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Senior Documentation Specialist remote jobs

- 107 jobs
  • Senior CRO Specialist (Contractor)

    Everlane 3.6company rating

    Remote job

    Clean luxury. Better for you. At Everlane, we believe luxury should be as effortless as it is conscious. We partner with ethical factories, work with premium, sustainably sourced materials, and strive to leave the industry cleaner than we found it. There's still much to do, and we're excited to grow a team of motivated humans ready for the challenge. The journey toward better continues. We are seeking an experienced Senior CRO Specialist (Contractor) to help us improve on-site conversion, optimize our customer journey, and unlock incremental revenue through testing, UX improvements, and data-driven insights. This role partners closely with our e-commerce, marketing, and design teams, and is ideal for someone who brings both analytical depth and hands-on execution. You will own our experimentation roadmap, run A/B tests, identify friction points, and provide clear recommendations that improve checkout, product discovery, site performance, and mobile experience. This is a contract engagement-ideal for an independent CRO consultant or performance-focused freelancer. We anticipate 20-25 hours a week. Your day-to-day: Testing & Optimization Develop and manage a structured A/B and multivariate testing roadmap. Build hypotheses, design variations, and analyze test results. Translate insights into clear, actionable recommendations. Prioritize opportunities based on revenue impact, feasibility, and customer experience. Experience & Funnel Optimization Analyze on-site behavior (GA4, heatmaps, session recordings) to identify friction and conversion blockers. Optimize core funnels: home → PLP → PDP → cart → checkout. Recommend CRO improvements across mobile and desktop experiences. Partner with design to evolve UX/UI based on test learnings. Analytics & Insights Perform quantitative analyses on funnel performance and user behavior. Translate CRO insights into simple narratives for non-technical stakeholders. Support site speed diagnostics and performance improvements. Cross-Functional Collaboration Work closely with e-commerce, marketing, design, and engineering teams. Ensure testing aligns with product releases, campaigns, and merchandising priorities. Provide CRO insights for landing page builds, email/SMS flows, and acquisition campaigns when helpful. We'd love to hear from you if you have: 3-5+ years of hands-on CRO or e-commerce optimization experience. Strong expertise with Bloomreach. Solid analytics capability: GA4, Looker/Tableau, Hotjar/FullStory, ContentSquare. Experience optimizing Shopify or other major e-commerce platforms. Strong understanding of UX/UI principles and best practices. Ability to convert data into compelling recommendations. Clear communication skills with strong prioritization judgment. Comfortable working as a contractor: autonomous, proactive, and fast-moving. Experience in DTC, fashion/apparel, or subscription e-commerce. The Fine Print: This is part-time, fully remote position. Please note: We are only accepting applications from those who file their taxes in one of the following states: California, Florida, Georgia, Illinois, Kansas, Massachusetts, Minnesota, North Carolina, New Hampshire, New Jersey, New York, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, and Washington. California Residents: At Everlane, we carefully consider a wide range of compensation factors, including your background and experience. These considerations can cause your compensation to vary. The annual compensation range for this role is $35.50 - $50.50. This range is based on the San Francisco geographic area and the actual pay may vary depending on your skills, qualifications, experience, and geographic location. Everlane is deeply committed to respecting and protecting your data privacy. For information on our privacy practices, please review our Privacy Policy. here
    $35.5-50.5 hourly Auto-Apply 4d ago
  • Remote - Clinical Documentation Specialist

    Mosaic Life Care 4.3company rating

    Remote job

    Remote - Clinical Documentation Specialist Inpatient Coding Full Time Status Day Shift Pay: $60,382.40 - 96,616.00 / year Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position provides support, consultation, compliance to evidence-based care, and clinical documentation practices. Facilitates and drives improvements in the clinical performance initiatives and helps to maintain regulatory compliant documentation. Performance relies on general nursing/clinical knowledge, including pathophysiology, pharmacology, regulatory requirements and ACDIS professional guidelines. Advanced communication and education to a broad audience including medical staff, patients, clinical departments in the form of specific chart reviews and broad presentation/education. Collaborates regarding clinical and coding knowledge with key stakeholders within the organization. Responsibilities include concurrent review of the clinical documentation to obtain the most accurate and complete physician documentation that appropriately supports the severity of illness, risk of mortality and proper reimbursement. This position works under the supervision of the Manager and is employed by Mosaic Health Systems. Conducts initial concurrent review and ongoing re-reviews of clinical documentation for all selected admissions to initiate the tracking process and document findings. Assigns and updates working DRG for encounters, reviewing in a timely manner and documenting thoroughly in clinical documentation improvement system. Identifies need to clarify documentation in records and initiates communication with physician or physician extender utilizing the appropriate query tools in order to capture the documentation in the medical record that accurately supports the patient's severity of illness. Utilizes monitoring tools to track the progress of the concurrent review program, interprets tracking information and reports findings. Provides information and education as necessary to physicians and ancillary staff. This includes participation on work teams. Other duties as assigned All required education is a minimum requirement. Higher levels of education are acceptable. Associate's Degree nursing required. Bachelor's Degree nursing preferred. RN - Registered Nurse - State Licensure And/Or Compact State Licensure in state, depending upon designated work location is required. AND CCDS Certification - Certificated Clinical Documentation Specialist to be obtained within two years of hire is required. OR CDIP Certification - Certified Documentation Information Practitioner to be obtained within two years of hire required. Certificated Clinical Documentation Specialist to be obtained within two years of hire is required; or Certified Documentation Information Practitioner to be obtained within two years of hire required. 3 years of clinical experience in an ICU/Critical Care acute care setting is required. 2 years of clinical documentation specialist experience.
    $60.4k-96.6k yearly 60d+ ago
  • Default Document Execution Specialist II

    Loancare 3.9company rating

    Remote job

    Are you ready to take your career to the next level? LoanCare, one of the top providers in the mortgage services industry, seeks an individual with a solid work history in the mortgage or real estate industry to join our team as a Default Document Execution Specialist II. The ideal candidate will enjoy working with clients both internal and external, be detail-oriented, and is driven to meet tight deadlines in a fast-paced environment. If you are ready for a career and not just your next job, now is the time to join our team and become a part of something big. Responsibilities • Manage a pipeline of Foreclosure, Bankruptcy, and Loss Mitigation documents for execution purposes • Complete quality review forms in conjunction with daily actions • Document system of record with tracking information and log codes • Review, execute, and notarize foreclosure, bankruptcy, loss mitigation, and default compliance documents • Ensure documents are accurately prepared in accordance with state guidelines and internal policies/procedures • Document corrections in tracking system and follow up for completion • Order documents and/or supporting documentation as needed to support execution of documents • Manage document execution/preparation issues from time of notification to resolution • Manage the notary workstation and reconcile data recorded in notary system • Upload records to imaging system • Communicate with attorney firms, staff, management, and internal default areas • Provide administrative support • Assist with internal audits • Assist and serve as leader/mentor to Specialist I colleagues as needed • All other duties as assigned Qualifications • High School Diploma or equivalent required • 2-4 years of customer service experience • 2+ years of experience within default or mortgage servicing operations • Proficient knowledge of customer service principles and practices • Proficient mortgage product knowledge • Excellent verbal and written communication skills • Excellent attention to detail and accuracy • Excellent problem-solving and problem analysis skills Total Rewards LoanCare's Total Rewards Package offers a comprehensive blend of health and welfare, financial, lifestyle and learning benefits to support employee well-being and engagement. Highlights include: Health & Welfare Coverage: Optional medical, dental, vision, life, and disability insurance Time Off: Paid holidays, vacation, and sick leave Retirement & Investment: Matching 401(k) plan and employee stock purchase plan Wellness Programs: Access to mental health resources, including free Calm memberships, and initiatives that promote physical and emotional well-being Employee Recognition: Programs that celebrate achievements and milestones Lifestyle & Learning Perks: Enjoy discounts on gym memberships, pet insurance, and employee purchasing programs, plus access to a tuition reimbursement program that supports your continued education and professional growth. Compensation Range: $17.88 - $26.73 hourly. Actual compensation may vary within the range provided, depending on a number of factors, including qualifications, skills and experience. Build Your Future with LoanCare At LoanCare, we don't just service mortgage loans-we serve people. As a leading full-service mortgage loan subservicer, we deliver excellence to banks, credit unions, independent mortgage companies, investors, and the homeowners they support. Backed by the strength and stability of Fidelity National Financial (NYSE: FNF), a Fortune 500 company, we offer a career foundation built on integrity, innovation, and collaboration. Here, you'll find: A culture that helps you thrive, with resources and support to fuel your growth Flexibility to work remotely, while staying connected through virtual engagement Opportunities to make a real impact in an industry that touches millions of lives If you're ready to grow your career in a place that values your contributions and empowers your success, we invite you to join our team. About Remote Employment We provide the necessary equipment; all you need is a quiet, private place in your home and a high-speed internet connection with a minimum network download speed of 25 megabits per second (MBPS) and a minimum network upload speed of 10 MBPS. Work Conditions Able to attend work and be productive during normal business hours and to work early, late or weekend hours as needed for successful job performance. Overtime required as necessary. Physical Demands Sitting up to 90% of the time Walking and standing up to 10% of the time Occasional lifting, stooping, kneeling, crouching, and reaching Equal Employment Opportunity LoanCare, its affiliates and subsidiaries, is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
    $17.9-26.7 hourly Auto-Apply 40d ago
  • Clinical Documentation Specialist (Remote)

