - $100k
...sense of community. The Operations Finance Manager partners with the... ...(Monday through Friday); remote or hybrid work arrangements are not... ...eligible employees including medical, dental, vision, and work/... ...participate in contract performance reviews • Trains operations...Remote workMedicalFull timeContract workLocal areaMonday to Friday$45k - $50k
...Operations & Fulfillment Associate (Hybrid) Gurnee, Illinois, United States Operations Or... ...daily shipping, inventory management, and basic operational tasks... ..., as well as some remote responsibilities, including... ...PTO ~ Benefits include medical, dental, and vision ~40...Remote workMedicalWork at officeLocal areaWork from homeFlexible hours- Quality Officer I (Inpatient Coding Review) - Hybrid/Remote job at System Business Office. Oceanport... ...encounters for other payers (not Medicare/Managed Medicare). This requires critical... ...Hospital Association (AHA) and the American Medical Association (AMA) must be maintained....Remote jobMedicalWork at office
$90k - $115k
Operations Project Manager (Digital Marketing) - HYBRID Location: Within ~1.5 hours of North Philadelphia (PA, NJ, NY) Hybrid Schedule: REMOTE + ~2-4 Days in Office per Month Base: $90,000 - $115,000 +... ...Potential + Benefits Benefits: Medical, Dental, Vision, Disability,...Remote workMedicalFull timeWork at officeImmediate startRelocation packageMonday to Friday- ...Become an IS Security, Manager at Southern... ...Center (TCC) real-time operations in support of SCE’... ...audit log review, security patching... ...information, confidential medical records, and other... ...’s work mode is hybrid. The employee will... ...option to work remotely on the remaining days...Remote workMedicalRelocationNight shift
- ...for those who prefer hybrid or office settings. Oura... .... As a Sr. Business Operations Program Manager, you'll be the engine... ...for leadership reviews Build and update OKR... ...childbirth, or related medical conditions), gender identity... ..., especially for remote roles. Please note: Our...Remote workMedicalWork at officeLocal areaFlexible hoursShift work
- ...Fully Remote • Destination America - Hybrid (Costa Mesa) or Fully Remote • Operations Job Type: Full-time ABOUT US At TTC... ...? As an Operations Manager with Destination America... ...(dietary, mobility, medical) to ensure ADA... ...through structured reviews at mid‑ and post‑season...Remote workMedicalFull timeSeasonal workWork at officeLocal areaRelocation
- ...AZ Blue, we have a hybrid workforce strategy... ...hybrid, onsite or remote. While the... ...per week Hybrid 2 (Operational Roles such as but... ...JOB The Utilization Review Supervisor coordinates... ...as they relate to medical necessity reviews,... ...Experience 1 year of managed care/health plan...Remote workMedicalFull timeWork experience placement2 days per week1 day per week
- ...and student services operations at UAF. This position... ...Affairs and Enrollment Management to support efficient... ..., and affordable medical, dental and vision care... ...experience. Application review will begin on May 18,... ...the UA facilities. Hybrid and remote work may be approved...Remote workMedicalFull timeWork at officeVisa sponsorship
- ...Position Summary The Operations Manager is responsible for supporting... ...and compliance. Review, retain and communicate... ...lease compliance, remote work arrangements, facilities... ...with a flexible hybrid work arrangement to be... ...parental or family status, medical or genetic status,...Remote workMedicalContract workFor contractorsWork at officeLocal areaFlexible hoursNight shift
$69.2k - $109k
...service pharmacy benefit management (PBM) solutions to... .... Location: Remote (For Non-Local) or Hybrid (Local to New York,... ...Government Programs Operations Specialist (MPPP) provides... ...quality assurance reviews for member... ...disability status, medical condition, genetic...Remote workMedicalLocal areaFlexible hours- ...Type: Full Time, Hybrid Job Reports To: Director... ...of Clinical Operations Jaan Health is a leading... ...AI-based care management company serving... ...enable health systems, medical groups, and ACOs... ..., and performance reviews. Requirements... ...success managing a remote/hybrid team. Strong...Remote workMedicalFull timeWork at officeWork from homeRelocation
- ...City is seeking an EEG/EMG Technician to join their team. This hybrid role involves conducting EEG and EMG procedures in various settings... ...patient populations. Join us to contribute to our mission of providing high-quality medical care. #J-18808-Ljbffr Essen HealthcareRemote jobMedical
- ...previously. Together, we deliver "Medical Intelligence" to our... ...you will be doing... As an Operations Manager, you are a key player in delivering... ...regular performance reviews to assess individual and... ...Willingness to travel: 50% Work Location: Hybrid remote in Houston, TX...Remote workMedicalFull timeTemporary workLocal areaFlexible hours
$65k - $80k
...and proactive Dispatch & Operations Manager to oversee our Non-Emergency Medical Transportation (NEMT)... ...role. You will manage a hybrid, global team consisting... ...dedicated team of overseas remote dispatchers. The ideal candidate... ...regular performance reviews to the 3 partners and...Remote workMedicalHourly payWork at officeLocal areaWork from homeOverseas$71k - $98k
...experienced and dynamic Regional Operations Manager to oversee and optimize... ...of multiple medical clinics. This leader will... ...Considerations Hybrid schedule: 4 days in office, 1 day remote. Mileage reimbursement... ...further information, please review the Know Your Rights notice...Remote workMedicalWork at officeLocal areaImmediate start$50.3k
...Responsibilities The Operations Specialist will be... ...as necessary. Manages regular ordering of... ...Kind by preparing, reviewing and submitting.... ...uneven ground. Perks Medical, Dental, Vision, 4... .... This is a hybrid position, in the office... ...to 4:00 p.m. and remote on Fridays. Interested...Remote workMedicalFull timeWork at office$52.57k - $86.21k
...employee development Medical, Dental and Vision coverage... ...The Corporate Operations Specialist is responsible... ...Specialist may or may not manage a portfolio with an... ...collateral values. Request, review, process and provide... ...and travel. PART-TIME REMOTE/HYBRID These employees will...Remote workMedical16 hoursTemporary workPart timeWork at officeLocal areaVisa sponsorshipAfternoon shift$112.2k - $140k
...the Team Technical Operations is the first line... ...Technical Operations Manager to lead a team of... ...driving readiness reviews, runbook... ...critical operations Our Hybrid Work Approach Roku... ...are flexible for remote work except for employees... ...healthcare (medical, dental, and vision...Remote workMedicalFor contractorsWork experience placementWork at officeLocal areaMonday to ThursdayFlexible hoursAfternoon shift- ...Join the Team! Position: Project Operations Manager Location: West Chester, OH (Hybrid/Remote) Job Id: 2901 # of Openings: 1... ...Collaboration Lead pre‑billing readiness reviews to ensure invoices are accurate,... ...& Wellness: Comprehensive medical, dental, and vision coverage....Remote workMedicalContract workLocal area
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