• AI Innovation Lead - Data Science Lab

    Guardian Life (Charleston, WV)
    …AI. + Apply AI/ML to unstructured data sources such as insurance contracts, medical records, sales notes, and customer service logs. + Deliver solutions that enhance ... underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable processes, frameworks, and governance… more
    Guardian Life (12/11/25)
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  • Pharmacy Director - Aetna Better Health OhioRISE

    CVS Health (Columbus, OH)
    …benefit program offered by the health plan. This includes benefit set-up, claims processing , contractual oversight, formulary management and updates, medication ... use of medications for plan members. This is a remote , work from home role open to qualified pharmacist...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
    CVS Health (12/06/25)
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  • CW Appeals Specialist

    Robert Half Legal (Mountlake Terrace, WA)
    …8am-5pm Responsibilities: + Research, coordinate, and resolve issues related to claims processing , eligibility, contracts, call history, benefits quotes, appeal ... a fast-paced environment. They are looking for someone to join ASAP! Location: Remote Pay Rate: $21-23 per hour Duration: 3+ months potential for extension Schedule:… more
    Robert Half Legal (11/26/25)
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  • Director, Real-World Evidence Data Sciences Lead

    Takeda Pharmaceuticals (Boston, MA)
    processing , and curation of non-Takeda sourced observational RWD, including claims , disease registry, labs and electronic health/ medical records (EHR/EMR) ... classified as "hybrid" in accordance with Takeda's Hybrid and Remote Work policy. **Takeda Compensation and Benefits Summary** We...US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company… more
    Takeda Pharmaceuticals (11/21/25)
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  • Human Resources Manager

    Elderwood (Williamsville, NY)
    …Free On-Site Parking, Generous PTO & holiday package, Life Insurance, Medical , Dental, and Vision insurance Responsibilities The Human Resources Manager supports ... certified arrange for training.10. Coordinate new hire physicals and obtain required medical documentation for TST.11. Ensure that all personnel actions are properly… more
    Elderwood (11/20/25)
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  • Patient Safety & Maternal Health Research…

    Center For Health Information And Analysis (Boston, MA)
    …and analyze data pertaining to patient safety, such as reported adverse events in medical claims and survey data + Utilize appropriate software, including Excel, ... agencies, providers, and consumers in initiatives that will reduce medical error and enhance patient safety in the Commonwealth....in a hybrid environment with up to three days remote and at least two team days (currently Wednesday… more
    Center For Health Information And Analysis (11/15/25)
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  • Associate Director, Revenue Cycle Management…

    ChenMed (Miami, FL)
    …in this role assists with the strategic alignment and oversight of claims assembly and submission processes. In close collaboration with Billing, Coding, IT, ... serves as a subject matter expert on risk-adjustment and medical economics to aid in the development of revenue...Qlik Sense and MySQL plus a variety of other word- processing , spreadsheet, database, e-mail, and presentation software + Ability… more
    ChenMed (11/06/25)
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  • Director, US Market Access Strategic Evidence

    BeOne Medicines (San Mateo, CA)
    …segments in collaboration with account teams and market access stakeholders (HEOR, medical affairs, fHEOR). This role is central in identifying appropriate RWD ... and with cross functional teams within the BeiGene organization: COBA, HEOR, and Medical Affairs to inform and ensure alignment of evidence strategies for access and… more
    BeOne Medicines (10/23/25)
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  • Member Services Coordinator

    Access Dubuque (Dubuque, IA)
    …Overview** **Member Service Coordinator** Location: Dubuque, IA (hybrid). Also accepting remote applicants. **What Our Member Service Coordinators Do and Why It's ... phone, email and chat + Assisting with tasks that may include processing Physician's Screening Forms, participant outreaches, printing or binding, and other special… more
    Access Dubuque (12/14/25)
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  • Senior Product Operations Associate

    Adecco US, Inc. (Princeton, NJ)
    …of extension with weekly pay at $32 an hour. The position is remote but travel is required. The Product Operations Specialist supports the day-to-day operations ... oversee all badging, scheduling, logistical coordination, and post-event travel claim processing related to the Reading period. This position ensures operational… more
    Adecco US, Inc. (12/11/25)
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