    Memorial Hermann Health System

    Remote job

    At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary This position is responsible for concurrent review of inpatient medical records in order to identify opportunities for improving the quality of physician documentation. This position facilitates modifications to clinical documentation through concurrent interaction with physicians (face-to-face and electronically) and other members of the health care team. The goal of this position is to achieve a complete medical record in order to support complete, accurate and timely coding.Job Description Memorial Hermann authorized to hire in the following states for this position: Texas Louisiana Oklahoma Florida Georgia Tennessee South Carolina Desired Skill Sets: Prefer an RN candidate with Clinical Documentation experience Must be an RN with a BSN or MSN Must have at least 5yrs of recent RN bedside experience in an acute hospital setting Prefer critical care nursing experience Minimum Qualifications Education: Bachelor of Nursing required. Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Experience / Knowledge / Skills: Five (5) years of inpatient, acute care at the bedside on a nursing unit; ICU experience preferred Requires excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication Possesses a working knowledge of many areas of adult medicine Able to assess, evaluate, and teach Proficiency in organization and planning Proficiency in computer usage including database and spreadsheet analysis, presentation programs, word processing and Internet searching Ability and willingness to seek out and accept change Demonstrates adaptability, flexibility, and self-motivation, and an ability to work independently Knowledge of federal, state and private payer regulations preferred Professional, team player, able to communicate well with others Strong interpersonal skills and positive attitude Regular, significant contact with other personnel throughout and outside Memorial Hermann; Contact may be in person, by telephone, or through correspondence Principal Accountabilities Communicates with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses for inpatients. Utilizes the hospital's designated clinical documentation system to identify opportunities for physician and hospital outcomes. Provides or coordinates education to all internal customers related to compliance, coding, and clinical documentation issues and acts as a consultant to coders when additional information or documentation is needed to assign the correct DRG. Responsible for the day-to-day evaluation of documentation by the medical staff and healthcare team in accordance with the hospital's designated clinical documentation system. Gathers and analyzes information pertinent to documentation findings and outcomes. Contributes to a positive working environment and performs other duties as assigned or directed to enhance the overall efforts of the organization. Develops physician education strategies to promote complete and accurate clinical documentation and correct negative trends. Identifies patterns, trends variances and opportunities to improve documentation review and process. Researches literature and stays abreast of CMS rules and regulations, incorporating changes to daily practice for overall documentation enhancement. Assists in the development and reporting of performance measures to the medical staff and other departments and prepares physician specific data information. Conferences with key physicians to review outcome information (including physician profile data if relevant) as it relates to documentation clarity, completeness, and correct DRG designation. Coaches physicians to improve their documentation so it more accurately reflects intensity of services and severity of illness. Documents conference and results. Attends various hospital service line meetings, reviewing outcome information, and educating physicians on service line specific improvement opportunities. Complies with HIPAA and Code of Conduct policies. Assists with special projects as needed. Demonstrates competency for individual performance and development in the following areas: Customer Service, Job Skills, Resource Management, Teamwork, and Innovation. Directors shall determine percentage weight distribution for each competency category. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.
    $29k-50k yearly est. Auto-Apply 60d+ ago
  • Retail Document Specialist II

    Carrington Mortgage 4.5company rating

    Remote job

    Come join our amazing team and work remote from home! The Retail Document Specialist II is responsible for drawing documents for FHA/VA/USDA and conventional loan products using various document companies and systems for both wet and dry states. Perform all duties in accordance with the company's policies and procedures, all US state and federal laws and regulations, wherein the company operates. WHAT YOU'LL DO: Reviews/prepares closing documents for compliance with RESPA/GFE regulations and company policies and procedures. Reviews title policy, appraisal and escrow instructions for correct property address, vesting and legal description Verifies lock and approval information for all loan programs and investors Identifies and resolves discrepancies between the file documents and loan origination system Draws and prepares all loan documents and ensures completeness of file Performs High Cost Test per guidelines. Correspond with title/escrow companies, and internal office staff Maintains highly confidential information concerning loan applicants Assists Operations staff with general support as necessary. Performs other duties as assigned. WHAT YOU'LL NEED: Ability to accurately draw loan documents for Conventional, FHA ,VA and USDA loan programs for wet and dry states Ability to work accurately and efficiently in a fast paced environment Knowledge of and ability to effectively apply current RESPA/GFE regulations Strong organizational skills and ability to work on several tasks simultaneously Strong customer service skills Knowledge of office machines such as computer, copiers, scanners Knowledge of Microsoft suite of products (word, excel, etc.) High School diploma or its equivalent required Previous experience drawing loan documents for Conventional, FHA VA and USDA loan programs for wet and dry states required Automated underwriting system experience preferred Experience working in a paperless environment preferred Our Company: Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. We hope you'll consider joining our growing team of uniquely talented professionals as we transform residential real estate. To read more visit: *************************** What We Offer: Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of 50% of the first 4% of pay contributed. Access to several fitness, restaurant, retail (and more!) discounts through our employee portal. Customized training programs to help you advance your career. Employee referral bonuses so you'll get paid to help Carrington and Vylla grow. Educational Reimbursement. Carrington Charitable Foundation contributes to the community through causes that reflect the interests of Carrington Associates. For more information about Carrington Charitable Foundation, and the organizations and programs, it supports through specific fundraising efforts, please visit: carringtoncf.org. Notice to all applicants: Carrington does not do interviews or make offers via text or chat.
    $36k-47k yearly est. Auto-Apply 33d ago
  • FSP Document Review Specialist II (North America)

