| New Work at Home Jobs For You My client is a leading provider of compliance, risk consulting and internal audit services!! Founded by former Regulatory Examiners and Big 4 Partners, this firm has grown steadily over the last decade. Enjoy a "ground floor" opportunity to become part of their team. Enjoy excellent benefits with life and disability insurance; health and dental; 401k plan; plus excellent career path to Managing Director level position. This company will continue to grow and gain market share! Position Description: If you have more than 10+ years of Compliance experience-consider this unique compliance opportunity. My client is a non-traditional Financial Services Company with a good old-fashioned commitment to quality service. With total sales in the millions, it is considered in the top of "up and coming" consulting firms nationwide! As Assistant Compliance Director, you'll interact with clients to provide compliance support on products and services, provide in-house training and education on bank compliance, and communicate relevant compliance findings or issues to senior bank management. Ideal position for an experienced candidate with skills managing risk-based compliance reviews and tests; providing subject matter expertise to business units and assist in the development of policies and procedures. Unparalleled employee benefits, plus a rewarding working environment makes this opportunity a rare find! Ability to telecommute and work from home! This mid level position will focus on a high level of Compliance engagement oversight. Responsible for building or re-building compliance programs; assisting with enforcement action situations and resolving compliance issues and compliance monitoring. Qualifications Bachelor's Degree required with 10 years of Compliance experience in banking. Must have broad oversight experience with small to mid sized bank or Regulatory Agency experience. Must have strong experience with compliance testing and risk management programs. CAMS or CRCM considered a plus. Audit Manager Title: Audit Manager or Senior Audit Manager Company: Fortune 200 company Location: Chicago land area Salary: open, based on experience Benefits: Very strong promotion path (management works with them to identify their future paths (Controller, VP Finance, etc.) and will groom them for that position within the various locations. Great work/life balance (can telecommute) Culture cultivates innovation, imagination LOW turnover (less than 1%) Keys: Bachelors Degree in Finance or Accounting required CPA/CIA preferred 7+ years experience Big 4 or Top 10 Public Accounting Firms Travel is a couple of days during the week, home on weekends, domestic only, can telecommute GREAT promotion paths Bookkeeper/Accountant We are currently seeking an experienced accounting professional to assist in an accounting capacity for a client in Victoria, TX. This person will work from home in the Houston market, and must have home internet/computing access with occasional travel onsite to Victoria, TX. All candidates must possess the following: Peform journal entries, A/P, A/R, trial balance, bank recons, G/L recons, accural entries Must have intimate knowledge of complete Quickbooks OS suite Must possess a bachelor's degree in Accounting or Finance related field Preferred CPA or eligibility to sit for the CPA exam Compensation will be $35 per hour. High Risk OB Case Manager Primary Responsibilities: Making outbound calls to assess members' current health status Identifying gaps or barriers in treatment plans Providing patient education to assist with self management Interacting with Medical Directors on challenging cases Coordinating care for members Making referrals to outside sources Coordinating services as needed (home health, DME, etc.) Educating members on disease processes Encouraging members to make healthy lifestyle changes Documenting and tracking findings Utilizing Milliman criteria to determine if patients are in the correct hospital setting Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources Responsible for maintaining an expected high volume caseload What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. Required Qualifications: Current, unrestricted RN license in your state of residence At least 3 years of high risk OB clinical nursing experience in a hospital setting At least 2 years experience as a Case Manager (in any setting) Basic level of experience with Microsoft Word, with the ability to navigate a Windows environment Additional Preferred Assets: Bachelor's Degree Certified Case Manager (CCM) Prior telephonic Case Management experience Strong organizational skills and ability to multi-task Investigations Consultant Primary Responsibilities: Identify recovery opportunities through the detailed review of informational and data sources. Develop recovery theory and investigative plan to assist investigative team in pursuing opportunity from allegation to resolution. Request and analyze pertinent data to identify potential overpayments, and assess potential for financial recovery. Utilize investigative tools and techniques to determine whether a case involves potential fraud or abuse. Conduct or lead recovery investigators in the investigation of highly complex cases from initial allegation to resolution. Negotiate settlements on repayments. Meet or exceed targets established for recoveries. Contribute to the development of operational processes within the team as well as policies and procedures. Assist in the development of operational processes within the team as well as policies and procedures. Assist with the training and mentoring of Recovery team staff. Java Programmer Description Java Programmer - ability for partial telecommute! If you have 3+ years of Java programming experience and are looking for a fun and laid back culture but a fast paced and busy work environment with the