20 jobs found in Columbia

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Expert Interviewer Type: Contract Compensation: $50-$60/hour Location: Remote Commitment: 10 hours/week Role Responsibilities Run structured 20-minute interviews with shortlisted experts. Assess technical depth, communication, and AI-evaluation fit using a provided rubric. Confirm each expert's availability, work authorization, and exclusivity. Identify and report any red flags. Tier candidates as advance, hold, or pass. Write concise summaries for the program team. Coordinate scheduling within weekday business hours. Qualifications Must-Have Prior recruiting, interviewing, or technical-vetting experience. Comfort assessing senior engineers. Strong communication and structured judgment. Weekday business-hours availability. Reliable commitment to 10 hours/week, fully Remote. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Expert Interviewer Type: Contract Compensation: $50-$60/hour Location: Remote Commitment: 10 hours/week Role Responsibilities Run structured 20-minute interviews with shortlisted experts. Assess technical depth, communication, and AI-evaluation fit using a provided rubric. Confirm each expert's availability, work authorization, and exclusivity. Identify and report any red flags. Tier candidates as advance, hold, or pass. Write concise summaries for the program team. Coordinate scheduling within weekday business hours. Qualifications Must-Have Prior recruiting, interviewing, or technical-vetting experience. Comfort assessing senior engineers. Strong communication and structured judgment. Weekday business-hours availability. Reliable commitment to 10 hours/week, fully Remote. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Nurse Type: Contract Compensation: $75-$110/hour Location: Remote Role Responsibilities Confirm a medication is safe to administer against the patient's full active med list and administration history. Catch a medication reconciliation gap, a missed IV compatibility issue, or an adverse-reaction pattern requiring timeline tracing. Judge completeness by evaluating if the full clinical picture is accounted for or if the question is scoped too narrowly. Distinguish between issues within nursing scope and those needing escalation to pharmacy or the prescriber. Verify that a correct nursing finding is carried through, ensuring dose is held, the right person is notified, and chart is documented. Qualifications Must-Have Frequent Lexidrug (or Lexicomp) use - weekly or more - in your current or recent role 2+ years of professional nursing experience, inpatient/acute care setting strongly preferred Reflexive use of Interactions and Trissel's at the point of administration RN license in good standing; BSN or higher preferred Strong working knowledge in at least 2-3 specialized areas above, tied to your practice setting Comfort judging whether a correct nursing finding was properly escalated and documented Preferred Prior data annotation, labeling, or AI evaluation experience is a plus Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Nurse Type: Contract Compensation: $75-$110/hour Location: Remote Role Responsibilities Confirm a medication is safe to administer against the patient's full active med list and administration history. Catch a medication reconciliation gap, a missed IV compatibility issue, or an adverse-reaction pattern requiring timeline tracing. Judge completeness by evaluating if the full clinical picture is accounted for or if the question is scoped too narrowly. Distinguish between issues within nursing scope and those needing escalation to pharmacy or the prescriber. Verify that a correct nursing finding is carried through, ensuring dose is held, the right person is notified, and chart is documented. Qualifications Must-Have Frequent Lexidrug (or Lexicomp) use - weekly or more - in your current or recent role 2+ years of professional nursing experience, inpatient/acute care setting strongly preferred Reflexive use of Interactions and Trissel's at the point of administration RN license in good standing; BSN or higher preferred Strong working knowledge in at least 2-3 specialized areas above, tied to your practice setting Comfort judging whether a correct nursing finding was properly escalated and documented Preferred Prior data annotation, labeling, or AI evaluation experience is a plus Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Prior Authorisation Manager Type: Contract Compensation: $105/hour Location: Remote Role Responsibilities Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria. Evaluate AI-generated prior authorisation recommendations and clinical justification drafts for accuracy and appropriateness. Coordinate with clinical staff, physicians, and payers to obtain timely authorisation approvals. Track authorisation status, denials, and appeal outcomes to identify workflow improvement opportunities. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in prior authorisation, utilisation management, or clinical review, with at least 2 years in a management role. Strong clinical background with knowledge of medical necessity criteria (InterQual, MCG, or equivalent). Deep familiarity with commercial, Medicare Advantage, and Medicaid prior authorisation requirements. Experience managing authorisation workflows across multiple specialities and service types. Proficiency with authorisation management systems and EHR platforms (Epic, Cerner, or equivalent). Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs. Preferred Clinical licensure (RN, LPN, or equivalent) or relevant certification (CPUR, CPUM). Experience with appeals and peer-to-peer review processes. Familiarity with CMS prior authorisation rules and the No Surprises Act. Background in physician office, hospital, or health plan prior authorisation operations. Familiarity with AI tools and comfort evaluating AI-generated clinical content. