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Healthcare CDI Risk Adjustment Nurse at Tendo

Reviews inpatient clinical documentation, identifies risk adjustment opportunities, queries providers, and supports education on compliant documentation.

Mid Remote Posted about 4 hours ago RemoteFirstJobs Product
What this role involves

As a CDI Risk Adjustment Nurse, you will provide clinical documentation and risk adjustment review for Tendo’s QDI Services customers, working in real time with physicians and advanced practice providers to ensure documentation accurately reflects patient acuity and quality of care. Success in this role depends on deep clinical expertise in acute-care documentation, risk adjustment methodology, and the ability to translate complex clinical detail into clear, compliant provider queries.

You will manage a daily assigned review queue, identify clinically supported documentation opportunities, and communicate directly with physicians and APPs on documentation and quality risk adjustment gaps. You will work closely with the Director of QDI Services and fellow reviewers on quality calibration, and support provider education initiatives across Tendo’s customer portfolio.

Your work will directly shape the accuracy, quality, and financial integrity of our customers’ clinical documentation.

About Tendo Make an impact—join our team!

We’re a fast-growing, mission-driven company building a culture that enables teams and individuals to thrive. Our team-driven culture and rapid growth have earned us recognition as one of Forbes’ Top Startup Employers for 2024, 2025, and 2026. Led by an experienced and proven team, we live by our values and are always on the hunt for motivated people with diverse experiences and backgrounds to help us improve the care journey for patients, clinicians, and caregivers by creating software that provides seamless, intuitive, and user-friendly experiences.

If you like working with innovative technologies and want to be part of a growing team that will help transform the healthcare experience, we encourage you to apply today!

Job Location

Tendo has hubs in San Francisco, CA; Salt Lake City, UT; Chicago, IL; Nashville, TN; and Philadelphia, PA. Candidates may be located in any one of our hub locations.

#LI-Remote

Responsibilities

  • Conduct QDI review of assigned inpatient cases, identifying clinically supported documentation opportunities in real time.

  • Develop and follow up on compliant, physician-facing documentation queries.

  • Communicate directly with physicians and APPs regarding documentation and quality risk adjustment opportunities.

  • Manage and prioritize an assigned daily review queue to meet turnaround expectations.

  • Participate in provider education activities related to clinical documentation, risk adjustment, and quality outcomes.

  • Contribute to reviewer calibration and quality assurance activities.

  • Support customer-specific workflows and initiatives as new health system partners onboard.

Requirements

  • 6+ years of CDI/QDI experience.

  • 6+ years of acute-care nursing experience.

  • Active RN license, in good standing.

  • CCDS certification.

  • Epic experience.

  • Working knowledge of HCCs, Elixhauser comorbidities, and quality risk adjustment methodology.

  • Direct experience communicating and educating physicians and APPs on documentation opportunities.

  • Must be able to work independently and manage a queue with minimal oversight.

  • Excellent written and verbal communication skills.

Base Salary Range

$90,000 - $110,000

This salary range is offered with the understanding that final compensation is based on a number of factors including geography and experience. Tendo also offers an equity package, annual bonuses, and benefits.

Benefits

For full time employees, Tendo also offers full health benefits (medical, dental, and vision), flexible spending and health savings accounts, company paid life insurance, company paid short-term and long-term disability, company equity, voluntary benefits, 401(k), company paid holidays, flexible time off, and an employee wellness program  (“Breathe”).

Tendo is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin or ancestry, age, disability, marital status, pregnancy, protected veteran status, protected genetic information, political affiliation, or any other characteristics protected by local laws, regulations, or ordinances.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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Healthcare Clinical Support Specialist - West at Hyperfine

Trains and supports hospital staff using Hyperfine’s portable MRI system, advises on clinical workflows, and provides customer and sales-cycle expertise.

Mid Posted about 4 hours ago RemoteFirstJobs Product
What this role involves

About Us

Hyperfine, Inc. (Nasdaq: HYPR) is the groundbreaking health technology company that has redefined brain imaging with the Swoop® system—the first FDA-cleared, portable, ultra-low-field, magnetic resonance brain imaging system capable of providing imaging at multiple points of care in a healthcare facility. Our mission is to revolutionize patient care globally through transformational, accessible, clinically relevant diagnostic imaging. Learn More

About The Role

Job Title : Clinical Support Specialist - West

The Clinical Support Specialist is responsible for all aspects of the initial training and support for the customer team, including physicians, nurses, radiographers, MRI Technologists, and other relevant personnel in the use of Hyperfine’s Swoop Portable MRI System. This role will assist in optimizing customer experience by acting as a true consultant with regards to integrating the Swoop System within a customer’s workflow and procedures. The person in this role will partner effectively to relay customer feedback to internal Hyperfine teams and will function as the clinical specialist during the product sales cycle in close collaboration with the Sales, Marketing, Clinical Science, and R&D groups. They will also support clinical adoption, utilization, customer engagement, and related account activities for our customers.

RESPONSIBILITIES:

  • Train hospital staff on the safe and effective use and operation of Hyperfine products within the clinical areas including amending workflow and optimize product value and utilization
  • Provide customized training and support for new operators of the Swoop System and maintain strategic relationships and support post-installation
  • Develop and maintain relationships in accounts with key personnel within the hospital and consult on best practices and use cases
  • Provide R&D with clinical input and feedback for new projects
  • Support the sales team byidentifyingcustomer needs and relaying potential opportunities within the existing installed base
  • Support new product evaluation and clinical studies
  • Support the centers in optimizing their standard procedures and workflows
  • Support adoption and utilization activities and escalate retention or expansion opportunities
  • Collaborate with the sales team by providing technical support in various sales cycles to win new business, including accompanying site visits as neededfor demonstrations
  • Work with the sales team to support Swoop utilization activities
  • Support assigned opportunities to enhance client relationships and increase adoption within a facility or network.
  • Partner with internal stakeholders (ex. sales, product, marketing, clinical sciences,clinical applications) to share feedback, identify trends, and make introductions thatresult in increased value for the customer and Hyperfine
  • Identify potential attrition risks and product gaps and escalate them with recommended follow-up actions.
  • Work closely with teammates and/or RN counterparts to provide customer success to install base customers and future potential customers
  • Represent Hyperfine and demonstrate products at trade shows and society meetings
  • Support MRI peer champion and Key Opinion Leader (KOL) development activities.
  • MRI safety and screening knowledge and analyzing contraindications regarding portable low field vs. high field MR
  • MRI sequence and protocol understanding workflow optimization
  • Support scanner software and firmware upgrades for customers
  • Perform scanner implementations at customer sites
  • Perform virtual and on site training of scanners to customers
  • Participate in image review with customer physicians and Hyperfine medical officers
  • Backup / support for image demonstrations
  • Case review with healthcare staff
  • Trade show image support and case reviews

KNOWLEDGE AND SKILL:

  • In-depth knowledge reading of the critical care setting to make consultative clinical recommendations to optimize procedures
  • Experience working with a variety of stakeholders including physicians, business administration, clinical, etc.
  • Ability to build effective relationships with customer stakeholders and support adoption of clinical workflows
  • Strong problem solver with sound judgment
  • Hands on, strong team player, and fully accountable for delivering agreed-upon tactical performance metrics
  • Excellent written and verbal communication skills
  • Highly organized and able to multitask
  • Articulate, analytical, technically savvy, and professional
  • Strong computer skills
  • Self-driven and self sufficient
  • Positive attitude and team player-oriented individual
  • Excellent time management, including managing daily schedule, travel plans, and expenses

EDUCATION/EXPERIENCE REQUIRED:

  • Associate’s degree in Radiology Sciences or related field
  • Registered Technologist with the ARRT (American Registry of Radiologic Technologists) and current credentialing in MR (Magnetic Resonance) or equivalent
  • 3+ years’ experience in clinical MR imaging or similarexperiencesuch as 3+ yearsX-ray + 2 years in MRI in a hospital setting
  • 2+ years’ experience operating in clinical applications or clinical training experience

PHYSICAL DEMANDS:

  • Reside in assigned territory and ability to work from home-based office
  • Able to travel up to 75% of the time within and outside of territory, including occasional weekend travel
  • Ability to work long hours and execute under pressure with short turnaround times
  • Live near a major airport
  • Have an automobile for ground-based transportation

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship now or in the future of any employment Visa.