option to telecommute based on location, please apply for more details!! Responsibilities include: - Implement, unit test and maintain software components - Work closely with other members of the Development team - Interact with BA, QA and Support teams on an on-going basis Requirements Must have: - Current hands-on expertise in Java - Current hands-on expertise in Java development tools, primarily Eclipse - Expertise in Relational Database Management Systems, primarily Oracle - Familiar with Software Configuration Management tools, primarily Subversion - Familiar with Linux and Microsoft Windows operating systems - Ability to work flexible work hours when the need arise - Good verbal and written communication skills, sufficient competence in English is required - Good team player, able to work well with distributed teams Preferred Qualifications: - Familiar with Agile Programming techniques - Familiar with JavaScript - Familiar with XML and XSLT - BA/BS degree in computer science, mathematics, engineering or related field Learning Performance Analyst Determine high-level performance improvement needs, and prioritize learning projects based on client requirements Ensure performance change initiatives are measured and communicated to key business partners Attend business initiative project meetings to ensure appropriate training requirements are identified Make service and process decisions based on needs of business, scope of work and resource availability Entrusted to make decisions based on prioritization of business needs May lead functional or segment teams or projects Translate strategies into specific goals, tactics, action plans, and deliverables Conduct job analyses and task analyses for key jobs within assigned LOB Manage the focused learning plans as part of overall role strategies Ensure seamless transition of learning projects to the Design, Delivery or Documentation team and for some projects, to a vendor organization Review and develop action plans based on Level 2 and 3 evaluations in place to measure the quality and effectiveness of learning solutions. Specific Knowledge/Skills: Know what levers to pull to affect change / performance; drives high-impact solutions with business, other work and L&D partners Leverage expertise and tools in team and organization assessment, design, and development to influence changes in alignment, culture, structure, and roles Keep it simple; make complex concepts and processes practical and easy to understand Crisply articulate and demonstrate the business impact of learning solutions; demonstrate strength in measurement; work with others to evaluate the effectiveness of training, and take action to implement improvements Demonstrated ability to diagnose organization / performance needs, gaps, and root causes Provide expert and candid advice and solutions Demonstrated ability to ask the tough questions; challenge others' thinking and push back to get to core business and/or true performance gap issues Contract and set clear expectations with clients about goals, roles, resources, costs, etc. Build credibility as a trusted business advisor through a balance of business acumen, learning expertise, objectivity, and business partner relationship skills Identify and address the concerns of others to overcome resistance, gain support, and achieve results Communicate clearly and candidly; balance talking and listening to foster candid dialogue; and crisply get his / her point across MUMPS/CACHE DEVELOPER This position can be worked REMOTE (telecommute). Analyzes business and technical requirements to design coding solutions using the M programming language that meet the needs of the Program. Codes solutions that conform to the design and adhere to all Program and enterprise level standard operating procedures, programming standards and conventions, database standards, and security requirements. Utilizes the appropriate VA file and programming utilities (e.g. Fileman, Taskman) in solution design and coding. Follows the appropriate software development life-cycle methodology. Tests, debugs, and refines the coding solution throughout the development life cycle to produce the required, defect free, final product. Conducts full unit testing of all code produced and provides support to internal (Stage One) testing as required. Follows established source control and configuration management practices and tools for managing source code and technical documentation. Prepares required documentation, including both program- and user-level documentation, to a level that supports easy transition of services. Stays current on emerging tools, techniques, and technologies related to M programming. Nurse Consultants NATIONAL CONSULTING FIRM IS SEEKING PART-TIME OR FULL-TIME NURSE CONSULTANTS (NURSE-RN or LVN) Excellent Telecommute Opportunity! We are seeking Managed Care nurses for various positions. We offer competitive compensation with project bonus and flexible schedule. Job summary: 1.Identifies, coordinates and implements high quality alternatives to manage medically complex patients. 2.Assist in underwriting process with regards to evaluation of claims experience, future risk, and clients' case and claims management capabilities. 3.Assures appropriate utilization of resources that favorably influences the health plan but does not compromise quality of care. 4.Ensure cost effective case management consultation services. Qualifications: 1.Current RN or LVN license 2.Excellent verbal and written communication skills 3.Ability to set and change priorities quickly and as the situation warrants 4.Able to work independently from home offices 5.Working knowledge of Word and Excel 6.Ability to maintain high volume workload without compromising quality 7.Ability to work as a member of a team, assuming different roles as the situation warrants 8.Minimum two years acute care experienced required. 