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Prior Authorisation Manager Type: Contract Compensation: $105/hour Location: Remote Role Responsibilities Manage end-to-end prior authorisation workflows for medical and clinical services across multiple payer types. Review clinical documentation to assess medical necessity against InterQual, MCG, or payer-specific criteria. Evaluate AI-generated prior authorisation recommendations and clinical justification drafts for accuracy and appropriateness. Coordinate with clinical staff, physicians, and payers to obtain timely authorisation approvals. Track authorisation status, denials, and appeal outcomes to identify workflow improvement opportunities. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in prior authorisation, utilisation management, or clinical review, with at least 2 years in a management role. Strong clinical background with knowledge of medical necessity criteria (InterQual, MCG, or equivalent). Deep familiarity with commercial, Medicare Advantage, and Medicaid prior authorisation requirements. Experience managing authorisation workflows across multiple specialities and service types. Proficiency with authorisation management systems and EHR platforms (Epic, Cerner, or equivalent). Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated outputs. Preferred Clinical licensure (RN, LPN, or equivalent) or relevant certification (CPUR, CPUM). Experience with appeals and peer-to-peer review processes. Familiarity with CMS prior authorisation rules and the No Surprises Act. Background in physician office, hospital, or health plan prior authorisation operations. Familiarity with AI tools and comfort evaluating AI-generated clinical content. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. Experience managing physician advisor programs and peer-to-peer review processes with payers. Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. Preferred CPUR, ACM, or CCM credential. MD or DO with UM/physician advisor experience preferred for physician advisor roles. Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). Familiarity with AI tools and comfort evaluating AI-generated clinical review content. Background in health system, ACO, or value-based care organisation UM programs. Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob DescriptionJob Description This position will support development of new and existing capabilities. 10+ years of experience must be in software development or an extremely related discipline. Requires 3 years of cybersecurity/CNO-specific development. Their degree must be in ComputerScience or Computer Engineering (or something extremely similar) , Required Skills - 5+ years of experience with C development and reverse engineering (CS2) or 10+ years of experience with C development and reverse engineering (CS3) - Experience with CNO Development on Network Devices Candidates should have one of more of the following: - In-depth understanding of network protocols - Experience with network device appliances (routers, switches, firewalls) - Experience working in a Real Time Operating System environment , Additional Details Company Overview: Vetegrity is an employee-focused small business, founded in 2008. We are passionate about supporting the missions of the Intelligence Community and the Department of Defense. As a Service-Disabled, Veteran-Owned Small Business, we pride ourselves on our commitment to excellence and integrity in everything we do. We offer competitive compensation and benefits to include: - Medical/Dental/Vision - 20 Days of Paid Time Off (PTO) + Federal Holidays - 401k with Employer Match - Profit Sharing - Tuition Reimbursement - Flex Spending Account - Life Insurance, Long Short-Term Disability - Pet Adoption Reimbursement - Annual Physical Fitness/Wellness Allowance - Supplemental Insurance - Employee Referral Program - Performance Incentives - On-The-Spot Rewards Other company-sponsored perks include after-hours events, logo apparel, holiday parties, and more! Vetegrity provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. , About Vetegrity We're always on the lookout for mission-driven individuals who want to work with purpose, grow with grit, and thrive as part of a team that values integrity above all else. Whether you're a seasoned professional or just launching your career, Vetegrity offers opportunities to contribute to meaningful work and be part of a company that listens, supports, and invests in its people. Browse our open roles below and find the one that fits your journey.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. Evaluate AI-generated medical necessity determinations and clinical review outputs for accuracy and clinical appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission and level-of-care determinations. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. Experience managing physician advisor programs and peer-to-peer review processes with payers. Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. Preferred CPUR, ACM, or CCM credential. MD or DO with UM/physician advisor experience preferred for physician advisor roles. Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). Familiarity with AI tools and comfort evaluating AI-generated clinical review content. Background in health system, ACO, or value-based care organisation UM programs. Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. Experience managing physician advisor programs and peer-to-peer review processes with payers. Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. Preferred CPUR (Certified Professional in Utilisation Review), ACM (Accredited Case Manager), or CCM (Certified Case Manager) credential. MD or DO with UM/physician advisor experience preferred for physician advisor roles. Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). Familiarity with AI tools and comfort evaluating AI-generated clinical review content. Background in health system, ACO, or value-based care organisation UM programs. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Utilisation Management / Case Management leader (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness. Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations. Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. Annotate AI outputs and provide structured clinical feedback to support AI training datasets. Qualifications Must-Have 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. Experience managing physician advisor programs and peer-to-peer review processes with payers. Exceptional written and verbal English communication skills. High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. Preferred CPUR (Certified Professional in Utilisation Review), ACM (Accredited Case Manager), or CCM (Certified Case Manager) credential. MD or DO with UM/physician advisor experience preferred for physician advisor roles. Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). Familiarity with AI tools and comfort evaluating AI-generated clinical review content. Background in health system, ACO, or value-based care organisation UM programs. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description Full-time - 37.5 hours per week 100% Remote position - Candidate must reside within a 2-hour radius of the Harrisburg region. Our direct client has an opening for an Business Analyst (807201) This contract is up to 10 months, and the client is in Harrisburg,PA WE CAN WORK CORP TO CORP OR W2. If you are interested, please submit the following YOUR CURRENT RESUME YOUR HOURLY RATE Experience with requirements gathering Required 2 Years Experience supporting software in a Production Environment and handling customer reported issues Required 2 Years Experience developing Business Requirements documentation Required 2 Years Experience conducting full system testing with overall functionality Required 2 Years Prior Commonwealth experience Highly desired Experience in working on a Scrum Team or Agile environment Highly desired

Job DescriptionJob Description Full-time - 37.5 hours per week 100% Remote position - Candidate must reside within a 2-hour radius of the Harrisburg region. Our direct client has an opening for an Business Analyst (807201) This contract is up to 10 months, and the client is in Harrisburg,PA WE CAN WORK CORP TO CORP OR W2. If you are interested, please submit the following YOUR CURRENT RESUME YOUR HOURLY RATE Experience with requirements gathering Required 2 Years Experience supporting software in a Production Environment and handling customer reported issues Required 2 Years Experience developing Business Requirements documentation Required 2 Years Experience conducting full system testing with overall functionality Required 2 Years Prior Commonwealth experience Highly desired Experience in working on a Scrum Team or Agile environment Highly desired

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Insurance Verification & Benefit Manager Type: Contract Compensation: $105/hour Location: Remote Role Responsibilities Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers. Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions. Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery. Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance. Develop and document SOPs for eligibility and benefits verification workflows. Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times. Ensure compliance with payer-specific requirements, CMS guidelines, and HIPAA regulations. Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials. Provide structured feedback and annotations to support AI training datasets. Qualifications Must-Have 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role. Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools. Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures. Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms. Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar. Exceptional written and verbal English communication skills. High attention to detail with the ability to identify subtle discrepancies in coverage data. Preferred CHAM, CHAA, or equivalent front-end revenue cycle certification. Experience with automated eligibility verification tools and RPA solutions. Background in denial root cause analysis related to eligibility and coverage errors. Familiarity with AI tools and comfort evaluating AI-generated healthcare content. Experience presenting eligibility performance data to senior leadership. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey. Position: Insurance Verification & Benefit Manager Type: Contract Compensation: $105/hour Location: Remote Role Responsibilities Oversee insurance verification, eligibility determination, and benefits investigation workflows across commercial, Medicare, Medicaid, and managed care payers. Verify patient insurance coverage using payer portals, clearinghouses, and EDI 270/271 real-time eligibility transactions. Identify and resolve coordination of benefits issues, coverage gaps, and eligibility discrepancies prior to service delivery. Evaluate and annotate AI-generated eligibility verification outputs for accuracy, completeness, and payer compliance. Develop and document SOPs for eligibility and benefits verification workflows. Monitor KPIs including verification accuracy rates, front-end denial rates related to eligibility, and turnaround times. Ensure compliance with payer-specific requirements, CMS guidelines, and HIPAA regulations. Identify process gaps and recommend workflow improvements to reduce eligibility-related claim denials. Provide structured feedback and annotations to support AI training datasets. Qualifications Must-Have 5+ years of experience in insurance verification, eligibility and benefits management, or front-end revenue cycle operations, with at least 2 years in a management role. Expert knowledge of EDI 270/271 transactions, payer portal navigation, and real-time eligibility tools. Strong familiarity with Medicare, Medicaid, and commercial payer eligibility requirements and benefit structures. Proficiency with Epic, Cerner, Meditech, or equivalent EHR platforms. Experience with clearinghouse platforms such as Availity, Change Healthcare, or similar. Exceptional written and verbal English communication skills. High attention to detail with the ability to identify subtle discrepancies in coverage data. Preferred CHAM, CHAA, or equivalent front-end revenue cycle certification. Experience with automated eligibility verification tools and RPA solutions. Background in denial root cause analysis related to eligibility and coverage errors. Familiarity with AI tools and comfort evaluating