The annual base salary for this position is between $100,000 - $120,000. This position is also eligible for to participate in Hyperfine’s corporate bonus and equity plans. Individual compensation packages are based on various factors unique to each candidate including skill set, relevant experience, qualifications, location, position level, and other job-related reasons.

Agency Resumes: We do not accept resumes from recruitment agencies without a prior agreement in place. Any unsolicited resumes submitted by agencies will be considered the property of Hyperfine and will not be subject to any fees or charges if the candidate is hired.

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Healthcare Remote Pharmacy Care Coordinator, MA (Contract to Perm) at Evergreen Nephrology

Coordinates pharmacy enrollment by engaging patients, obtaining consent, explaining medication services, and arranging delivery and refill support by phone.

Mid Remote Posted about 4 hours ago RemoteFirstJobs Product
What this role involves

Who We Are

Evergreen Nephrology partners with nephrologists to transform kidney care through a value-based, person-centered, holistic, and comprehensive approach to kidney care. We believe patients living with kidney disease deserve the best care. We are committed to improving patient outcomes and improving quality of life by delaying disease progression, shifting care to the home, and accelerating kidney transplants.

We help nephrologists focus on the right patients at the right time across the full care spectrum. We do this by providing them with the best-in-class interdisciplinary clinical resources, analytical insight and tools, and services to patients. We listen to the needs of our patients, our employees, and our client partners, continually working to push beyond the status quo in which the care system manages patients today.

Who You Are

You are devoted, compassionate, and enjoy being on the front lines of healthcare, changing the lives of patients by supporting them and the team by focusing on customers. You’re excited about being part of a team that is building a healthcare delivery model that ensures the highest possible quality of life and best outcomes for those in our care. You believe people living with kidney disease deserve the best person-centered, holistic, comprehensive care and want to influence the healthcare system to drive towards that. You thrive in innovative and evolving environments with high rates of change.

Your Role

As a Telephonic Pharmacy Care Coordinator with Evergreen, you play a critical patient-facing and operational role in our pharmacy program. This is a 6-month contract with the opportunity to convert to full-time employment. This program connects patients with a specialized mail-order pharmacy that provides pre-sorted, multi-dose medication packaging (pill packs) along with proactive refill management and periodic care team check-ins, helping ensure patients stay on track with complex medication schedules. Working fully remotely by phone, you are often the first voice patients hear from the pharmacy care team — helping establish trust, explain the value of the pharmacy service, and guide patients through enrollment.

You work with patients from our partner practices to engage them, capture consent, and set up timely access to medications and pharmacist-led clinical services. You’ll explain how the service works — multi-dose pill packs organized by date/time, home delivery and automatic refill coordination so patients never run out, and scheduled check-in calls to review adherence and address new prescriptions or dose changes. When a patient agrees to participate, you act directly in the electronic health record — updating the patient’s preferred pharmacy, triggering electronic prescriptions, and documenting consent or decline based on the patient’s decision. Your primary focus is high-volume outbound outreach to patients who do not have an office visit, or who cannot be supported onsite, along with inbound support as needed.

This role is focused on telephonic patient engagement, consent and enrollment, EHR documentation, and care coordination for patients living with chronic kidney disease and other complex chronic conditions. Success depends on your ability to connect with patients quickly over the phone, communicate value clearly, and remove the barriers that keep patients from staying consistent with their medications.

Role Responsibilities

Some responsibilities may vary based on specific patient programs, but this role’s primary duties include the following:

  • Conduct high-volume outbound telephone outreach to patients to introduce Evergreen’s pharmacy service, establish rapport and trust, and guide patients through enrollment.

  • Deliver clear, standardized messaging over the phone — using approved scripts and talking points to drive consistent, informed enrollment decisions and manage patient questions and objections.

  • Obtain and document patient consent by phone, and capture the information needed to enroll the patient.

  • Make the necessary changes in the EHR based on the patient’s decisions — updating the patient’s preferred pharmacy, triggering electronic prescriptions (eRxs) to the pharmacy partner, and accurately documenting consent or decline in the patient’s chart.

  • Manage outreach queues and follow-up cadences, completing multiple contact attempts per patient and prioritizing outreach based on urgency and targets.

  • Accurately document all call activity, outreach attempts, accepts/declines, and coordination activities in Evergreen’s clinical and operational systems, supporting accurate enrollment and success-rate tracking.

  • Meet call center performance expectations, including call quality, productivity, average speed of answer, and enrollment/conversion targets.

  • Uphold patient privacy and confidentiality standards in accordance with HIPAA and organizational policies.

  • Other duties consistent with this role, as assigned.

Location

  • While this position is fully remote, you must be able to work 8:30am – 5pm in the eastern time zone.

Required Qualifications

  • Current Medical Assistant certification (CMA/RMA).

  • Experience in a telephonic, call-center, or high-volume outbound patient/customer outreach environment.

  • Strong interpersonal and communication skills, with the ability to build trust and engage patients over the phone.

  • Experience in healthcare, pharmacy, care coordination, or other patient support roles.

  • Comfort and proficiency working within an electronic health record (EHR/EMR) — documenting encounters, reviewing medication lists, and making authorized updates.

  • Strong organizational skills and attention to detail, with the ability to manage multiple patients, tasks, and follow-ups across an outreach queue.

  • Working knowledge of HIPAA and a demonstrated commitment to protecting patient privacy and PHI.

  • Intermediate skills with MS Office Suite of products including Outlook and Teams

  • Able to work effectively in a primarily remote environment:

    • Home internet must support a minimum download speed of 25 Mbps and upload speed of 10 Mbps. Cable, Fiber, or DSL connections hardwired to the internet device are recommended
    • Evergreen will provide remote employees with telephony applications and equipment to meet the business requirements for their role
    • Employees must work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Preferred Qualifications

  • Prior experience in a healthcare call center or telephonic patient outreach/enrollment role.

  • Bilingual (English/Spanish)

  • Experience with phone-based consent capture or enrollment workflows.

  • Background in care navigation, including connecting patients to community resources and addressing social determinants of health.

  • Familiarity with common chronic disease medications and prescription coverage terminology.

Compensation

The pay range for this role is $19-$23 per hour. Exact pay is determined based on experience, education, demand for the role, and other role-specific factors.