    Invitrogen Holdings

    Remote job

    At Thermo Fisher Scientific, you will discover meaningful work that makes a positive impact on a global scale. Join our colleagues in bringing our Mission to life - enabling our customers to make the world healthier, cleaner, and safer. We provide our teams with the resources needed to achieve individual career goals while taking science a step beyond through research, development, and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel frameworks for clinical research through our PPD clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy will improve health outcomes that people and communities depend on - now and in the future. Summarized Purpose: We are excited to be expanding our Medical Writing Functional Service Partnership (FSP) Team in North America. We are seeking an experienced and skilled Document Review Specialist II who will be dedicated to one or more clients in the FSP space to join our team; experience working in a range of document management systems would be preferred. As a remote-based Document Review Specialist within the FSP Team, you will effectively review regulatory documents, including but not limited to submissions documents, protocols and amendments, clinical study reports, investigator's brochures, and patient safety narratives, to ensure quality standards and adherence to templates, client guidelines, editorial style guides, and industry standards. You will collaborate with internal clients, supporting and enabling effective communication that results in operational excellence and quality deliverables. This role requires meticulous attention to detail, a high English proficiency with the ability to communicate clearly and concisely, and a solid understanding of regulatory document content. Key Responsibilities: Reviews highly technical scientific documents of all types developed within or outside of the company to ensure quality standards that meet or exceed client expectations. Verifies scientific logic and clarity of the document by verifying data in tables, listings, and figures against source documents, checking for consistency according to current regulatory standards and guidelines. Edits for accuracy, consistency, and grammatical correctness. Adjusts schedule to accommodate unexpected requests for priority review. Revises scientific language for usage, flow, clarity, and audience appropriateness. Proactively queries authors to ensure compatibility with unique preferences and scientifically sound judgment. Maintains, communicates, and applies knowledge of current guidelines, templates, and industry standards. Education and Experience: Bachelor's degree or equivalent and relevant formal academic/vocational qualification required. Previous editorial experience that provides the knowledge, skills, and abilities to perform the job (comparable to 2+ years'). Experience working in the pharmaceutical/CRO industry preferred. If CRO experience: experience working in a client-dedicated role or with 1 to 2 clients over multiple projects is preferred. In some cases, an equivalency, consisting of a combination of appropriate education, training, and/or directly related editorial experience, will be considered sufficient for an individual to meet the requirements of the role. Knowledge, Skills, and Abilities: Capable of focusing on document details and the overall objectives and intent of document messaging. Good knowledge of the methods, techniques, and procedures of medical writing tasks. Strong analytical ability. Good working knowledge of medical terminology, statistical concepts, GCP, guidelines (e.g., ICH), and requirements of the FDA and other international regulatory agencies. Attentive to detail and quality of documents, thorough and methodical. Proficient oral and written communication and grammatical skills. Good organizational and planning skills. Good interpersonal skills. Proven ability to work effectively in a team environment. Advanced computer literacy and expertise. Good knowledge and understanding of document management systems. Capable of working well under pressure and remaining motivated. Capable of working both independently and collaboratively with a team in a cross‑cultural, geographically dispersed environment. What We Offer: At PPD clinical research services we hire the best, develop ourselves and each other, and recognize the power of being one team. We understand that you will want to grow both professionally and personally throughout your career, and therefore at PPD clinical research services you will benefit from an award-winning learning and development programme, ensuring you reach your potential. As well as being rewarded a competitive salary, we have an extensive benefits package based around the health and well-being of our employees. We have a flexible working culture, where PPD clinical research services truly value a work-life balance. We have grown sustainably year on year but continue to offer a collaborative environment, with teams of colleagues eager to share expertise and have fun together. We are a global organization but with a local feel. Our Mission is to enable our customers to make the world healthier, cleaner, and safer. As one team of 100,000+ colleagues, we share a common set of values - Integrity, Intensity, Innovation, and Involvement - working together to accelerate research, solve complex scientific challenges, drive technological innovation, and support patients in need. #StartYourStory with PPD, part of Thermo Fisher Scientific, where diverse experiences, backgrounds and perspectives are valued. Compensation and Benefits The salary range estimated for this position based in Massachusetts is $69,000.00-$115,000.00. This position may also be eligible to receive a variable annual bonus based on company, team, and/or individual performance results in accordance with company policy. We offer a comprehensive Total Rewards package that our U.S. colleagues and their families can count on, which includes: A choice of national medical and dental plans, and a national vision plan, including health incentive programs Employee assistance and family support programs, including commuter benefits and tuition reimbursement At least 120 hours paid time off (PTO), 10 paid holidays annually, paid parental leave (3 weeks for bonding and 8 weeks for caregiver leave), accident and life insurance, and short- and long-term disability in accordance with company policy Retirement and savings programs, such as our competitive 401(k) U.S. retirement savings plan Employees' Stock Purchase Plan (ESPP) offers eligible colleagues the opportunity to purchase company stock at a discount For more information on our benefits, please visit: *****************************************************
    $30k-49k yearly est. Auto-Apply 7d ago
  • Product Documentation Specialist, (Remote)

    Maximus 4.3company rating

    Remote job

    Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation. NOTE: This position focuses on operational and process documentation, not technical or engineering documentation. Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - • Competitive Compensation - Bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities-Participate in training programs, workshops, and conferences. - •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Essential Duties and Responsibilities: - Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation. - Perform strategic and ad-hoc data work in support of Product Managers and Product Owners - Analyze and manage moderately complex business process flows and updates to system process flows and requirements. - Create and maintain technical documentation / product development & customer education materials - Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials. - Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained. - Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence. - Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments. - Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials. - Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures. - Review and improve existing documentation to enhance clarity, usability, and compliance with standards. - Support process improvement initiatives by documenting changes, workflows, and system updates. - Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively. Minimum Requirements - Bachelor's Degree or equivalent experience and 3+ Years. - Preferred SAFe Agile Certification(s). - Preferred Jira/Confluence experience. - Preferred learning development / documentation experience. - Preferred technical writing experience. - Bachelor's degree in a related field, or an equivalent combination of education and experience. - 3 years' relevant experience with documentation and supporting process improvement initiatives. - Strong attention to detail and organizational skills. - Excellent written communication skills with the ability to create clear, concise, and accurate documentation. - Experience working collaboratively with internal stakeholders to gather information and develop documentation. - Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint). - Ability to manage multiple documentation projects simultaneously and meet deadlines. Preferred Requirements - Previous experience in product documentation, writing, or business support role. - Knowledge of process improvement methodologies Home Office Requirements - Maximus provides company-issued computer equipment and cell phone - Reliable high-speed internet service * Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity * Minimum 5 Mpbs upload speeds - Private and secure workspace #ClinicalServices #LI-Remote EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 68,000.00 Maximum Salary $ 75,000.00
    $27k-36k yearly est. Easy Apply 6d ago
  • Health Team Documentation Specialist

    Jb Software and Consulting

    Remote job

    SHORT TERM ASSIGNMENT WITH OPPORTUNITY TO BE EXTENDED BUT CANNOT BE GUARANTEED Currently Work at Home; however local candidate to Louisville is preferred. Candidate may be required to travel into Louisville office on occasion Schedule: Monday-Friday; 8am-5pm. Candidate will be working with teams of potentially 5-10 team members *Video interviews will be conducted with selected candidates As a Health Team Documentation Specialist, you would perform the following tasks: • Create process documentation/workflows, knowledge articles and self-service guidance • Collect and document of business requirements for project and process improvement • Facilitate process workflow modeling in order to collaborate on process improvements, automation capabilities and clearly defined end-to-end use cases • Creates and maintains technical writing standards. • Writes, modifies/changes controlled documents. • Writes, reviews, and maintains department standard operating procedures. • Edit, standardize, or make changes to materials prepared by other writers or personnel. • Develop and maintain a wide range of documentation with a focus on internal help guides and support systems • Create Visio flow diagrams • Create workflows • Assist with other duties as needed Requirements: • BS/BA or equivalent work experience • 3+ years of Healthcare writing experience with processes/policies/procedures • Experience mapping processes using Visio or similar tools • Microsoft Office/Suite proficient (Excel, PowerPoint, Word, Visio, etc.) • Project management experience Knowledge of or experience documenting APIs, frameworks, libraries, tools, systems, and workflows in domains such as web, mobile, distributed systems, data science, machine learning, and devops Additional Information All your information will be kept confidential according to EEO guidelines.
    $31k-52k yearly est. 7h ago
  • Documentation Specialist - Digital Pathology (100% Remote)

    Dawar Consulting

    Remote job

    Our client, a world leader in diagnostics and life sciences, is looking for an "Documentation Specialist - Digital Pathology (100% Remote)”. Job Duration: 6 Months Contract (Possibility Of Further Extension) Pay Rate: $36/hr on W2 Company Benefits: Medical, Dental, Vision, Paid Sick leave, 401K Responsibilities: Digital Pathology Documentation Updates. Works with the Global digital pathology lifecycle team and GCS to review, update and collate data regarding installation, integration and post sale implementation procedures and SOP documentation for digital pathology portfolio. Qualification & Skills: Hands-on experience with Google Sheets, Docs, Gmail, Adobe PDF, and Google Slides. If interested, please send us your updated resume at hr@dawarconsulting.com/***************************
    $36 hourly Easy Apply 60d+ ago
  • Clinical Documentation Specialist, Professional Fee (Remote)