AI-generated healthcare content. Experience presenting eligibility performance data to senior leadership. Application Process (Takes 20-30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Job DescriptionJob Description Remain a critical part of the legal industry while putting your legal skills to work. We are seeking a tech-savvy individual looking for a career within the legal system to join our team as a Digital Reporter. In this role, you will use high-quality digital audio equipment to capture the verbatim record of a deposition or other legal proceeding. This is a high-demand career that offers flexible schedules, ongoing support & mentorship, & high earning potential. ENTRY-LEVEL - No Experience Required. We provide you with all the support you need to be successful. Digital Reporters (DR)'s are not shorthand reporters or stenographers, and no stenographic tools or training is required. Responsibilities: Managing the proceedings as an independent arbiter of the record Swearing in witnesses and acting as Notary of the State Generating a clear and complete recording of the proceeding using high-fidelity audio technology Creating accurate and detailed annotations of case events and terminology to serve as a guide for subsequent transcription. Requirements: Obtain your own digital audio equipment Obtain state notary Complete quality development program Through every step, we're there to support applicants through the entrance assessment and suggest outside digital reporting courses and certification. We'll also connect you with peers and experts to compare digital reporting equipment and share tips about software use. We Offer: Career in high demand - access to the widest pool of work in the industry - you'll have opportunities for hybrid assignments across the US & Canada. Superior Engagement & Support - online community supports our reporters and encourages them to make the most of their contract and earning potential FLEXIBLE WORK SCHEDULE - One of the excellent benefits of working as a Digital Reporter is choosing assignments that match your schedule. You set your own hours GREAT HOURLY WAGE Digital reporting with Veritext Legal Solutions is an excellent new opportunity for you and we'll help make it happen. Start your bright new career in a stable field that has huge growth opportunities. Apply Today! Company Description As a qualified digital reporter and independent contractor, you are automatically eligible to accept a variety of assignments of your choosing. Litigation continues to increase nationwide, Veritext is investing in developing the workforce necessary to support the rapidly growing demand for deposition officer - and we'll support you every step of the quick & easy process to becoming eligible to do the job. Company DescriptionAs a qualified digital reporter and independent contractor, you are automatically eligible to accept a variety of assignments of your choosing. Litigation continues to increase nationwide, Veritext is investing in developing the workforce necessary to support the rapidly growing demand for deposition officer - and we'll support you every step of the quick & easy process to becoming eligible to do the job.

Job DescriptionJob Description Remain a critical part of the legal industry while putting your legal skills to work. We are seeking a tech-savvy individual looking for a career within the legal system to join our team as a Digital Reporter. In this role, you will use high-quality digital audio equipment to capture the verbatim record of a deposition or other legal proceeding. This is a high-demand career that offers flexible schedules, ongoing support & mentorship, & high earning potential. ENTRY-LEVEL - No Experience Required. We provide you with all the support you need to be successful. Digital Reporters (DR)'s are not shorthand reporters or stenographers, and no stenographic tools or training is required. Responsibilities: Managing the proceedings as an independent arbiter of the record Swearing in witnesses and acting as Notary of the State Generating a clear and complete recording of the proceeding using high-fidelity audio technology Creating accurate and detailed annotations of case events and terminology to serve as a guide for subsequent transcription. Requirements: Obtain your own digital audio equipment Obtain state notary Complete quality development program Through every step, we're there to support applicants through the entrance assessment and suggest outside digital reporting courses and certification. We'll also connect you with peers and experts to compare digital reporting equipment and share tips about software use. We Offer: Career in high demand - access to the widest pool of work in the industry - you'll have opportunities for hybrid assignments across the US & Canada. Superior Engagement & Support - online community supports our reporters and encourages them to make the most of their contract and earning potential FLEXIBLE WORK SCHEDULE - One of the excellent benefits of working as a Digital Reporter is choosing assignments that match your schedule. You set your own hours GREAT HOURLY WAGE Digital reporting with Veritext Legal Solutions is an excellent new opportunity for you and we'll help make it happen. Start your bright new career in a stable field that has huge growth opportunities. Apply Today! Company Description As a qualified digital reporter and independent contractor, you are automatically eligible to accept a variety of assignments of your choosing. Litigation continues to increase nationwide, Veritext is investing in developing the workforce necessary to support the rapidly growing demand for deposition officer - and we'll support you every step of the quick & easy process to becoming eligible to do the job. Company DescriptionAs a qualified digital reporter and independent contractor, you are automatically eligible to accept a variety of assignments of your choosing. Litigation continues to increase nationwide, Veritext is investing in developing the workforce necessary to support the rapidly growing demand for deposition officer - and we'll support you every step of the quick & easy process to becoming eligible to do the job.