Benefits

Evergreen Nephrology’s total rewards program is designed to support you in and outside of work. You can expect:

  • Paid time off starting at 4 weeks for full-time employees

  • 12 paid holidays per year

  • Medical, dental, vision and life insurance, including an HSA with employer match

  • Reimbursement for continuing medical education for eligible roles

  • A 401(k) program where Evergreen matches up to 4% of contributions after six months of tenure

  • Paid parental leave

  • A robust training and development program that starts with onboarding and continues throughout your career with Evergreen Nephrology

Evergreen Nephrology is an equal opportunity employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition or any other protected category under local, state or federal laws.

If you are an applicant with a disability who requires reasonable accommodation for any part of the hiring process, please contact us for assistance at recruiting@evergreennephrology.com.

Read the full description
Healthcare Start-Up Associate II (Italy) at Allucent

Coordinates clinical trial site start-up, regulatory and ethics submissions, document management, and communication with authorities and research sites.

Mid Hybrid Posted about 4 hours ago RemoteFirstJobs Product
What this role involves

At Allucent™, we are dedicated to helping small-medium biopharmaceutical companies efficiently navigate the complex world of clinical trials to bring life-changing therapies to patients in need across the globe.

We are looking for a Start-Up Associate II (SUA II) to join our A-team (hybrid*/remote) in Italy! The SUA coordinates and performs local site start-up activities of Allucent Study Start-up & Site Intelligence. This position executes essential document collection, Regulatory Authority (RA) and Independent Ethics Committee (IEC)/Institutional Review Board (IRB) submission/approval activities and acts as a main line of communication to RA/ IEC/ IRB as well as investigators and sites through the initial phase of a clinical study until the Site Initiation Visit.

In this role your key tasks will include:

  • Track relevant information, data, progress and milestones in CTMS and/or other tracking tools covering assigned Start-Up activities (as defined below)

  • Ensure planned dates are reliable and up to date in CTMS departments/study teams

  • File documents in the (e)TMF for which they are the document owner

  • Assist other Study Start-up team members with filing documents in the (e)TMF for which they are document owner

  • Assist in the preparation, compilation, submission and maintenance of regulatory documentation required by regulatory agencies for clinical trials at local level

  • Provide relevant documents in compliance with local regulation

  • Support review of technical, pre-clinical and clinical reports for regulatory submissions

  • Interact with regulatory authorities

  • Prepare and compile answers for questions raised by the regulatory agencies and submit the answers

  • Regularly check for updates on regulations, guidelines and procedures. Ensure these updates are communicated and circulated as appropriate

  • Support Global Regulatory Manager (GRM) and/or Global Submission Specialist (GSS) as needed

  • Prepare, compile, submit and maintain ethical requirements and documentation required by IEC/IRB for clinical trials at local level

  • Assist in providing and reviewing relevant documents in compliance with ethical requirements and per local legislation

  • Interact with IEC/IRB

  • Prepare and compile answers for questions raised by the IEC/IRB and submit the answers

  • Regularly check for updates on regulations, guidelines, and procedures. Ensure these changes and updates are communicated and circulated as appropriate

  • Assist in adapting country SIS/ISF to site-specific requirements

  • Provide country specific requirements to GSCM impacting site contracts’ process

  • Prepare, review, negotiate, and finalize Clinical Trial Agreements (CTAs), Letter of Indemnification (LOI), termination letters, budgets, and other site level agreements required for a clinical study

  • Negotiate within client approved contract and budget templates and negotiation parameters

  • Communicate with sites and internal personnel regarding the status of contracts and contract related documents

  • Arrange translation of the final country CTA template and/or final negotiated contracts, where applicable

  • Provide the final/draft CTA and site budget for submission, where required

  • Obtain site signature as well as Sponsor/Allucent signature, as applicable

  • Keep up to date with applicable local regulations impacting clinical trial contracts

  • Assist in preparing the site-specific Essential Document Package and sending to sites

  • Responsible for collection and first review of Essential Documents

  • Provide the Global Essential Document Reviewer with the collected documents for independent review

  • Follow up with the sites regarding all document discrepancies noted by the Global Essential Document Reviewer until resolution

  • Obtain authorization for the shipment of Investigational Product to the site

  • Track relevant information and data in CTMS and/or other tracking tools

To be successful you will possess:

  • Life Science degree or equivalent qualification or certification in a related allied health profession from an appropriate accredited institution.
  • More than 2 years of experience in regulatory affairs in the pharmaceutical or biotechnology industry.
  • A thorough knowledge of the country or region competent authority submission and reporting requirements and guidelines.
  • A thorough understanding of the drug development process
  • Good oral and written communications skills - fluent in Italian and English.
  • Attention to detail.
  • Able to perform well as a team member.

Benefits of working at Allucent include:

  • Comprehensive benefits package per location
  • Competitive salaries per location
  • Departmental Study/Training Budget for furthering professional development
  • Flexible Working hours (within reason)
  • Participation in our enriching Buddy Program as a new or existing employee
  • Internal growth opportunities and career progression
  • Financially rewarding internal employee referral program
  • Eligibility for our Spot Bonus Award Program in recognition of going above and beyond on projects
  • Eligibility for our Loyalty Award Program in recognition of loyalty and commitment of longstanding employees

Disclaimers:

*Our in-office work policy encourages a dynamic work environment, prescribing 2 days in office per week for employees within reasonable distance from one of our global offices.

“The Allucent Talent Acquisition team manages the recruitment and employment process for Allucent (US) LLC and its affiliates (collectively “Allucent”). Allucent does not accept unsolicited resumes from third-party recruiters or uninvited requests for collaboration on any of our open roles. Unsolicited resumes sent to Allucent employees will not obligate Allucent to the future employment of those individuals or potential remuneration to any third-party recruitment agency. Candidates should never be submitted directly to our hiring managers, employees, or human resources.”

#LI-BL1

Read the full description
Healthcare Start-Up Associate Contractor (Bulgaria) at Allucent

Coordinates clinical trial site start-up, regulatory and ethics submissions, document management, and communication with authorities and research sites.

Mid Hybrid Posted about 4 hours ago RemoteFirstJobs Product
What this role involves

At Allucent™, we are dedicated to helping small-medium biopharmaceutical companies efficiently navigate the complex world of clinical trials to bring life-changing therapies to patients in need across the globe.

We are looking for a Start-Up Associate Contractor to join our A-team (hybrid*/remote) for 0.5 Fte! The SUA coordinates and performs local site start-up activities of Allucent Study Start-up & Site Intelligence. This position executes essential document collection, Regulatory Authority (RA) and Independent Ethics Committee (IEC)/Institutional Review Board (IRB) submission/approval activities and acts as a main line of communication to RA/ IEC/ IRB as well as investigators and sites through the initial phase of a clinical study until the Site Initiation Visit.