    Uhhospitals

    Remote job

    Clinical Documentation Specialist, Professional Fee (Remote) - (25000B65) Description A Brief OverviewThe Professional Fee Clinical Documentation Specialist (CDS) will serve as an advisor and expert resource for providers to improve the accuracy of clinical documentation to support patient complexity, risk profiles and appropriate E/M levels thereby supporting the provider's efforts and their professional fee billing. The CDS primarily assist providers in identifying clinically relevant information and capturing the clinical documentation needed to accurately reflect patient acuity. The Professional Fee CDS will focus on the recapture and identification of chronic conditions reflected in Hierarchical Condition Categories (HCCs), which directly impact the patient risk adjusted profile (RAF score) calculated by the associated risk plans. They will also assist with highlighting opportunities based on the provider's medical decision making to appropriately reflect the level of service provided for patient care. The Professional Fee CDS will be responsible for completing pre-visit and post-claim reviews as well as providing clear communication and education to providers on their documentation, coding and billing practices, in adherence to compliance standards set by governing entities such as CMS, AHA, etc. • Pre-visit reviews are intended to identify documentation opportunities for the provider to recapture previously documented HCCs diagnoses, or new suspect conditions not previously captured that are identified by the CDS's comprehensive chart reviews. These efforts assist in establishing accurate risk profiles and related health care costs• Post-claim reviews focus on E/M encounters and highlight opportunities based on a provider's medical decision making and the patient's acuity to support appropriate and accurate E/M level assignments as well as any HCCs identified• The Professional Fee CDS will also coordinate with colleagues from the CDI Program or other members of the organization regarding education and training geared towards improving clinical documentation based on findings from pre-visit and post-claim reviews What You Will DoCoordination with Professional Fee CDI Program leadership and colleagues. Fosters teamwork and utilizes strong team building measures Performs pre-visit chart reviews to assist in highlighting relevant documentation and diagnoses in compliance with governing policies and industry guidelines. Applies a “clinical detective” mindset to identify new HCC diagnosis capture opportunities based on appropriate clinical indicators for the patient. Also performs post-claim reviews focused on appropriate E/M level assignments and any opportunities related to level of service and HCCs. Uses performance and outcome data from third-party support or other sources to identify high priority providers Creates specialty-specific education on relevant topics as identified in data analytics and from clinical encounter reviews and post-claim education chart reviews Develops and maintains a systematic education schedule and approach for providers in the hospital and clinic/office setting including but not limited to complete documentation, appropriate diagnosis code selection, E/M level assignments and updates to coding guidelines. Delivers ongoing feedback and education to communicate importance of complete documentation and key concepts during regular clinic or provider meetings or on individual basis, as needed Upholds working knowledge and stays current on latest CMS and industry guidelines, with specific understanding of HCCs and implications for documentation Maintains strict confidentiality of all patients, employee and physician information according to HIPAA guidelines Additional ResponsibilitiesShares in organization's vision, demonstrates its values, supports its philosophy and is sensitive to its mission. Demonstrates knowledge of and follows departmental and hospital policies and physician office procedures Seeks out opportunities for individual growth and development, including attending various meetings, conferences, courses, seeking certifications, as required. Uses tact and sensitivity when communicating with patients, visitors, co-workers, and other personnel Serves on department and/or institutional committees as requested Performs other duties as assigned. Complies with all policies and standards. For specific duties and responsibilities, refer to documentation provided by the department during orientation. Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. Qualifications EducationHigh School Equivalent / GED (Required) Associate's Degree (Preferred) Work Experience3+ years Coding and/or clinical documentation integrity (Required) Knowledge, Skills, & AbilitiesExtensive clinical knowledge and understanding of pathophysiology (Required proficiency) Strong critical thinking skills and utilization of clinical knowledge to identify potential clinical indicators supporting patient acuity and clarifications of the medical record (Required proficiency) Excellent written and verbal communication skills (Required proficiency) Strong project management skills (Required proficiency) Strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization (Required proficiency) Ability to work independently in a time-oriented environment (Required proficiency) Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) (Required proficiency) Proficient with personal computer applications (Excel, Word, and Power Point) (Required proficiency) Ability to build education material that is meaningful for providers and team members (Required proficiency) Strong problem solving and investigative skills (Required proficiency) Licenses and CertificationsCertified Coding Specialist (CCS) (Required) or Certified Professional Coder (CPC) or CRC, or other coding or CDI credential (Required) Registered Nurse (RN), Ohio and/or Multi State Compact License (Preferred) or Licensed Practical Nurse (LPN), Ohio and/or Multi State Compact License (Preferred) Physical DemandsStanding OccasionallyWalking OccasionallySitting ConstantlyLifting Rarely up to 20 lbs Carrying Rarely up to 20 lbs Pushing Rarely up to 20 lbs Pulling Rarely up to 20 lbs Climbing Rarely up to 20 lbs Balancing RarelyStooping RarelyKneeling RarelyCrouching RarelyCrawling RarelyReaching RarelyHandling OccasionallyGrasping OccasionallyFeeling RarelyTalking ConstantlyHearing ConstantlyRepetitive Motions FrequentlyEye/Hand/Foot Coordination FrequentlyTravel Requirements10% Primary Location: United States-Ohio-ClevelandWork Locations: 11100 Euclid Avenue 11100 Euclid Avenue Cleveland 44106Job: Administrative SupportOrganization: UHHS_CodingSchedule: Full-time Employee Status: Regular - ShiftDaysJob Type: StandardJob Level: ProfessionalTravel: Yes, 10 % of the TimeRemote Work: YesJob Posting: Dec 12, 2025, 8:49:50 PM
    $33k-57k yearly est. Auto-Apply 12h ago
  • Documentation Specialist(DISA)

    Horizon Industries 4.6company rating

    Remote job

    Security Clearance: Must possess an active Secret Clearance. Who We Are Horizon Industries Limited (Horizon) is a dynamic IT and Management Consulting firm based in the Washington, DC area. Founded in 1996, Horizon Industries Limited (Horizon) has evolved into a company of highly qualified professionals that provides full-cycle IT Consultant and Management support in both the private and public sectors. Horizon's culture is based on our core values, and we PRIDE ourselves on a diverse, employee, and family-centric approach. We are currently seeking a Documentation Specialist for a full-time position, remotely supporting the Defense Logistics Agency (DLA) Job Description: The Program provides the full range of IT services, technical and management expertise that support applications, software, hardware, infrastructure, and systems across the DLA IT Enterprise. Support is provided for information technology solutions, technical support, maintenance, and sustainment; operations support; application development, maintenance, and technical support; and lifecycle management. Additionally, the program also supports administrative program management for IT program offices and the DLA Information Operations Office. The program provides support technology services across the DLA Information Operations Enterprise, the DLA Program Executive Offices (PEO), and all other technology services currently supported through DLA Contracting Services Office (DCSO) acquisitions. Duties of a Documentation Specialist may include: Gather, analyze, and compose technical information Conduct research and ensure the use of proper technical terminology Translate technical information into clear, readable documents to be used by technical and nontechnical personnel For applications built to run in a Windows environment, use the standard help compiler to prepare all on-line documentation Required Skills / Experience: Five (5) years relevant experience. Experience in technical writing and documentation pertaining to all aspects of IT Experience in preparing technical documentation, including conducting research on applicable standards. Demonstrated experience and ability to work independently or under only general direction Relevant certification from a nationally recognized technical authority Education: Bachelor's degree in Computer Science, Engineering, Information Systems, or related field; or equivalent experience. Why you will love working with us/ Perks A comprehensive benefits package including healthcare (medical, dental, vision and disability) a 401k program where you are 100% vested from day one with an employer match after 90 days. an Educational Assistance program. a Student Loan Repayment Program Gym Reimbursement Program. Paid Time off Dynamics, passionate, multi-disciplinary team of creative minds to work with and many more. Horizon is an Equal Employment Opportunity employer, and it is our policy to consider all applicants for employment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, or national origin. EOE/M/F/Vet/Disabled
    $28k-39k yearly est. Auto-Apply 20d ago
  • Market Data Sr. Specialist