Job DescriptionJob DescriptionAbout SecureITSM SecureITSM is a Certified CMMC Managed Service Provider (MSP) supporting Department of Defense (DoD) contractors that must obtain and maintain Cybersecurity Maturity Model Certification (CMMC). SecureITSM is a CMMC Certified Organization (CMMC UID ) and has developed a proprietary CMMC documentation and compliance platform designed to streamline assessment preparation, evidence management, and ongoing compliance operations. We are seeking a highly organized and technically skilled CMMC Assessment Lead to oversee the planning, preparation, coordination, and support of customer CMMC assessments conducted by authorized C3PAOs. This role is critical to ensuring our customers successfully achieve and maintain compliance with NIST SP 800-171 Rev. 2 and future Rev. 3 requirements. The ideal candidate combines deep cybersecurity and compliance expertise with exceptional project management, customer communication, and assessment defense capabilities. Location and Travel: This is a remote position with occasional travel required to support customer assessments. Position Summary The CMMC Assessment Manager will oversee customer assessment readiness activities from initial scheduling through final assessment support and remediation coordination. The role requires direct interaction with customers, assessors, internal engineering teams, and executive leadership. This individual will manage multiple concurrent customer engagements while ensuring assessment artifacts, implementation statements, policies, procedures, and evidentiary documentation are accurate, complete, and defensible. Key Responsibilities Plan and Coordinate Assessments (Primary) Maintain the master CMMC customer assessment schedule Coordinate assessment timelines with customers, C3PAOs, and internal SecureITSM teams Conduct readiness reviews and pre-assessment planning meetings Track customer assessment milestones, dependencies, and remediation activities Manage customer communications related to assessment preparation and scheduling Coordinate Rules of Engagement (ROE), assessment logistics, and secure evidence transfer processes Monitor assessment status and provide executive-level reporting on customer readiness Assist customers in understanding assessment scope, boundary definitions, and enclave considerations Prepare Assessment Packages (Primary) Update implementation statements as needed Gather and organize evidentiary artifacts Coordinate customer evidence collection activities Review SSPs, policies, procedures, and supporting documentation for assessment readiness Validate evidence traceability to NIST SP 800-171 requirements and assessment objectives Prepare assessor-ready evidence packages and artifact repositories Conduct internal quality assurance reviews of documentation and evidence Identify documentation gaps and coordinate remediation activities Support development and maintenance of Plans of Action & Milestones (POA&Ms) Ensure documentation aligns with evolving CMMC and NIST guidance Support Customer Assessments (Primary) Attend and actively support customer assessments Actively defend implementations and evidence presented to assessors Coordinate assessment interviews and technical demonstrations Support mock assessments and readiness exercises for customers Assist customers in responding to assessor requests and follow-up questions Document assessment observations, findings, and remediation actions Coordinate post-assessment remediation activities and evidence resubmissions when required Serve as a trusted advisor throughout the certification lifecycle Maintain SecureITSM's Authorization and Compliance (Secondary) Conduct SecureITSM's annual self-assessment activities Maintain internal compliance documentation and evidentiary artifacts Coordinate annual evidence collection activities (e.g., training certificates, access reviews, vulnerability scans) Assist with internal policy and procedure updates Support ongoing continuous monitoring and compliance validation activities Track changes to CMMC, NIST SP 800-171, and related DoD guidance affecting internal compliance posture Implementation Statement Management (Secondary) Maintain and update SecureITSM master implementation statement libraries aligned to NIST SP 800-171 and evolving CMMC guidance Develop and maintain industry-specific implementation statement sets (e.g., manufacturing, engineering, professional services, telework-only environments) Standardize implementation language and evidence expectations across customer environments Coordinate updates to implementation statements based on assessment findings, regulatory changes, and best practices Validate implementation statements for technical accuracy, completeness, and assessor defensibility Support continuous improvement of SecureITSM's proprietary documentation platform and implementation content library Maintain and Improve Standard Operating Procedures (Secondary) Develop and maintain assessment preparation Standard Operating Procedures (SOPs) Continuously improve evidence collection and assessment support workflows Create standardized templates, checklists, and assessment playbooks Document lessons learned and incorporate process improvements Maintain internal knowledge base articles and operational documentation Assist in refining SecureITSM's proprietary CMMC documentation