In this role your key tasks will include:

  • Track relevant information, data, progress and milestones in CTMS and/or other tracking tools covering assigned Start-Up activities (as defined below)

  • Ensure planned dates are reliable and up to date in CTMS departments/study teams

  • File documents in the (e)TMF for which they are the document owner

  • Assist other Study Start-up team members with filing documents in the (e)TMF for which they are document owner

  • Assist in the preparation, compilation, submission and maintenance of regulatory documentation required by regulatory agencies for clinical trials at local level

  • Provide relevant documents in compliance with local regulation

  • Support review of technical, pre-clinical and clinical reports for regulatory submissions

  • Interact with regulatory authorities

  • Prepare and compile answers for questions raised by the regulatory agencies and submit the answers

  • Regularly check for updates on regulations, guidelines and procedures. Ensure these updates are communicated and circulated as appropriate

  • Support Global Regulatory Manager (GRM) and/or Global Submission Specialist (GSS) as needed

  • Prepare, compile, submit and maintain ethical requirements and documentation required by IEC/IRB for clinical trials at local level

  • Assist in providing and reviewing relevant documents in compliance with ethical requirements and per local legislation

  • Interact with IEC/IRB

  • Prepare and compile answers for questions raised by the IEC/IRB and submit the answers

  • Regularly check for updates on regulations, guidelines, and procedures. Ensure these changes and updates are communicated and circulated as appropriate

  • Assist in adapting country SIS/ISF to site-specific requirements

  • Provide country specific requirements to GSCM impacting site contracts’ process

  • Prepare, review, negotiate, and finalize Clinical Trial Agreements (CTAs), Letter of Indemnification (LOI), termination letters, budgets, and other site level agreements required for a clinical study

  • Negotiate within client approved contract and budget templates and negotiation parameters

  • Communicate with sites and internal personnel regarding the status of contracts and contract related documents

  • Arrange translation of the final country CTA template and/or final negotiated contracts, where applicable

  • Provide the final/draft CTA and site budget for submission, where required

  • Obtain site signature as well as Sponsor/Allucent signature, as applicable

  • Keep up to date with applicable local regulations impacting clinical trial contracts

  • Assist in preparing the site-specific Essential Document Package and sending to sites

  • Responsible for collection and first review of Essential Documents

  • Provide the Global Essential Document Reviewer with the collected documents for independent review

  • Follow up with the sites regarding all document discrepancies noted by the Global Essential Document Reviewer until resolution

  • Obtain authorization for the shipment of Investigational Product to the site

  • Track relevant information and data in CTMS and/or other tracking tools

To be successful you will possess:

  • Life Science degree or equivalent qualification or certification in a related allied health profession from an appropriate accredited institution.
  • More than 5 years of experience in regulatory affairs in the pharmaceutical or biotechnology industry.
  • Experience with contract negotiation.
  • A thorough knowledge of the country or region competent authority submission and reporting requirements and guidelines.
  • A thorough understanding of the drug development process
  • Good oral and written communications skills - fluent in Bulgarian and English.
  • Attention to detail.
  • Able to perform well as a team member.

Disclaimers:

*Our in-office work policy encourages a dynamic work environment, prescribing 2 days in office per week for employees within reasonable distance from one of our global offices.

“The Allucent Talent Acquisition team manages the recruitment and employment process for Allucent (US) LLC and its affiliates (collectively “Allucent”). Allucent does not accept unsolicited resumes from third-party recruiters or uninvited requests for collaboration on any of our open roles. Unsolicited resumes sent to Allucent employees will not obligate Allucent to the future employment of those individuals or potential remuneration to any third-party recruitment agency. Candidates should never be submitted directly to our hiring managers, employees, or human resources.”

#LI-BL1

Read the full description
Healthcare Deviations & Investigations Scientist at Eurofins

Leads GMP laboratory deviation and OOS investigations, analyzes quality data, documents findings, and supports CAPA, stability, and batch release activities.

Mid Hybrid Posted 1 day ago RemoteFirstJobs Product
What this role involves

Company Description

Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins laboratories work with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic and labelling is accurate.

The Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in agroscience Contract Research Organization services. It is one of the market leaders in certain testing and laboratory services for genomics, discovery pharmacology, forensics, advanced material sciences and in the support of clinical studies, as well as having an emerging global presence in Contract Development and Manufacturing Organizations. It also has a rapidly developing presence in highly specialized and molecular clinical diagnostic testing and in-vitro diagnostic products.

In over 30 years, Eurofins has grown from one laboratory in Nantes, France to 58,000 staff across a decentralized and entrepreneurial network of 900 laboratories in over 54 countries. Eurofins companies offer a portfolio of over 200,000 analytical methods to evaluate the safety, identity, composition, authenticity, origin, traceability and purity of biological substances and products.

Job Description

Eurofins BPT-Columbia is seeking a Deviations & Investigations Scientist to join our Chemistry team in Columbia, Missouri. This partially remote position is responsible for supporting laboratory investigations, deviation management, stability studies, and batch release activities within a GMP-regulated environment.

The Deviations & Investigations Scientist serves as a key contributor to quality and compliance initiatives by leading and documenting investigations associated with laboratory deviations, out-of-specification (OOS) results, out-of-trend (OOT) findings, atypical results, and other quality events. This role partners closely with laboratory operations, Quality Assurance, and technical teams to identify root causes, assess impact, implement corrective and preventive actions (CAPAs), and maintain compliance with regulatory expectations.

This intermediate-level position combines scientific expertise with technical writing, data analysis, and quality systems knowledge. The successful candidate will independently manage investigations, review analytical data, support stability and batch release programs, and contribute to continuous improvement efforts while ensuring data integrity and adherence to GMP requirements.

Key Responsibilities

  • Lead and author laboratory investigations related to deviations, OOS, OOT, atypical results, and quality events.
  • Perform root cause analyses and support development and implementation of CAPAs.
  • Review analytical data and laboratory documentation to support investigation conclusions.
  • Support stability testing and batch release activities through data review and quality assessments.
  • Collaborate with laboratory, quality, and operational teams to resolve technical and compliance issues.
  • Ensure investigations are completed accurately, thoroughly, and within established timelines.
  • Maintain compliance with GMP, GLP, regulatory, client, and internal quality requirements.
  • Utilize LIMS and quality systems to manage documentation and maintain records.
  • Prepare technical reports, investigation summaries, and supporting quality documentation.
  • Identify quality trends and contribute to process improvements and operational excellence initiatives.

Qualifications

The ideal candidate would possess:

  • Experience with GLP and/or GMP and hands-on experience with HPLC and/or GC desirable.
  • Experience with LIMS system desirable.
  • Familiarity and/or experience in a laboratory setting is required.
  • Good organizational skills; ability to follow direction and good communication skills are required.
  • Ability to work on multiple on-going projects.

Minimum Qualifications:

  • Bachelor’s degree in relevant field such as chemistry, biochemistry, biology, chemical engineering, pharmaceutical sciences, or other directly related field or degree with comparable coursework in the above areas.
  • 1-3 years of experience working in a cGMP compliant lab
  • Authorization to work in the US indefinitely without restriction or sponsorship

Additional Information

Position is full-time position, Monday - Friday 8:00am - 4:30pm. Candidates currently living within a commutable distance of Columbia, MO are encouraged to apply.

Excellent full time benefits including

  • Comprehensive medical coverage, dental, and vision options
  • Life and disability insurance
  • 401(k) with company match
  • Paid vacation and holidays

Eurofins USA BioPharma Services is a Disabled and Veteran Equal Employment Opportunity employer.

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Healthcare PSC Manager - Stony Brook, NY at Natera

Collects blood specimens, verifies testing orders, maintains specimen quality, and manages operations and staff at a patient service center.