    It Works 3.7company rating

    Remote job

    As an NRG employee, we encourage you to take charge of your career and development journey. We invite you to explore exciting opportunities across our businesses. You'll find that our dynamic work environment provides variety and challenge. Your growth is key to our ongoing success-take the lead in shaping your career development, goals and future! Job Summary: The Market Data Sr. Specialist is responsible for performing the day-to-day transactional activities associated with receipt, validation, and loading of all inbound and outbound utility EDI data files as well as supporting continuous improvement projects for the data management team. He / She is part of a team that is accountable for complete, and accurate processing of 1,000,000 transactions / month which drive the customer enrollments, billing, payment processing, and usage forecasting for 250,000 utility accounts and $6B in annual revenue. The successful candidate will contribute to strategic growth initiatives such as new product and service offerings, new market entries, non-standard contracts, external market changes, and operational platform updates. He / she is responsible for performing the ongoing monitoring of fit for purpose quality controls designed to ensure the integrity of all data exchanges between internal and external partners. The controls framework will be updated based on consultation with other members of leadership, subject matter experts, personal knowledge base and industry best practices. The candidate should have a variety of competencies including strong analytical and technical skills, knowledge of the Microsoft Suite of applications and the ability to collaborate in a team environment. Essential Duties/Responsibilities: Ensure transaction exceptions (i.e. missing, incomplete, invalid) are identified and resolved timely Drive escalation efforts as required with utilities and impacted internal / external partners Maintain functional knowledge of utility EDI guidelines and internal systems and data flows to assist with root cause analysis, issue resolution and proactive change management Adhere to Service Level Agreements (SLA's) for file processing and exception management activities Manage all inbound and outbound electronic data transactions that flow through the internal data management middleware platform Run and review reports to identify missing or incorrect utility data and work to resolve Prepare recommendations for process improvements and participate in testing/implementation with both internal and external stakeholders Collaborate with other internal teams, such as Sales, Customer Experience, Billing, and Finance, to resolve issues or discrepancies as needed Working Conditions: Fully remote work segmentation Some overtime required as special projects arise Minimum Requirements: Bachelor's degree Preferred Qualifications: 2 - 3 years of energy industry experience preferred Demonstrates expertise in utilizing Microsoft PowerPoint, Visio, Word, Excel, and SQL preferred Knowledge of flat files and EDI standards is a plus Knowledge of managing FTP sites is a plus Understanding of IT Development Life Cycle a plus Additional Knowledge, Skills and Abilities: An effective communicator with excellent written, verbal and presentation skills Flexibility and adaptability to work in a team environment Ability to effectively multi-task and work in a pressure paced environment Strong analytical and problem-solving skills Physical Requirements: Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. NRG Energy is committed to a drug and alcohol-free workplace. To the extent permitted by law and any applicable collective bargaining agreement, employees are subject to periodic random drug testing, and post-accident and reasonable suspicion drug and alcohol testing. EOE AA M/F/Vet/Disability. Level, Title and/or Salary may be adjusted based on the applicant's experience or skills. Official description on file with Talent.
    $76k-110k yearly est. 24d ago
  • Senior PPM Specialist

    PPM Works 4.2company rating

    Remote job

    PPM Works is a full-service Microsoft Work Management and Project and Portfolio Management consultancy, focused on Microsoft 365 and Project Platforms. We believe in partnering with our clients to exceed expectations and build long lasting rewarding partnerships. Our team's experience runs deep with Microsoft. We have performed over 350 Project implementations, trained thousands of students, and developed the Microsoft certification exams and certifications series. We have contributed to the new release of Microsoft Project for the past three cycles and share our expertise as volunteers for PMI and other industry groups. In addition to our Microsoft Gold Partner recognition, we sit on two boards for the Microsoft Project Users Group. PPM Works believes in giving back to our families, our community, our teammates, and our environment. Here at PPM Works, we measure success in the following way, we focus on: The personal well-being and happiness of our team Client satisfaction and long-lasting client relationships Giving back to our community and industry Having fun each and every day Our firm belief in personal well-being, happiness, community giving, and fun anchor our organization. If we are foremost happy, producing great client solutions comes naturally. We can then spend more time with our families/hobbies and giving back to the community. This virtuous cycle keeps our team charged each and every day. Job Description PPM Works, Inc. is looking for you. We are looking to add skilled, quick thinkers to our Project and Portfolio Management (PPM) team. Are you an intelligent, proactive, and solution-driven thinker ready to make an impact with our Microsoft Project and SharePoint customers? If so, then PPM Works needs you. Come join our team and make a direct impact daily. If you ever wanted to work with the best in the Project and Portfolio Management space, then PPM Works is for you. Our team created the Microsoft technology exams, we collaborate with Microsoft on product releases, and speak at industry events. We pride ourselves on living our lives, having fun, and working along the way. This is your opportunity to get started with a growing company and guide your career in a direction you want. There is plenty of career growth opportunities. We are a flexible company focused on providing all organizations with expert guidance and mentoring around Microsoft Project and SharePoint solutions. As a Senior PPM Specialist, you will collaborate with teams located throughout the country. Your skills will complement our collaborative team by providing well-crafted recommendations and solutions to meet our clients' challenges. From running client engagements to working on a collaborative team, you will have the support, knowledge, and expertise necessary to provide the best solution for our clients. As a Senior PPM Specialist, you are responsible for client satisfaction, process design, system development and configuration, providing solid recommendations, and overall work quality. You will lead projects, interact with C-Level management, and assist clients with identification and synthesis of solutions, while implementing the technical components of those solutions. In addition to your PPM Specialist role, you will assist in customer awareness, team sales, recruiting, promotion, and support when necessary. This is a full-time W2 position and not a contract assignment. You must be already legally authorized to work in the US. Willingness to travel when necessary. We have been a work-from-home organization since 2013. With the pandemic, our 1st goal is a healthy team. Here at PPM Works, we are our product and working side-by-side with our clients goes a long way. For now, we promote client camaraderie with remote video sessions, however when we can resume travel, we may require some travel based on client needs. We value life-work balance and will mutually agree to any client-requested travel in advance. Qualifications Project Management Experience: 6+ years' experience in project management, Microsoft Project, Microsoft Power Platform (Power BI, Power Automate, Power Apps) or Microsoft SharePoint consulting or 4+ years in technology consulting Implementation experience of an enterprise solution Analytically inclined with an understanding of data and how to apply it for problem-solving Bachelor's Degree or higher (a plus) People Skills: Strong interpersonal, writing, verbal-communication, and organizational skills Autonomy Savvy ability to manage relationships Be organized and detail-oriented enough to manage projects with many moving parts Love to teach and share knowledge Technology Skills: PMP, MCTS Certifications (see below). If you do not have these - you will be required to obtain these certifications within 90 days of hire. Microsoft Power Platform (Power BI, Power Automate, Power Apps) Microsoft SharePoint Microsoft Project (Server/Project Online/Project for Web/Project Operations) Additional Information All your information will be kept confidential according to EEO guidelines. This is a work from home position.
    $87k-121k yearly est. 60d+ ago
  • Senior Accreditation Specialist