platform workflows and processes Required Qualifications U.S. Citizenship required Detailed understanding of Microsoft Azure, Microsoft Defender, Microsoft Sentinel, Microsoft 365 GCC/GCC High, and related Microsoft security technologies 6+ years of cybersecurity experience with strong focus on NIST SP 800-53 and/or NIST SP 800-171 Experience supporting compliance assessments, audits, or certification activities Strong understanding of CMMC assessment methodology and evidence requirements Excellent technical writing and communication skills Strong project management and organizational abilities Exceptional attention to detail Ability to manage multiple customer engagements simultaneously Experience working directly with external assessors, auditors, or regulatory bodies Familiarity with secure project management and compliance collaboration platforms Preferred Qualifications PMP certification preferred CMMC Certified Professional (CCP) or Certified Assessor (CCA) preferred CISSP, CISM, or equivalent cybersecurity certification preferred Experience supporting DoD contractors or working within the Defense Industrial Base (DIB) Familiarity with FedRAMP and DFARS Experience with SIEM, vulnerability management, and endpoint protection technologies Key Attributes Strong leadership and customer engagement skills Ability to remain composed and professional during high-pressure assessment activities Analytical thinker with strong problem-solving capabilities Self-motivated with ability to work independently Collaborative team player with strong interpersonal skills High level of integrity and professionalism All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, status as a protected veteran or any other basis prohibited by law. Powered by JazzHR 0mriC7k8Mc Company Description Paragone Solutions, Inc. is a boutique provider of services to the Department of Defense. We are process-oriented (i.e. ISO 9001 certified) services company that provides cybersecurity, IT training, and industrial health/occupational safety support services. Founded in 2008, we are a certified woman-owned small business and a SBA certified 8(a) firm. Paragone offers competitive salaries and a relaxed, life-friendly work environment. Company DescriptionParagone Solutions, Inc. is a boutique provider of services to the Department of Defense. We are process-oriented (i.e. ISO 9001 certified) services company that provides cybersecurity, IT training, and industrial health/occupational safety support services. Founded in 2008, we are a certified woman-owned small business and a SBA certified 8(a) firm. Paragone offers competitive salaries and a relaxed, life-friendly work environment.

Job DescriptionJob DescriptionAbout SecureITSM SecureITSM is a Certified CMMC Managed Service Provider (MSP) supporting Department of Defense (DoD) contractors that must obtain and maintain Cybersecurity Maturity Model Certification (CMMC). SecureITSM is a CMMC Certified Organization (CMMC UID ) and has developed a proprietary CMMC documentation and compliance platform designed to streamline assessment preparation, evidence management, and ongoing compliance operations. We are seeking a highly organized and technically skilled CMMC Assessment Lead to oversee the planning, preparation, coordination, and support of customer CMMC assessments conducted by authorized C3PAOs. This role is critical to ensuring our customers successfully achieve and maintain compliance with NIST SP 800-171 Rev. 2 and future Rev. 3 requirements. The ideal candidate combines deep cybersecurity and compliance expertise with exceptional project management, customer communication, and assessment defense capabilities. Location and Travel: This is a remote position with occasional travel required to support customer assessments. Position Summary The CMMC Assessment Manager will oversee customer assessment readiness activities from initial scheduling through final assessment support and remediation coordination. The role requires direct interaction with customers, assessors, internal engineering teams, and executive leadership. This individual will manage multiple concurrent customer engagements while ensuring assessment artifacts, implementation statements, policies, procedures, and evidentiary documentation are accurate, complete, and defensible. Key Responsibilities Plan and Coordinate Assessments (Primary) Maintain the master CMMC customer assessment schedule Coordinate assessment timelines with customers, C3PAOs, and internal SecureITSM teams Conduct readiness reviews and pre-assessment planning meetings Track customer assessment milestones, dependencies, and remediation activities Manage customer communications related to assessment preparation and scheduling Coordinate Rules of Engagement (ROE), assessment logistics, and secure evidence transfer processes Monitor assessment status and provide executive-level reporting on customer readiness Assist customers in understanding assessment scope, boundary definitions, and enclave considerations Prepare Assessment Packages (Primary) Update implementation statements as needed Gather and organize evidentiary artifacts Coordinate customer evidence collection activities Review SSPs, policies, procedures, and supporting documentation for assessment readiness Validate evidence traceability to NIST SP 800-171 requirements and assessment