Mid Onsite Posted 1 day ago RemoteFirstJobs Product
What this role involves

POSITION SUMMARY:  **This position is located in Stony Brook, NY**

A Phlebotomist serves patients by identifying the best method for retrieving blood; preparing specimens for laboratory testing; and performing screening procedures.  The Phlebotomist will also act as an operations manager for the designated patient service center (PSC) and oversee Natera’s phlebotomy program at the specified location.  Depending upon growth opportunities, this role may also require oversight of other phlebotomists as needed to support patient volume growth. *** IF YOUR STATE REQUIRES A PHLEBOTOMY LICENSE, IT MUST BE SENT IN WITH YOUR RESUME WITH YOUR APPLICATION ***

PRIMARY RESPONSIBILITIES:

  • Verifies test requisitions by comparing information with orders and requisition documentation; brings discrepancies to the attention of Natera product management leadership.
  • Verifies patient by reading patient identification.
  • Obtains blood specimens by performing venipunctures and finger sticks.
  • Maintains specimen integrity by using aseptic technique, following Natera[KC1]  procedures; observes isolation procedures.
  • Tracks collected specimens by initialing, dating, and noting times of collection; maintaining daily tallies of collections performed[MB2]  in Natera provided system.
  • Maintains quality results by following Natera procedures and testing schedule; recording results in the quality-control log; identifying and reporting needed changes reporting KPIs to product management leadership on biweekly basis.
  • Maintains safe, secure, and healthy work environment by following standards and procedures; complies with legal regulations.
  • Resolves unusual test orders by contacting the physician, pathologist, nursing station, or reference laboratory; referring unresolved orders back to the originator for further clarification; notifying internal Natera team [MB3] of unresolved orders. Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.
  • Enhances Natera’s phlebotomy reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
  • Employee must complete training relating to HIPAA/PHI privacy, General Policies and Procedure Compliance training and security training as soon as possible but not later than the first 30 days of hire.
  • This role works with PHI on a regular basis both in paper and electronic form and has access to various technologies to access PHI (paper and electronic), in order to perform the job.
  • Report any SPI or CAPA or NCR issues to internal Natera product management leadership team Assists with managing all phlebotomy equipment associated with the establishment and running of the patient service center[KC4] , may require heavy lifting of up to 50 pounds of supplies.
  • May require reimbursable travel for stocking of supplies May include onboarding, training, and retraining of individual phlebotomists, as deemed necessary to support volume increases.
  • Assists with managing Patient Service Center vendors.
  • Assists with phlebotomy program management: Monitor distribution and claiming of blood draws Monitor customer feedback Manage small escalations as needed
  • Manage scheduling issues
  • Ensure continued and open communication regarding ongoing draw statuses General phlebotomy knowledge for PSC’s location (per state regulations)
  • Must maintain a current status on Natera’s training requirements.

QUALIFICATIONS:

  • Minimum of 5 years of phlebotomy experience
  • 5+ years high-level customer care experience Managing/supervising phlebotomy operations and teams experience preferred BS/BA degree (preferred)
  • High School Diploma (or equivalent) required Phlebotomy Certification (or equivalent) preferred, except where regulatory regulations are mandated depending upon state Previous financial and budgetary experience preferred
  • Bilingual language skills preferred

KNOWLEDGE, SKILLS, AND ABILITIES:

  • Ability to serve and protect Natera by adhering to professional standards, hospital policies and procedures, federal, state, and local requirements, and JCAHO standards.
  • General understanding of mobile phlebotomy and general phlebotomy services.
  • Excellent communication skills.
  • Ability to work with cross-functional teams.
  • Ability to learn and embrace online tools for effective program management.

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:

- BBB announcement on job scams

- FBI Cyber Crime resource page

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Healthcare Start-Up Associate Contractor (Spain) at Allucent

Coordinates clinical trial site start-up, regulatory and ethics submissions, document management, and communication with authorities and research sites.

Mid Hybrid Posted 1 day ago RemoteFirstJobs Product
What this role involves

At Allucent™, we are dedicated to helping small-medium biopharmaceutical companies efficiently navigate the complex world of clinical trials to bring life-changing therapies to patients in need across the globe.

We are looking for a Start-Up Associate Contractor to join our A-team (hybrid*/remote) for 0.5 Fte! The SUA coordinates and performs local site start-up activities of Allucent Study Start-up & Site Intelligence. This position executes essential document collection, Regulatory Authority (RA) and Independent Ethics Committee (IEC)/Institutional Review Board (IRB) submission/approval activities and acts as a main line of communication to RA/ IEC/ IRB as well as investigators and sites through the initial phase of a clinical study until the Site Initiation Visit.

In this role your key tasks will include:

  • Track relevant information, data, progress and milestones in CTMS and/or other tracking tools covering assigned Start-Up activities (as defined below)

  • Ensure planned dates are reliable and up to date in CTMS departments/study teams

  • File documents in the (e)TMF for which they are the document owner

  • Assist other Study Start-up team members with filing documents in the (e)TMF for which they are document owner

  • Assist in the preparation, compilation, submission and maintenance of regulatory documentation required by regulatory agencies for clinical trials at local level

  • Provide relevant documents in compliance with local regulation

  • Support review of technical, pre-clinical and clinical reports for regulatory submissions

  • Interact with regulatory authorities

  • Prepare and compile answers for questions raised by the regulatory agencies and submit the answers

  • Regularly check for updates on regulations, guidelines and procedures. Ensure these updates are communicated and circulated as appropriate

  • Support Global Regulatory Manager (GRM) and/or Global Submission Specialist (GSS) as needed

  • Prepare, compile, submit and maintain ethical requirements and documentation required by IEC/IRB for clinical trials at local level

  • Assist in providing and reviewing relevant documents in compliance with ethical requirements and per local legislation

  • Interact with IEC/IRB

  • Prepare and compile answers for questions raised by the IEC/IRB and submit the answers

  • Regularly check for updates on regulations, guidelines, and procedures. Ensure these changes and updates are communicated and circulated as appropriate

  • Assist in adapting country SIS/ISF to site-specific requirements

  • Provide country specific requirements to GSCM impacting site contracts’ process

  • Prepare, review, negotiate, and finalize Clinical Trial Agreements (CTAs), Letter of Indemnification (LOI), termination letters, budgets, and other site level agreements required for a clinical study

  • Negotiate within client approved contract and budget templates and negotiation parameters

  • Communicate with sites and internal personnel regarding the status of contracts and contract related documents

  • Arrange translation of the final country CTA template and/or final negotiated contracts, where applicable

  • Provide the final/draft CTA and site budget for submission, where required

  • Obtain site signature as well as Sponsor/Allucent signature, as applicable

  • Keep up to date with applicable local regulations impacting clinical trial contracts

  • Assist in preparing the site-specific Essential Document Package and sending to sites

  • Responsible for collection and first review of Essential Documents

  • Provide the Global Essential Document Reviewer with the collected documents for independent review

  • Follow up with the sites regarding all document discrepancies noted by the Global Essential Document Reviewer until resolution

  • Obtain authorization for the shipment of Investigational Product to the site

  • Track relevant information and data in CTMS and/or other tracking tools

To be successful you will possess:

  • Life Science degree or equivalent qualification or certification in a related allied health profession from an appropriate accredited institution.
  • More than 5 years of experience in regulatory affairs in the pharmaceutical or biotechnology industry.
  • Experience with contract negotiation.
  • A thorough knowledge of the country or region competent authority submission and reporting requirements and guidelines.
  • A thorough understanding of the drug development process
  • Good oral and written communications skills - fluent in Spanish and English.
  • Attention to detail.
  • Able to perform well as a team member.

Disclaimers:

*Our in-office work policy encourages a dynamic work environment, prescribing 2 days in office per week for employees within reasonable distance from one of our global offices.