    Lucet

    Remote job

    Who We Are At Lucet, we are industry leaders in behavioral health, dedicated to helping people live healthy, balanced lives. Our purpose is to advocate for and improve the overall well-being of those we serve, through balanced treatment of the mind and body. When you join Lucet, you become a valued member of our team, serving more than 15 million people across the U.S. Our employees have a passion for helping others - and it shows. From entry-level employees to senior leaders, we are inspired by our members, putting them first in everything we do. From day one, you'll see firsthand the impact you have on our members, knowing you can make a true difference in their lives. Why join our team at Lucet? We are a team of collaborative and hard-working professionals working to improve behavioral health outcomes working in a fast-paced and changing environment. At Lucet, no two days are the same. If you find joy in meaningful work and delivering excellent results, we encourage you to apply! We are looking for top-tier skills and experience in our remote-work environment and that's because we offer top-tier compensation and benefits, which include: * Annual compensation between $77,000 - $87,000, PLUS an annual performance-based, discretionary incentive. Compensation is dependent on non-discriminatory factors including but not limited to an applicant's skills, education/degrees, certifications, prior experience, market data, and other relevant factors. * Health Insurance - $0 premium for employee-only coverage in our core program for those participating in our Wellbeing Incentive Program. * 401(k) with competitive employer match * Company paid life and disability insurance, wellbeing incentives, and parental leave * Professional development opportunities and tuition reimbursement * Paid time off including paid time off for volunteering * Opportunity for meaningful growth, both personally and professionally, where your unique background and experience is welcomed and valued. What You Will Do - Essential Functions The Senior Specialist, Accreditation ensures adherence to accreditation standards and regulatory requirements. This role involves coordinating and supporting accreditation audits, developing action plans to address compliance gaps, and maintaining comprehensive documentation. The specialist will monitor utilization management (UM) and case management (CM) activities, analyze data, and report key performance indicators to ensure quality and compliance. Collaboration with clinical and administrative teams is essential to enhance operations and implement evidence-based guidelines. Additionally, the specialist will educate and train staff on accreditation requirements and best practices, serving as a liaison between internal departments to foster efficient and effective processes. * Accreditation and Compliance * Ensure compliance with accreditation standards (NCQA, URAC) and regulatory requirements by maintaining current knowledge, updating policies, and supporting audits and surveys. * Conduct clinical and compliance audits, track performance metrics, compile findings, and report trends to management to address gaps and improve processes. * Develop, review, and implement policies and procedures for clinical compliance, quality, utilization management, and behavioral health integration while ensuring adherence to all payer guidelines. * Quality and Performance Monitoring * Monitor utilization management (UM) and case management (CM) activities to ensure compliance with accreditation and quality standards, analyzing data and generating reports. * Track and report key performance indicators (KPIs) for utilization review, appeals, denials, and case management efficiency to assess compliance and performance. * Identify trends and provide actionable insights to leadership on accreditation-related performance and improvement opportunities. * Collaboration and Process Improvement * Collaborate with clinical, administrative, and cross-functional teams to enhance utilization and case management operations, serving as a liaison between key departments. * Recommend and implement process improvements for compliance and efficiency; identify cases requiring intervention for over- or under-utilization of behavioral and medical resources. * Develop and execute action plans to resolve issues and support operational and accreditation goals. * Education and Training * Educate and train staff on accreditation requirements, utilization management (UM), case management (CM), and best practices for compliance and documentation. * Provide ongoing education on clinical coding, evidence-based practices, and cost containment strategies to ensure quality and regulatory adherence. * Support accreditation surveys and maintain staff readiness through continuous training on standards and procedures. * Adhere to Lucet's Mission Statement, Core Values, Behaviors, Code of Ethical Business Conduct, and Compliance Program. * Comply with all Federal and applicable State and local laws and Lucet Policies and Procedures regarding privacy, confidentiality, and security of health information, and other designated information. Who You Are * Required Qualifications * Bachelor's degree in healthcare administration, nursing, or a related field. * Active clinical license (RN, LCSW, LPC, etc) * 5+ years of experience in case management, utilization review or auditing. * 3+ years of experience in a managed care environment * Experience with NCQA, URAC, CMS, or Joint Commission accreditation standards * Microsoft office and Excel spreadsheet manipulation knowledge/experience * Ability to pass background check upon hire and throughout employment to include criminal felony & misdemeanor search, SSN validation/trace search (LEIE), education report (highest degree obtained), civil upper and lower search, 7-year employment report, federal criminal search, statewide criminal search, widescreen plus national criminal search, health care sanctions-state med (SAM), national sex offender registry, prohibited parties (OFAC) (terrorist watchlist), and a 10-Panel Drug Screen. * Preferred Qualifications * Master's Degree * Certified Case Manager or Certified Professional in Healthcare Quality (CPHQ) * Medicaid and Medicare knowledge * Someone who embodies our values by: * Serving everyone with compassion and leading with empathy. * Stepping up and creating value by taking charge and acting when there is an opportunity. * Adapting in a changing world by recognizing our responsibility to be agile and respond quickly. * Nurturing growth and belonging by respecting and celebrating everyone for who they are. * Competencies * Attention to Detail: Ability to meticulously review and audit medical records for accuracy and compliance. * Analytical Skills: Strong capability to identify discrepancies and non-compliance issues in documentation. * Communication Skills: Effective in liaising with healthcare providers and internal teams, and in educating staff. * Regulatory Knowledge: In-depth understanding of Commercial, Medicare, Medicaid, and private insurance guidelines. * Problem-Solving: Proficient in developing action plans and recommending process improvements. * Training and Education: Skilled in providing training on documentation best practices, compliance standards, and utilization management. * Working Conditions: * Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. * A quiet workspace with minimal background noise for calls. * High-speed internet service (cable or fiber optic) with minimum download Speed of 20 Mbps, Upload Speed of 5 Mbps, and Maximum Latency of 100 milliseconds (must be installed before starting). * Work is performed from home with company-provided equipment. Sitting for long periods of time is expected and use of fingers and hands for typing is necessary. * A quiet workspace with minimal background noise for calls. We encourage applicants with a range of experiences who can demonstrate how their qualifications and skills align with the requirements of this role. This position will accept and review new applications and resumes no less than 5 business days after the original posting date and may remain open an extended period of time with no set end date based on the level of interest.
    $77k-87k yearly 2d ago
  • Market Data Sr. Specialist

    NRG Energy, Inc. 4.9company rating

    Remote job

    As an NRG employee, we encourage you to take charge of your career and development journey. We invite you to explore exciting opportunities across our businesses. You'll find that our dynamic work environment provides variety and challenge. Your growth is key to our ongoing success-take the lead in shaping your career development, goals and future! Job Summary: The Market Data Sr. Specialist is responsible for performing the day-to-day transactional activities associated with receipt, validation, and loading of all inbound and outbound utility EDI data files as well as supporting continuous improvement projects for the data management team. He / She is part of a team that is accountable for complete, and accurate processing of 1,000,000 transactions / month which drive the customer enrollments, billing, payment processing, and usage forecasting for 250,000 utility accounts and $6B in annual revenue. The successful candidate will contribute to strategic growth initiatives such as new product and service offerings, new market entries, non-standard contracts, external market changes, and operational platform updates. He / she is responsible for performing the ongoing monitoring of fit for purpose quality controls designed to ensure the integrity of all data exchanges between internal and external partners. The controls framework will be updated based on consultation with other members of leadership, subject matter experts, personal knowledge base and industry best practices. The candidate should have a variety of competencies including strong analytical and technical skills, knowledge of the Microsoft Suite of applications and the ability to collaborate in a team environment. Essential Duties/Responsibilities: * Ensure transaction exceptions (i.e. missing, incomplete, invalid) are identified and resolved timely * Drive escalation efforts as required with utilities and impacted internal / external partners * Maintain functional knowledge of utility EDI guidelines and internal systems and data flows to assist with root cause analysis, issue resolution and proactive change management * Adhere to Service Level Agreements (SLA's) for file processing and exception management activities * Manage all inbound and outbound electronic data transactions that flow through the internal data management middleware platform * Run and review reports to identify missing or incorrect utility data and work to resolve * Prepare recommendations for process improvements and participate in testing/implementation with both internal and external stakeholders * Collaborate with other internal teams, such as Sales, Customer Experience, Billing, and Finance, to resolve issues or discrepancies as needed Working Conditions: * Fully remote work segmentation * Some overtime required as special projects arise Minimum Requirements: * Bachelor's degree Preferred Qualifications: * 2 - 3 years of energy industry experience preferred * Demonstrates expertise in utilizing Microsoft PowerPoint, Visio, Word, Excel, and SQL preferred * Knowledge of flat files and EDI standards is a plus * Knowledge of managing FTP sites is a plus * Understanding of IT Development Life Cycle a plus Additional Knowledge, Skills and Abilities: * An effective communicator with excellent written, verbal and presentation skills * Flexibility and adaptability to work in a team environment * Ability to effectively multi-task and work in a pressure paced environment * Strong analytical and problem-solving skills Physical Requirements: * Most of the time is spent sitting in a comfortable position and there is frequent opportunity to move about. NRG Energy is committed to a drug and alcohol-free workplace. To the extent permitted by law and any applicable collective bargaining agreement, employees are subject to periodic random drug testing, and post-accident and reasonable suspicion drug and alcohol testing. EOE AA M/F/Vet/Disability. Level, Title and/or Salary may be adjusted based on the applicant's experience or skills. Official description on file with Talent.
    $104k-129k yearly est. 33d ago
  • Sr Specialist, Consumer Affairs