objectives Prepare assessor-ready evidence packages and artifact repositories Conduct internal quality assurance reviews of documentation and evidence Identify documentation gaps and coordinate remediation activities Support development and maintenance of Plans of Action & Milestones (POA&Ms) Ensure documentation aligns with evolving CMMC and NIST guidance Support Customer Assessments (Primary) Attend and actively support customer assessments Actively defend implementations and evidence presented to assessors Coordinate assessment interviews and technical demonstrations Support mock assessments and readiness exercises for customers Assist customers in responding to assessor requests and follow-up questions Document assessment observations, findings, and remediation actions Coordinate post-assessment remediation activities and evidence resubmissions when required Serve as a trusted advisor throughout the certification lifecycle Maintain SecureITSM's Authorization and Compliance (Secondary) Conduct SecureITSM's annual self-assessment activities Maintain internal compliance documentation and evidentiary artifacts Coordinate annual evidence collection activities (e.g., training certificates, access reviews, vulnerability scans) Assist with internal policy and procedure updates Support ongoing continuous monitoring and compliance validation activities Track changes to CMMC, NIST SP 800-171, and related DoD guidance affecting internal compliance posture Implementation Statement Management (Secondary) Maintain and update SecureITSM master implementation statement libraries aligned to NIST SP 800-171 and evolving CMMC guidance Develop and maintain industry-specific implementation statement sets (e.g., manufacturing, engineering, professional services, telework-only environments) Standardize implementation language and evidence expectations across customer environments Coordinate updates to implementation statements based on assessment findings, regulatory changes, and best practices Validate implementation statements for technical accuracy, completeness, and assessor defensibility Support continuous improvement of SecureITSM's proprietary documentation platform and implementation content library Maintain and Improve Standard Operating Procedures (Secondary) Develop and maintain assessment preparation Standard Operating Procedures (SOPs) Continuously improve evidence collection and assessment support workflows Create standardized templates, checklists, and assessment playbooks Document lessons learned and incorporate process improvements Maintain internal knowledge base articles and operational documentation Assist in refining SecureITSM's proprietary CMMC documentation platform workflows and processes Required Qualifications U.S. Citizenship required Detailed understanding of Microsoft Azure, Microsoft Defender, Microsoft Sentinel, Microsoft 365 GCC/GCC High, and related Microsoft security technologies 6+ years of cybersecurity experience with strong focus on NIST SP 800-53 and/or NIST SP 800-171 Experience supporting compliance assessments, audits, or certification activities Strong understanding of CMMC assessment methodology and evidence requirements Excellent technical writing and communication skills Strong project management and organizational abilities Exceptional attention to detail Ability to manage multiple customer engagements simultaneously Experience working directly with external assessors, auditors, or regulatory bodies Familiarity with secure project management and compliance collaboration platforms Preferred Qualifications PMP certification preferred CMMC Certified Professional (CCP) or Certified Assessor (CCA) preferred CISSP, CISM, or equivalent cybersecurity certification preferred Experience supporting DoD contractors or working within the Defense Industrial Base (DIB) Familiarity with FedRAMP and DFARS Experience with SIEM, vulnerability management, and endpoint protection technologies Key Attributes Strong leadership and customer engagement skills Ability to remain composed and professional during high-pressure assessment activities Analytical thinker with strong problem-solving capabilities Self-motivated with ability to work independently Collaborative team player with strong interpersonal skills High level of integrity and professionalism All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, status as a protected veteran or any other basis prohibited by law. Powered by JazzHR 0mriC7k8Mc Company Description Paragone Solutions, Inc. is a boutique provider of services to the Department of Defense. We are process-oriented (i.e. ISO 9001 certified) services company that provides cybersecurity, IT training, and industrial health/occupational safety support services. Founded in 2008, we are a certified woman-owned small business and a SBA certified 8(a) firm. Paragone offers competitive salaries and a relaxed, life-friendly work environment. Company DescriptionParagone Solutions, Inc. is a boutique provider of services to the Department of Defense. We are process-oriented (i.e. ISO 9001 certified) services company that provides cybersecurity, IT training, and industrial health/occupational safety support services. Founded in 2008, we are a certified woman-owned small business and a SBA certified 8(a) firm. Paragone offers competitive salaries and a relaxed, life-friendly work environment.