“The Allucent Talent Acquisition team manages the recruitment and employment process for Allucent (US) LLC and its affiliates (collectively “Allucent”). Allucent does not accept unsolicited resumes from third-party recruiters or uninvited requests for collaboration on any of our open roles. Unsolicited resumes sent to Allucent employees will not obligate Allucent to the future employment of those individuals or potential remuneration to any third-party recruitment agency. Candidates should never be submitted directly to our hiring managers, employees, or human resources.”

#LI-BL1

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Healthcare (Canada) Software Implementation Consultant – Clinical

Implements and configures clinical software for healthcare providers, supporting adoption and effective use of the platform.

Mid Posted 3 days ago Jobicy AI
What this role involves
At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we...
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Healthcare Virtual Medical Receptionist / Patient Care Coordinator Bilingual

Coordinates virtual medical reception, patient care, referrals, scheduling, and bilingual communication for a healthcare team.

Mid Remote Posted 3 days ago Himalayas
What this role involves
We are seeking an experienced Virtual Medical Receptionist / Referral Coordinator to join our growing healthcare team.
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Healthcare Psychiatric Nurse Practitioner - (Part-time, W2) at Two Chairs

Provides remote psychiatric assessments, medication management, and brief psychotherapy for adult clients as a licensed psychiatric nurse practitioner.

Mid Remote Posted 4 days ago RemoteFirstJobs Product
What this role involves

Why Choose Two Chairs?

  • Compensation: Hourly rate of $62–$96/hr (determined by experience, qualifications, and place of residence).

    • 90-day ramp period: 100% full rate while you build your caseload.
    • Post-ramp: 80% guaranteed base rate + productivity incentive
  • AI-Assisted Documentation: Spend less time on administrative notes and more time on client care with our optional built-in AI documentation tools.

  • True Work-Life Balance: Set your own schedule up to 8 hours/week (with the potential to increase) within M-F, 8am-8pm. No late nights, no weekends, no on-call obligations.

  • Paid Non-Clinical Time: Get paid for administrative tasks, clinical team consultations, required training, and client no-shows.

  • Safety & Coverage: Enjoy 24⁄7 crisis line support for client risk assessments and seamless coverage support when you take time off.

  • Additional W-2 advantages you won’t find with 1099 contract work:

    • No tax headaches – We handle withholdings and filings, so you don’t have to
    • Earn paid sick time – Accrue up to 80 hours per year
    • Merit-based raises – Be recognized and rewarded for your contributions
    • Retirement benefits – Access an employer-sponsored 401(k) plan
    • Malpractice insurance provided – Full coverage at no cost to you
    • Access to state-mandated benefits  –  Like unemployment, disability, and paid leave where available

About You

  • A board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) licensed to practice in North Carolina with an active DEA license in North Carolina.
  • Additional PMHNP licensure in New York, Washington DC, Maryland, Virginia, Florida, Washington, or California.
  • Willing and committed to becoming licensed in other states. We’ll cover the entire cost.
  • 2+ years of experience providing mental health services as a PMHNP, including remote, outpatient telepsychiatry with adults.
  • Passionate about high-quality, measurement-based, collaborative care.
  • Eager to collaborate with a dedicated psychiatric team to build upon and refine our care delivery systems.
  • Preferred: Able to start November 2026

About the Role

  • Conduct remote 55-minute psychiatry assessments and 25-minute follow-up sessions designed for combined medication management and brief psychotherapeutic support.
  • Prescribe and manage psychiatric medications, including controlled substances, in accordance with state and federal regulations.
  • Integrate brief psychotherapy when clinically appropriate to support your clients in reaching their goals efficiently and sustainably.
  • Partner closely with therapists in a true integrated care model, through our shared EHR system and consultation spaces.
  • Collaborate with physicians and clinical leadership, sharing direct feedback that shapes how our clinical care is delivered.
  • Use data-informed tools and measurement-based care to tailor treatment plans and improve outcomes.

About Two Chairs

Two Chairs is setting a new standard in mental health care with seamlessly integrated therapy and psychiatry delivered by highly trained clinicians, powered by smart technology, and measured for real impact. By combining timely access, personalized care, and proven outcomes — we’re creating a system that works — for patients, providers, health plans, and clinicians alike. With that, we’re excited and honored to have been recognized as a 2025 Great Place to Work and 2025 Fortune’s Best Workplaces in Healthcare .

One of our company values is “Embrace Differences,” and diversity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply, even if they don’t think they meet some expectations of the role.

Important Notes:

  • If you need a reasonable accommodation, please let your recruiter know so our People Team can assist you.
  • Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html
  • See our AI Usage Policy for Hiring here

#LI-REMOTE #ZR

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Healthcare Alliance Manager, Translational Medicine

Manages external collaborations in translational medicine to advance scientific discoveries into clinically actionable molecular solutions.

Mid Posted 8 days ago Jobicy AI
What this role involves
Position Summary The Alliance Manager will play a critical role in enabling successful external collaborations that accelerate the translation of scientific discoveries into clinically actionable molecular solutions. This individual combines...
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Healthcare Eligibility and Prior Authorization Specialist-Temp at Natera

Manages eligibility and prior authorization processes, analyzes revenue cycle trends, coordinates vendors, and improves reimbursement operations.

Mid Posted 8 days ago RemoteFirstJobs Product
What this role involves

Position Summary:

Eligibility and Prior Authorization Specialist will be responsible for building and maintaining collaborative and productive relationships with internal and external stakeholders relating to eligibility and prior authorization, driving performance in operations related to reimbursement and providing direction and oversight of processes impacting cash collections.

PRIMARY RESPONSIBILITIES:

 Serves as a source of knowledge for the designated revenue cycle function.

 Performs analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement for the designated revenue cycle function.

 Establishes an ongoing working relationship with other departments impacting revenue cycle performance.

 Works closely with various vendor operations teams (Prior authorization, Claims and Appeals) to oversee operations activity that directly impacts the revenue cycle to accurately process actions in a timely manner for optimal

reimbursement.

 By continually reviewing and monitoring eligibility and prior authorization

changes, researches, evaluates, and interprets guidance from a variety of

sources to determine departmental actions.

 Coordinates with Management to ensure thorough understanding of

trends/issues affecting revenue cycle performance.

 Develops goals and metrics to link department and revenue cycle initiatives with the organization‘s strategy.

 Develops, manages and monitors successful completion of implementation and project plans.

 Continuously seeks new and creative technologies that help identify and guide improvement opportunities that align with overall company success.

Required Knowledge, Skills and Abilities:

 Proficiency with medical billing systems, Microsoft Excel, medical terminology and basic procedure coding knowledge.

 Knowledge of medical terminology and abbreviations, and health care

nomenclature and systems.

 Strong communication (verbal and written), organizational, problem solving and team player skills.

 Ability to navigate across multiple customer demands and balance competing priorities successfully.

 Ability to analyze, identify and articulate identified trends and report trends

succinctly in a clear and concise manner.

 Ability to solve problems using critical thinking skills.

 Maintains confidentiality of sensitive information.

 Analytical skills required.

 Ability to think critically and identify the impact across the revenue cycle with a solution oriented approach.