    Fortitude Re

    Remote job

    Fortitude Reinsurance Company Ltd. (Fortitude Re) is one of the world's leading providers of legacy reinsurance solutions. They work with the world's leading insurance companies to help them execute comprehensive, transformational solutions for legacy Life & Annuity and P&C lines. Fortitude Re manages a general account of approximately $111 billion across life, annuity, and property & casualty insurance products. The company takes a long-term view on growth and is proud to be backed by a consortium of sophisticated institutional investors led by The Carlyle Group and T&D Insurance Group. Incorporated under the laws of Bermuda on January 1, 2017, Fortitude Re's roots in the insurance industry and the experience of their leadership go back many decades. Fortitude Re's leadership team has an average industry tenure of over 20 years, and an impressive track record of successfully managing the most complex legacy liabilities. Their deep insurance experience and proprietary risk modeling capabilities allow them to structure bespoke transactions that benefit both insurance companies and their policyholders. Fortitude Re continues to strengthen its ability to pursue further growth and provide innovative solutions for the global insurance industry. Click here for more information about Fortitude Re. Senior Specialist, Consumer Affairs Position Summary The Senior Specialist, Consumer Affairs will be working in the dynamic Client Experience team supporting formal complaint review, investigation and response to both regulators and customers on behalf of institutional clients for Fortitude Life and Annuity Solutions (FLAS). This role reports into the Director, Consumer Affairs. What You Will Do: Research complaints from consumers and regulatory bodies for fair resolution. Facilitation with business areas to resolve and respond to both regulatory and non-regulatory complaints. Drafting accurate and thorough complaint response letters for medium to complex complaints. Quality and content review of data entered into the Complaints Management System. Adherence to complaint file retention processes. Participate in departmental projects. Actively anticipate in problem solving opportunities. Collaborate on Process Design. Drive exceptional execution and identify Improvements. What You Will Have: Undergraduate degree or equivalent experience. Minimum 3 years of life insurance operations and compliance experience required. Experience with a compliance and/or insurance operations related function in a corporate environment preferred, but not required. Customer-focused mindset. Excellent communication skills, both verbal and written. Ability to research and resolve escalated customer issues. Ability to collaborate with multiple stakeholders to identify root cause of issues. Background in handling challenging circumstances. Can maintain a high level of customer service within a fast paced, deadline driven environment using strong time management skills. Comfortable with ambiguity and self-directed. Attention to detail, accuracy and quality. Knowledge of Life & Annuity products/systems required. The base salary range for this role is listed below and will be commensurate with candidate experience. Pay ranges for candidates may differ based on the cost of labor in that location. In addition to base salary, all employees are eligible for an annual bonus based on company and individual performance as well as a generous benefits package. Base Salary Range$50,000-$60,000 USD At Fortitude Re, our strength has always come from our people. Our success is deeply rooted in our ability to embrace the unique attributes, perspectives and experiences of every individual within our company. Fostering a culture of inclusion and belonging where everyone-regardless of background, race, religion, sexual orientation or gender identity-feels valued and respected is a foundation of our culture. We are committed to being an equal opportunity employer and evaluate qualified applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, diversity of thought and any other characteristic protected by applicable law. To all recruitment agencies: Unless you have been requested to work on this position, or other positions with Fortitude Re, please do not forward any resumes to Fortitude Re employees. Fortitude Re is not responsible for any fees related to unsolicited resumes. Check us out on YouTube: About Fortitude Re (youtube.com) By submitting your application, you agree that Fortitude Re may collect your personal data for recruiting purposes.
    $50k-60k yearly Auto-Apply 49d ago
  • Technical Writer/Editor II

    Fedwriters, Inc.

    Remote job

    Bring clarity to the nation's most important conversations-while growing in a collaborative, award-winning workplace recognized for excellence. As a Technical Writer/Editor II, you will edit publications written by national security and U.S. military subject matter experts (SMEs) that will reach policy and military practitioners at the highest echelons of U.S. government. Your efforts will help these thought leaders to communicate their ideas effectively, with maximum impact. Join us to help the U.S. Army War College (USAWC) increase the clarity and insightfulness of its thought-provoking publications. FWI has been recognized as a Top Workplace by the Washington Post in 2024 and 2025, offering excellent growth opportunities in a collaborative environment. Work Schedule and Location: Remote: This full-time remote position will work Monday through Friday, 8 a.m. to 5 p.m. Eastern Time. Responsibilities * Providing editing support to the USAWC and other FWI customers * Fact checking, editing, and proofreading scholarly monographs, integrated research projects, books/compendia, articles, studies/reports, resumes, etc. * Providing constructive criticism and recommending improvements to documents and publications * Implementing style guidelines contained in style guides * Providing input on and answering questions about authors' writing * Formatting documents, including footnotes/citations, according to style guidelines * Attending biweekly editing training sessions and communicating with your fellow tech writers to ensure you and others stay up-to-date on the latest style guidelines Qualifications Required: * Bachelor's degree in English, English language, English literature, composition and writing studies, rhetoric, education, communications, journalism, applied communications, media studies, publishing, or an equivalent degree awarded by an accredited college/university * Five years of relevant editing and publishing experience, including: * Copy editing related to electronic publishing * Evaluation and editing of reports, manuscripts, journals, and technical reports * Composition, technical, and written communication evaluation skills * Proficiency in proofreading copy * Knowledge and understanding of U.S. Army and Joint strategic, national security, and regional issues as they affect Army missions * Proficiency in Microsoft Word and Outlook, SharePoint and Adobe Acrobat Pro Desired: * Master's degree in one of the above fields awarded by an accredited college/university * Experience as a federal government/Department of Defense (DoD) military, civilian, or contractor employee * Experience editing for the DoD * Experience editing for a scholarly journal * Familiarity with the Chicago Manual of Style * Expert writing, editing, and proofreading skills * Expert grammar, syntax, punctuation, and spelling skills * Ability to edit writing to increase its clarity and conciseness * Excellent oral and written communication * Ability to provide constructive writing criticism and feedback and recommend improvements to writing in a polite and respectful manner * Strong research skills * Strong logic and reasoning skills * Strong work ethic * Ability to meet deadlines and respond promptly to emails, messages, and requests * Strong attention to detail * Ability to pass background checks and/or obtain a security clearance from the federal government Why Join Our Team At FWI, we place the highest importance on creating an exceptional employee experience. You'll have opportunities to achieve your career aspirations through internal promotions, professional development, and other recognition and rewards programs. Join our team and take advantage of the many benefits we offer, including: * Health Insurance * Dental Insurance * Vision Insurance * Long-term and Short-term Disability Insurance * Life Insurance * 401(k) Plan * Holiday Pay * Paid Time Off FWI is an Equal Opportunity Employer, including disability/vets. Pay Range $35.58-$41.83/hour (equivalent of $74,006.40 - 87,006.40/year)
    $74k-87k yearly Auto-Apply 10d ago
  • Technical Writer/Editor II