Job Description You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role is a Sr. BTA position focused on translating Medicare Advantage and Medicaid Risk Adjustment business requirements into production-ready technical solutions, including Encounter RA Prioritization and Encounter RA Chart Process support. The ideal candidate brings advanced SAS, SQL, Snowflake, healthcare data integration, data quality, regulatory compliance, and reusable documentation experience. Partners with business analysts, Risk Adjustment stakeholders, IT, and vendor teams to understand provided Medicare Advantage and Medicaid business requirements, translate them into technical specifications, and support process improvements through SAS solutions and future Snowflake capabilities. Analyzes provided requirements, procedures, and data needs to automate processing, improve existing business systems, and support production-ready SAS code for Encounter Risk Adjustment Prioritization and Encounter Risk Adjustment Chart Process workflows, with future Snowflake migration support. Creates multi-user, real-time, robust database solutions by integrating complex healthcare datasets, including claims, enrollment, provider, pharmacy, clinical records, and vendor chart data. Acts as a technical subject matter expert to convert provided business requirements into system analysis, technical design, advanced SAS/SQL programming, Snowflake modernization, and documentation of business applications/systems. Modernizes legacy SAS ETL workflows into scalable Snowflake architecture using Snowflake SQL, Snowpark Python, and automated pipeline orchestration concepts such as Tasks and Streams Implements validation, reconciliation, and data quality frameworks to support CMS audit standards, state Medicaid requirements, and compliant Risk Adjustment encounter submissions. Builds reusable SAS, SQL, and Snowflake data assets, modular code libraries, and technical documentation to reduce development time and support knowledge transfer across data and actuarial teams. Develops ad-hoc reports to conduct data analysis and validation. Confers with area/department to analyze current operational procedures and trends and identify problems. Conducts business analysis and recommends technical alternative solutions to management as to course of action that best meets the organization's goals. Research, evaluate and assess the financial impact of issues identified in data/processes. Analyzes requirements, procedures, and problems to automate processing or to improve existing business systems. Creates multiuser, real-time, robust database solutions. Acts as subject matter expert to provide business and technical expertise in requirements solicitation, system analysis, technical design, programming and documentation of business applications/systems. May be responsible for monitoring and reporting to management on the status of departmental projects: Anticipates and identifies issues that could inhibit achieving the project goals and objectives, and implementing corrective actions and mitigation strategies. Provides oversight and resolves complex issues, optimizing performance, resolving problems, and providing timely follow-up on identified issues. Provides guidance and training to staff on process, procedures and issue resolution. Complies with all policies and standards Education/Experience: Requires a Bachelor's Degree in a related field: Required or equivalent work experience in technical data analysis, conducting system analysis meetings, developing system design documents, developing project plans with achievable milestones and deadlines, and mediating different department demands to gain approvals on system scope and design. Preferred Experience: Master's degree in a related field, i.e., Mathematics, Computer Science, etc may be considered in lieu of some of the required experience (not to exceed 2 years) 1+ year of experience in Healthcare 4+ years of experience in relevant programming to include SAS, SQL, Snowflake Experience with Medicare Advantage, Medicaid, Risk Adjustment, encounter submissions, claims, enrollment, provider, pharmacy, clinical, and vendor chart data. Experience modernizing SAS ETL workflows into Snowflake using Snowflake SQL, Snowpark Python, and automated pipeline orchestration 3+ years of experience in related business analysis 1+ year of experience in ASP/ASP.NET Licenses and Certifications : A license in one of the following is preferred: Preferred SAS Certified Professional or SAS Certification. Preferred SnowPro Certification. Pay Range: $87,700.00 - $157,800.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act