 Ability to develop, implement and produce analysis and reports

Qualifications:

 At least 3 years of experience in medical billing and Insurance collections

 At least 3 years of experience with Eligibility and Prior Authorization

requirements, payer utilization management policies and Appeals

 Knowledge of CPT/HCPCS. ICD-10, modifier selection  and UB revenue codes

 Bachelor’s Degree

 Healthcare related field of study or equivalent experience.

The pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. This may differ in other locations due to cost of labor considerations.

Remote USA

$25—$30 USD

OUR OPPORTUNITY

Natera™ is a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health. Our aim is to make personalized genetic testing and diagnostics part of the standard of care to protect health and enable earlier and more targeted interventions that lead to longer, healthier lives.

The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other. When you join Natera, you’ll work hard and grow quickly. Working alongside the elite of the industry, you’ll be stretched and challenged, and take pride in being part of a company that is changing the landscape of genetic disease management.

WHAT WE OFFER

Competitive Benefits - Employee benefits include comprehensive medical, dental, vision, life and disability plans for eligible employees and their dependents. Additionally, Natera employees and their immediate families receive free testing in addition to fertility care benefits. Other benefits include pregnancy and baby bonding leave, 401k benefits, commuter benefits and much more. We also offer a generous employee referral program!

For more information, visit www.natera.com.

Natera is proud to be an Equal Opportunity Employer. We are committed to ensuring a diverse and inclusive workplace environment, and welcome people of different backgrounds, experiences, abilities and perspectives. Inclusive collaboration benefits our employees, our community and our patients, and is critical to our mission of changing the management of disease worldwide.

All qualified applicants are encouraged to apply, and will be considered without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, veteran status, disability or any other legally protected status. We also consider qualified applicants regardless of criminal histories, consistent with applicable laws.

If you are based in California, we encourage you to read this important information for California residents.

Link: https://www.natera.com/notice-of-data-collection-california-residents/

Please be advised that Natera will reach out to candidates with a @natera.com email domain ONLY. Email communications from all other domain names are not from Natera or its employees and are fraudulent. Natera does not request interviews via text messages and does not ask for personal information until a candidate has engaged with the company and has spoken to a recruiter and the hiring team. Natera takes cyber crimes seriously, and will collaborate with law enforcement authorities to prosecute any related cyber crimes.

For more information:

- BBB announcement on job scams

- FBI Cyber Crime resource page

Read the full description
Healthcare Authorizations Specialist | US Healthcare | EST Hours | Remote at ISTA Solutions

Manage healthcare insurance authorization requests, verify patient benefits and documentation, coordinate payer requirements, and track approvals, denials, and renewals.

Mid Remote Posted 9 days ago RemoteFirstJobs Product
What this role involves

ISTA Personnel Solutions is a fast-growing, global BPO company. We are not a recruitment agency. We operate as a dedicated extension of our U.S.-based clients’ teams, delivering high-quality operational support with precision, efficiency, and professionalism.

We are recruiting on behalf of a growing U.S.-based healthcare and wellness company for an Authorizations Specialist to join their team and support insurance authorizations, payer requirements, patient benefits, and related healthcare administrative processes.

As an Authorizations Specialist, you will manage insurance authorization requests from submission through approval, denial, or reauthorization. You will work closely with healthcare providers, insurance carriers, billing and pharmacy teams, and internal departments to ensure authorization and payer requirements are completed accurately and within required timeframes.

This role is well suited to someone with experience in healthcare insurance authorizations, medical aid, benefits verification, medical billing, claims, referrals, or related healthcare administration, who is highly organised, detail-oriented, proactive, and comfortable managing multiple cases and follow-ups in a fast-paced environment.

PLEASE NOTE:

  • Working Hours: Monday – Friday | 09:00 AM – 18:00 PM EST (15:00 PM – 00:00 AM South African time – subject to daylight savings). Flexibility may be required on Fridays, with later hours potentially being spread across the week when required.
  • Public Holidays: This role requires working on both South African and U.S. public holidays (compensation for SA public holidays in accordance with the BCEA).
  • Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and wired Ethernet capability is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup: Reliable backup required to manage load shedding or outages. Applicants without a power backup cannot be considered.
  • Work Environment: Fully remote

Key Responsibilities:

  • Managing insurance authorization requests from submission through approval, denial, or reauthorization.

  • Reviewing patient information and clinical documentation to ensure payer and authorization requirements are met.

  • Monitoring authorization statuses, expiration dates, and upcoming appointments to identify potential gaps or delays.

  • Coordinating Single Case Agreements (SCAs) and providing status updates to relevant teams.

  • Completing required online enrolments relating to compliance programs, patient benefits, and payer or treatment requirements.

  • Managing payer-specific requirements, including TRICARE referrals and authorizations.

  • Processing and monitoring pharmacy prior authorizations and medication-related approvals.

  • Maintaining accurate authorization, payer, enrolment, and patient information within Salesforce and other relevant systems.

  • Preparing and managing required evaluation and billing-related documentation.

  • Communicating with insurance carriers, billing partners, healthcare providers, pharmacy partners, and internal teams regarding authorization, enrolment, and benefits requirements.

  • Proactively following up on outstanding requests, missing documentation, denials, enrolments, and other barriers to treatment.

  • Completing required reports and assisting with monitoring authorization and patient scheduling activity.

  • Assisting with the development and documentation of authorization, enrolment, and payer-specific workflows.

  • Supporting system and workflow improvement initiatives to increase efficiency and reduce delays in patient care.

  • Previous experience in healthcare insurance authorizations, medical aid authorizations, benefits verification, medical billing, claims, utilization management, or related healthcare administration is preferred.

  • Experience working with medical aids, insurance providers, payer portals, or online healthcare enrollment systems is advantageous.

  • A good understanding of insurance benefits, prior authorizations, referrals, claims, and payer requirements is preferred.

  • Strong organisational and time-management skills, with excellent attention to detail and accuracy.

  • Strong written and verbal communication skills.

  • Ability to manage multiple cases, priorities, deadlines, and follow-ups simultaneously.

  • Strong problem-solving and critical-thinking skills.

  • Proactive and self-motivated, with the ability to independently follow up on outstanding tasks and see them through to completion.

  • Comfortable working with technology and learning new systems - Salesforce experience is a plus.

  • Able to work collaboratively with clinical, administrative, billing, pharmacy, and other internal teams.

  • Ability to maintain confidentiality and appropriately handle sensitive patient information.

  • Adaptable and comfortable working in an environment where processes and workflows may continue to develop and improve.

  • Previous experience supporting a U.S. healthcare client or working with U.S. insurance/payer requirements is advantageous.

If you are not contacted within 14 working days, please consider your application unsuccessful.

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Healthcare Referral Specialist Full Time Days Hybrid at Northwestern Medicine

Handles patient referrals, triages medical inquiries, schedules appointments, registers consumers, and provides compliant healthcare customer service.

Mid Hybrid Posted 10 days ago RemoteFirstJobs Product
What this role involves

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you’ll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better?

Job Description

The hours for this position are 8:00AM to 4:30PM or 8:30AM to 5:00PM

During the orientation period, this position will be in person. After orientation, the position will be hybrid.