    Fedwriters

    Remote job

    Bring clarity to the nation's most important conversations-while growing in a collaborative, award-winning workplace recognized for excellence. As a Technical Writer/Editor II, you will edit publications written by national security and U.S. military subject matter experts (SMEs) that will reach policy and military practitioners at the highest echelons of U.S. government. Your efforts will help these thought leaders to communicate their ideas effectively, with maximum impact. Join us to help the U.S. Army War College (USAWC) increase the clarity and insightfulness of its thought-provoking publications. FWI has been recognized as a Top Workplace by the Washington Post in 2024 and 2025, offering excellent growth opportunities in a collaborative environment. Work Schedule and Location: Remote: This full-time remote position will work Monday through Friday, 8 a.m. to 5 p.m. Eastern Time. Responsibilities Providing editing support to the USAWC and other FWI customers Fact checking, editing, and proofreading scholarly monographs, integrated research projects, books/compendia, articles, studies/reports, resumes, etc. Providing constructive criticism and recommending improvements to documents and publications Implementing style guidelines contained in style guides Providing input on and answering questions about authors' writing Formatting documents, including footnotes/citations, according to style guidelines Attending biweekly editing training sessions and communicating with your fellow tech writers to ensure you and others stay up-to-date on the latest style guidelines Qualifications Required: Bachelor's degree in English, English language, English literature, composition and writing studies, rhetoric, education, communications, journalism, applied communications, media studies, publishing, or an equivalent degree awarded by an accredited college/university Five years of relevant editing and publishing experience, including: Copy editing related to electronic publishing Evaluation and editing of reports, manuscripts, journals, and technical reports Composition, technical, and written communication evaluation skills Proficiency in proofreading copy Knowledge and understanding of U.S. Army and Joint strategic, national security, and regional issues as they affect Army missions Proficiency in Microsoft Word and Outlook, SharePoint and Adobe Acrobat Pro Desired: Master's degree in one of the above fields awarded by an accredited college/university Experience as a federal government/Department of Defense (DoD) military, civilian, or contractor employee Experience editing for the DoD Experience editing for a scholarly journal Familiarity with the Chicago Manual of Style Expert writing, editing, and proofreading skills Expert grammar, syntax, punctuation, and spelling skills Ability to edit writing to increase its clarity and conciseness Excellent oral and written communication Ability to provide constructive writing criticism and feedback and recommend improvements to writing in a polite and respectful manner Strong research skills Strong logic and reasoning skills Strong work ethic Ability to meet deadlines and respond promptly to emails, messages, and requests Strong attention to detail Ability to pass background checks and/or obtain a security clearance from the federal government Why Join Our Team At FWI, we place the highest importance on creating an exceptional employee experience. You'll have opportunities to achieve your career aspirations through internal promotions, professional development, and other recognition and rewards programs. Join our team and take advantage of the many benefits we offer, including: Health Insurance Dental Insurance Vision Insurance Long-term and Short-term Disability Insurance Life Insurance 401(k) Plan Holiday Pay Paid Time Off FWI is an Equal Opportunity Employer, including disability/vets. Pay Range $35.58-$41.83/hour (equivalent of $74,006.40 - 87,006.40/year)
    $74k-87k yearly Auto-Apply 12d ago
  • Life Underwriting Sr Specialist - Remote

    Northwestern Mutual 4.5company rating

    Remote job

    Life Insurance Signature / Authority Limits 1M Signature / 5M Authority. PLEASE NOTE: ONLY APPLICANTS WITH INDIVIDUAL LIFE UNDERWRITING EXPERIENCE WILL BE CONSIDERED FOR THIS ROLE. Builds relationships with Financial Advisors and internal partners. Develops the skills necessary to successfully underwrite Life, Disability, and/or Long-term Care insurance policies in an inclusive and fast-paced environment ensuring all quality, service and production goals are met. Primary Duties & Responsibilities: Field & Client Experience Responsible for credible and effective relations and communication with field and customer to include responding to case appeals/inquiries and assists with placing business. Provides guidance and assistance to the Northwestern Mutual Financial Network and Financial Representatives regarding case underwriting and risk appraisal Responsible for prescreen inquiries. Underwriting Responsible for the analysis and appraisal of a broad range of insurance applications; approves, classifies, or declines applications for various ages and policy amounts with guidance, as needed. Independently reviews applications and adheres to underwriting standards and demonstrates an intermediate level of experience with NM product types and changes. Develops and demonstrates change agility while maintaining mortality and morbidity expectations. Demonstrates continuous learning through the early adoption of new ways of underwriting. Develops proficiency with Reinsurance programs and determining where to best place a case. Underwrites applications, maintaining industry-leading mortality and morbidity giving the best possible offer that can be made. Provides active case and requirement management and provides customized service with guidance. Communicates & negotiates with Field Partners to explain modified or declined decisions & assist in policy placement. Develops proficiency in financial, medical, and lay underwriting assessments and provides innovations solutions to keep Northwestern Mutual as the choice of our customers. Actively utilizes the most effective means to obtain the necessary information, including digital health data, Internet searches, direct contact with the insured, and communication with third party advisors (Accountants, Attorneys, etc.) with limited guidance. Discusses cases with peer reviewers with medical and technical staff, as needed. Understands and meets all quality, service, and production goals . Solves issues & escalations, with guidance as needed. Partners with Underwriting Support for case management Cross-functional leadership May serve as underwriting representative for improvement in product process w/collaboration w/functional partners. Participates in other projects as needed. Qualifications A bachelor's degree or equivalent combination of education and experience is preferred. 1.5 years of traditional underwriting experience. Analytical skills with the ability to make independent decisions and apply sound judgment in the application of rules. Excellent written and oral communication skills with the ability to handle confidential information, and exercise tact, diplomacy, and resourcefulness. Proficient in computer skills and using various software packages. Ability to work accurately while maintaining speed and flexibility in a team and independent production environment. Highly organized with the ability to establish priorities and meet deadlines. Displays agility to manage multiple tasks and adapt in a changing work environment. #LI-Remote or LI-Hybrid Compensation Range: Pay Range - Start: $60,340.00 Pay Range - End: $112,060.00 Geographic Specific Pay Structure: We believe in fairness and transparency. It's why we share the salary range for most of our roles. However, final salaries are based on a number of factors, including the skills and experience of the candidate; the current market; location of the candidate; and other factors uncovered in the hiring process. The standard pay structure is listed but if you're living in California, New York City or other eligible location, geographic specific pay structures, compensation and benefits could be applicable, click here to learn more. Grow your career with a best-in-class company that puts our clients' interests at the center of all we do. Get started now! Northwestern Mutual is an equal opportunity employer who welcomes and encourages diversity in the workforce. We are committed to creating and maintaining an environment in which each employee can contribute creative ideas, seek challenges, assume leadership and continue to focus on meeting and exceeding business and personal objectives.
    $60.3k-112.1k yearly Auto-Apply 49d ago
  • Document Specialist

    Cozen O'Connor Corporation 4.8company rating

    Remote job

    The Document Specialist is an integral part of our team, transcribing and revising various types of documents and contributing to our commitment to providing the highest quality legal service. Minimum 3 years of word processing experience. Typing speed of 50+ words per minute. Proficiency in Windows 10 and 11, Microsoft Office 2016, Outlook, and iManage Work (or comparable Document Management System). High school diploma. Document Transcription and Revision: Accurately transcribe and revise correspondence, pleadings, discovery materials, memos, reports, special forms, voicemails, and hard copy documents. Proficiency in Adobe Pro, including converting PDFs to Word, reducing file sizes, and using editing tools. Utilize the typewriter tool for text changes, insert signatures, and create JPEGs/images within PDFs. Apply Bates labeling and make documents OCR text searchable. Learn how to create PDF Portfolios for efficient bulk bates labeling. Document Formatting and Organization: Prepare mass mailing mail merges. Clean and format documents using DocXtools, ensuring consistent application of firm styles. Expertise in cross-referencing and blacklining using Litera or comparable software. Create table of contents, table of authorities, and points and authorities using Best Authority. Generate bookmarks and assist in creating closing binders, including hyperlinking embedded documents. Craft professional PowerPoint presentations and format complex Excel spreadsheets. Time Management and Technology Skills: Input attorney time using Intapp. Create timelines and organizational charts using Word, Visio, or PowerPoint. Learn the E-Notary and DocuSign processes. Familiarity with scanning equipment, Dictaphone, and general office technology.
    $51k-60k yearly est. Auto-Apply 4d ago

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