9.At least one year recent utilization management or case management experience preferred Search Engineer Local Matters is currently searching for a Search Engineer (FAST) to join their team in Denver, CO and/or in a Remote/Telecommute capacity. Local Matters is an Agile development company that builds platforms that power some of the largest local search sites around the world. If you are a smart technologist who is passionate about open source, insists on staying on the leading edge of new technologies, likes to be challenged in a fast-pace environment, and has a background in search, Local Matters may be for you. JOB SCOPE: Are you passionate about search and data retrieval? Do you know what TFIDF stands for? Do you know the pros and cons of stemming vs. lemmatization? How about the differences and tradeoffs with different fuzzy algorithms? If so, and you are up to the challenge of designing and building search solutions that millions of users worldwide depend on daily, Local Matters would love to talk to you. The Local Matters Engineering team is a unique collection of some of the best and brightest engineers in the Denver area. We are constantly experimenting with leading-edge technologies and inventing powerful and elegant code architectures, tools, and techniques. Whether it's developing the core of our local search platform, or building CSS processing engines that enable variables, mixins, and expressions, we are always looking for ways to push the envelope and solve real problems. It's not just about work though; we like to play hard too. Whether it is joining a group for a lunchtime run, playing in a foosball tournament, enjoying our Free Beer Friday, or simply enjoying a LoDo happy hour with some teammates, we are all about making sure Local Matters is a fun and challenging place to work. Requirements JOB REQUIREMENTS: Experience with enterprise search engine (Lucene, SOLR, FAST, Endeca, etc.) is required. Experience with Java in a commercial environment is required. Experience with scripting languages (Python preferred) Strong communication skills Ability to work independently and also contribute to a team Experience working in an Agile environment with short Sprints Dedication to unit testing and code coverage Passionate about quality and getting it right the first time An expert in that special balance of wanting to do it the "right way" with the need to "get it done" 2+ years of experience with the FAST search platform (FDS, ESP) is preferred Good working knowledge of Spring MVC framework is preferred Senior Data Entry Clerk Qualifications: High School Diploma or GED required. 1+ year working with UNET, IDT, EDSS, IDRS, NDB and SALSA preferred. 1+ year experience in an office environment 1+ year data entry preferred. 1+ year PC skills (Word and Excel) preferred. 1+ year Front End Keying experience preferred. Senior Research Analyst (Telecommute) UnitedHealth Group is an innovative leader in the health and well-being industry, serving more than 55 million Americans. Through our family of companies, we contribute outstanding clinical insight with consumer-friendly services and advanced technology to help people achieve optimal health. Position Description : The Senior Research Analyst for Encounter Data Collection will be responsible to manage the encounter data collection effort for the all contractual capitated relationships between the health plan and the medical group to maintain regulatory compliance. This role will act as the liaison between internal/external customers to maintain positive working relationships with all trading partners, key health plan stakeholders, departments and/or divisions within the medical group for a specific geographical location. On behalf of the health plan, the Senior Research Analyst will be accountable to track and trend electronic data interface (EDI) transactions between the medical group and the contracted clearinghouses. This role will coordinate monthly meetings with medical groups and/or provider networks, clearinghouses representatives and the health plan to resolve complex in-depth encounter projects to identify the root cause for potential missing encounter data that may financially impact UnitedHealth Group. The Senior Research Analyst is responsible to accurately communicate the encounter data collection effort to the medical group and/or provider network, other business segments and/or managers and the health plan on a monthly basis through report analysis without exception. Researches, analyzes and resolves intricate encounter data issues in association with EDI transaction errors. Has proficient knowledge of claim operations which may include but not limited to claim processing, CPT and/or ICD-9 coding and utilization management within a MSO/IPA environment. Has working knowledge of 837 transaction sets. The Senior Research Analyst will promote the current and the future industry standards for EDI transactions to key stakeholders as needed. Technical Implementation Lead The Technical Implementation Lead is a dedicated point person specific to all active accounts for ED Pulsecheck implementations. This person will own and be required to either troubleshoot or expedite the resolution of all technical and programmatic issues until the account has been transitioned over to the standard post go-live support model. The ED TL is also the key technical liaison for both internal and client project teams, and must be readily available to the PMO if called upon to resolve technical issues within the scope of an implementation. Overview of Responsibilities: * Provide technical solutions to problems that surface during the lifecycle of an ED Pulsecheck implementation. * Act as single point of contact for process consultants, project managers and training specialists who are in the field in need technical for ED PulseCheck. * Identify the core problem, fix