The Referral Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Responsibilities:

  • Consistently practices Patients First philosophy and adheres to high standards of customer service. This includes setting an example to peers, coworkers, etc. by fostering a team atmosphere.
  • Responds to questions and concerns.
  • Forwards, directs and notifies Team Lead or Operations Coordinator of extraordinary issues as necessary.
  • Maintains patient confidentiality per HIPAA regulations.
  • Provides exceptional customer service to consumers which establishes a positive first impression of Northwestern Medicine.
  • Exceed all consumer requests and alert management of issues or concerns that require escalation.
  • Appropriately triages telephone inquiries requesting medical services and/or physician referral/appointment to determine level of urgency/acuity and type of physician needed for stated problem.
  • Maintains sufficient medical knowledge base with ability to recognize urgent clinical situations and demonstrate communication skills necessary to make appropriate physician referrals to potential patients.
  • Assists consumers in scheduling and registering for patient appointments.
  • Registers and educate consumers on classes in programs offered by.
  • Securely process consumers credit card information accurately with PCI compliance standards upon class registration.
  • Educates consumers about additional NMHC services that may meet a patients needs.
  • Obtains knowledge about hospital product lines and medical staff to enable cross marketing of services.
  • Participate in training programs as new product lines are introduced.
  • Maximize opportunities to cross-sell NM services.
  • Direct consumers to the NMHC website for additional information as needed.
  • Protects the integrity of the proprietary database by entering and updating all consumer/physician demographic information correctly to avoid duplicate or inaccurate records.
  • Document codes for all consumer transactions to accurately track call types and effectiveness of all programs.
  • Maintain a current and up-to-date knowledge with health care plans to accurately make physician referrals to patients according to their carrier.
  • Assist patients on requirements of their particular plans e.g. HMO, IPA and identify alternative resources if needed.
  • Other duties as assigned.
  • Communication and Collaboration:
    • Keep abreast of all daily correspondence to ensure that consumers are receiving accurate and up to date information.
    • Keep fellow team members informed of all pertinent changes to procedures or any new insights into clinical issues.
    • Interface with various hospital departments and physician offices while directing consumers and physicians through the Northwestern Medicine organization.
  • Technology:
    • Utilize Epic and any other appropriate scheduling systems to register patient, schedule appointments, and verify insurance.
    • Respond to Internet requests from consumers.
  • Efficiency, Process Improvement, and Business Growth:
    • Maintain the department average for all individual quality goals including contact center metrics, appointment scheduling, database accuracy, and quality monitoring.
    • Focus on continual process improvements for assigned responsibilities to achieve optimal outcomes.
    • Completes telephone contacts to exceed expectations of callers.
    • Monitors queue status closely to minimize wait time of caller.

Qualifications

Required:

  • High school diploma or equivalent.
  • 2-3 years of Customer Service in Contact/Call Center and/or medical staff office and computer experience.
  • Excellent customer service skills.
  • Excellent interpersonal, verbal, and written communication skills.
  • Proficiency in computer data-entry/typing.
  • Excellent verbal and written communication skills.
  • Ability to read, write, and communicate effectively in English.
  • Basic computer skills.
  • Ability to type 40 wpm.
  • Ability to multi-task.
  • Customer service oriented.
  • Excellent organizational, time management, analytical, and problem solving skills.

Preferred:

  • Bachelor’s degree.
  • Additional language skills.
  • Healthcare finance and/or healthcare insurance experience.
  • Knowledge and experience in a healthcare setting, especially patient scheduling and/or registration.
  • Additional training in health care, marketing, or communication.
  • Familiarity with health care plans and managed care.

Additional Information

Northwestern Medicine is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation or any other protected status.

Background Check

Northwestern Medicine conducts a background check that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives Northwestern Medicine permission to run the background check.  Results are evaluated on a case-by-case basis, and we follow all local, state, and federal laws, including the Illinois Health Care Worker Background Check Act.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events.

Click on or copy and paste URL to your browser to view detailed benefits information

NorthwesternMedicine Career Page

https://jobs.nm.org/benefits

Please refer to the Benefits Eligibility by Employment Classification to determine benefits eligibility for job postings.

If sign-on bonus is included in a job posting eligibility is as followed: Internal employees and rehires who left Northwestern Medicine within 1 year are not eligible for the sign-on bonus. Exception: New graduate internal employees seeking their first licensed clinical position as a Registered Nurse at NM may be eligible.

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Healthcare Clinical Trial Manager

Manages clinical trials for cancer immunotherapy programs, coordinating study execution, sites, timelines, and patient-focused activities.

Mid Posted 10 days ago Himalayas
What this role involves
Join Immatics and shape the future of cancer immunotherapy; one patient at a time!
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Healthcare 臨床心理學家與輔導員 (澳門)

提供一對一遠程心理健康諮詢與臨床支持,協助客戶處理心理健康問題並與臨床團隊合作改進服務。

Mid Remote Posted 11 days ago Himalayas
What this role involves
我們正在尋求臨床心理學家(Clinical Psychologist)和輔導員(Counsellor)合作,成為一個合作社群的一部分,致力於為公眾提供更廣泛的心理健康服務,並提供心理健康指導。您的責任是根據客戶的個人需求和目標來支持他們的心理健康和個人成長。這主要是通過我們平台上的六十(60)分鐘視頻會議來進行。 您將成為我們遠程醫療平台「Intellect」上的臨床心理學家和輔導員。「Intellect」總公司位於新加坡,擁有一個國際化的遠程醫療平台,為世界各地的用戶提供高質量的服務。我們幫助全球350萬名會員提升心理健康服務的標準與品質,並繼續擴大我們的影響力,為更多需要支持的人提供幫助。 這將是一個自由職業的遠端工作,您有著自由且彈性的工作時間。我們優先考慮本地候選人,但也會考慮其他地區的申請者。這是一個可以同時在您現有的工作之外,讓您快速累積工作經驗的好機會,並讓您的履歷更加出色和具競爭力。 職責:為 Intellect 的客戶提供1對1的遠程或現場心理健康支持專注於臨床案例,如抑鬱、焦慮、創傷、精神分裂症、飲食失調、成癮等與內部臨床團隊合作,提出改進計劃和平台的建議Requirements擁有輔導或臨床心理學碩士學位具備認知行為治療(Cognitive Behavioral Therapy)或其他證據為基礎的治療方法(如動機式訪談、辯證行為治療、解決方案為導向的治療等) 擁有碩士學位後至少300小時的臨床經驗能夠以英語和當地語言溝通具備員工援助計劃(Employee Assistance Program)經驗、輔導成人或管理層角色的經驗者優先 願意在必要時提供現場工作者優先
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Healthcare Kansas- Remote Mental Health Licensed Therapist, 1099 Contractor

Provides direct virtual mental health therapy to clients as an independently licensed 1099 contractor.

Mid Remote Posted 11 days ago Jobicy AI
What this role involves
About the Remote Licensed Therapist (1099 Contractor) role at Headspace: Headspace is currently seeking part-time, independently licensed contractor therapists to provide direct, virtual care as part of a multidisciplinary team...
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Healthcare Psychiatra - konsultacje zdalne

Psychiatrist provides remote mental health consultations and psychiatric evaluations to patients via telemedicine platform.

Mid Remote Posted 12 days ago Himalayas
What this role involves
Telemedi nawiąże współpracę ze specjalistą Psychiatrii (lub po ukończeniu 2 roku specjalizacji) w zakresie konsultacji zdalnych.
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Healthcare Evening Part-Time Psychotherapist (5-9pm)

Provides psychotherapy and mental health counseling to individuals, groups, and families during evening hours.

Mid Posted 12 days ago Jobicy AI
What this role involves
AthenaPsych is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges. We specialize in individual and group...
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