The Complex Claims Specialist is responsible for reviewing and resolving high-complexity insurance claims, including escalations, disputes, and denied cases. This role involves analyzing medical and billing data, ensuring compliance with policies, and coordinating with multiple stakeholders
Location: Brooklyn, NY / Remote Compensation: Starts from USD 1,600 / month + incentives Employment Type: Full-Time, 40 hours a week About the Role Brownstone NYC is expanding its supportive housing operations beyond Queens to new
The Technical Support Representative provides technical and customer support for device-related inquiries, resolving operational and troubleshooting issues through clear, timely, and empathetic communication. This role ensures accurate documentation, regulatory compliance, and high-quality service delivery for both
Position: Data Engineer Work Set-up: Remote work Work shift: Open for those preferring Midshift (4pm-1am) or Nightshift (8pm-5am) Employment Set-up: Project-Based (3-5 months) Build data systems that power real-world impact. We’re looking for a Data Engineer
Key Responsibilities Training Program Development & Standardization • Design and implement standardized onboarding programs for: o Contact center agents (Commercial, MA, ASO, etc.) o Claims adjudicators (Professional, Institutional, COB, Adjustments, Recovery) • Build structured training curricula,
As the Clinical Team Supervisor, you will be the frontline leader for a newly established team of Clinical Nurses delivering Medication Therapy Management (MTM) services to US-based Medicare & Retirement (M&R) patients. Reporting directly to the
Join a global leader in medical and document management - trusted by insurers, law firms, and government agencies to deliver secure, accurate, and timely records. The Opportunity Enhance operational efficiency by effectively managing essential medical records,
The RCM Clinical Operations Manager is responsible for overseeing clinical operations within the revenue cycle management (RCM) process, ensuring that services meet quality, compliance, and efficiency standards. This role involves coordinating clinical workflows, managing teams, and
About the Company Health Haven LLC is seeking a highly motivated and innovative Full Stack Web Developer & Digital Automation Specialist to support the growth of our healthcare and behavioral health organizations . This role combines
Primary Responsibilities: Own the 1:1 direct marketing content strategy (email, SMS, direct mail) across B2B, B2C, and B2Provider audiences; align to brand, product narratives, and campaign objectives. Lead planning, creative briefing, and content development in partnership
Solution Analyst 1 - Patient Portal (Night Shift) We are looking for people that are as dedicated as we are to improving health equity and delivering quality care across the globe. As Solution Analyst I in
Job Summary: Monitors and reports security events in the iQor enterprise. Performs daily health checks on security devices while ensuring compliance with security frameworks, standards, and regulatory requirements including ISO standards, PCI DSS, SOC controls, and
Onsite (1Nito Tower, Cebu Office) Day 1 HMO Night Shift Responsibilities Lead and supervise team performance, focusing on productivity, quality, and attendance Conduct regular audits to ensure adherence to workflows and client satisfaction Identify and address
This is a highly specialized role requiring native or near-native U.S. English proficiency, direct experience working within the U.S. healthcare system, and strong technical/solution-selling expertise. Candidates without this background will not be considered. About the Role
The USRN Senior Operational Trainer drives learning outcomes for healthcare operations by delivering robust clinical and operational training programs aligned to client protocols, regulatory standards, and performance metrics. This role blends clinical expertise with instructional design,
About the job We are looking for a Bilingual Account Executive to join our team and deliver exceptional client service. In this role, you will manage client accounts, handle weekly intakes, and guide clients through essential
Job description: We are seeking a skilled AWS Cloud Solutions Engineer to design, implement, and manage cloud infrastructure primarily within Amazon Web Services (AWS). Employement Details: Permanent Employment (Full-time) Hybrid arrangement/WFH (based outside of cebu) Flexible
Join a trusted global healthcare services organization with decades of experience delivering independent medical evaluations, peer reviews, and compliance-driven solutions to clients worldwide. The Opportunity Be at the center of a fast-paced healthcare operations team, helping
Job Description We are hiring Customer Care Specialist to support members with healthcare and pension benefit inquiries, enrollments, and account updates through phone, email, and chat support. Responsibilities: Assist customers with healthcare and benefit-related concerns Provide
Qualifications: • Bachelors degree • 2-3 years experience as a Senior Operations Manager • Should have leadership experience handling US Healthcare account • Willing to work in Iloilo City Job Description Summar yDUTIES & RESPONSIBILITIES :