it, or direct it to the appropriate department(s) for resolution. * Juggle multiple client assignments * Act as a dedicated application support resource for major on-site visits. This includes trainings and go-live events. * Work with client and internal interface resources to ensure systems integration goals stay on track and get properly tested. * Work with client IT staff directly to ensure for the proper functioning and installation of third party applications or hardware specific to ED Pulsecheck * Assist in the development of learning materials and best practice documents for PLS specific to technical implementation strategies for future clients. * Additional responsibilities as arise * Travel up to 80% Technical Lead Developer Are you a Technical Lead or Senior C# Software Engineer who wants to lead a team? If so, read on... We are a leader in the entertainment industry, private and profitable! We are a high traffic environment receiving over 1M hits per week on our websites. Our corporate office, based in Los Angeles, CA, is rapidly expanding our technology group. Currently we are looking for an experienced Senior .NET Developer / Architect or Technical Lead who seeks the opportunity to work on new cutting edge technology! What is in it for you? - Cutting edge technology - If you love games, we are a perfect home for you! - Competitive Salaries - Quality Healthcare - Flexible hours - Telecommute What you will be doing: - Full Life Cycle Development - Lead / Mentor a small team of developers - Work with VP, designers and developers to define new features - Produce high quality code - Prototype and develop new products and integrations - Perform peer code review, status reports and daily builds What you need: - C#, ASP.NET, MVC, WCF, .NET 3.5, LINQ, VS 2010 - SQL Development, and Transact-SQL development for SQL Server 2005 / 08. - Information architectural and content management principles - Microsoft platform, including ASP.NET Application / Session/Request life cycles, Garbage Collection, caching, etc. - Understanding of web architecture such as session, cache, cookies - Video experience is a plus! - Passion for games is a huge plus! - Bachelor's degree or Masters degree in Computer Science or equivalent experience Trainer Position Responsibilities: work flow analysis and process redesign, development of site coding guidelines, CDM reviews, education and training, go-live support, communication of coding project status and follow-up A coding product implementation follows the general client implementation standards established by Customer Operations, which may include but not be limited to, the following activities. The CPC: Reviews contract and client information to determine scope of coding/charging needs. Participates in initial client calls explains role, requests and disseminates necessary documents to facilitate the coding implementation process. Administers coding assessment tests to assess level of client coding competency as appropriate. Makes recommendations based on findings. Participates in client site reviews to analyze operational processes, systems, and current coding/charging process and compares client needs with contracted scope of services. Reviews current documentation formats and content to assess for deficiencies. Addresses concerns to project manager to optimize how the product and/or services will best integrate into the client's processes and systems Is able to demonstrate Picis / LYNX software products and address client concerns and questions. Completes client coding guidelines document. Obtains client chargemaster (CDM) and reviews for accuracy and completeness, and/or manages the review by the LYNX chargemaster analyst and approval of the client. Once finalized completes hand-off to the Technical Project Analyst for upload Configures the Picis/LYNX system for optimal coding / charging results. (The CPC will be trained in this as needed.) UI Developer An interactive agency with various large clients in the Boston area is experiencing tremendous success and growing their team as a result! If you are an UI Developer, UX Developer, UI Designer or Interactive Developer with strong HTML and CSS skills as well as experience developing site structure and an interest in working on exciting projects, please read on- What you need- - Bachelor's degree; preferably in Usability or Human Computer Interaction related discipline - 3+ years of experience with gathering requirements for creating user interface design, site structure and site navigation - Strong Information Architecture/Information design skills - Experience creating site layouts using CSS2 and CSS3 - Strong knowledge of HTML, Javascript, Javascript libraries, as well as Flash - Experience building functional prototypes - Experience creating user profiles What you'll be doing- - Developing working prototypes to highlight information architecture - Work with clients to gather requirements - Designing user interfaces, site structure and site navigation - Developing Wireframes, site maps and process flows for site architecture - Collaborate with internal engineering team members What's in it for you- - Opportunity to work on various exciting projects for Fortune 1000 clients - Opportunity to join a rapidly growing and successful company with great growth opportunities Writers & Bloggers Needed Our company is looking for several freelance rockstars who currently write on other sites. If you have your own blog, or you do any writing on high profile sites, we want to talk to you. We pay higher than industry average rates for articles, but we are only looking for above-average writers. If you have made a name for yourself and you are currently writing on other popular sites, let's talk. |
Want More Work at Home Jobs?
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Freelance Jobs
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