Proficiency in using multiple screens and software programs simultaneously. If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!
Proficiency in using multiple screens and software programs simultaneously. If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Quick apply
Senior Software Engineer
Portland, OR ยท Remote
$97K - $163K/yr
This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop and maintain complex ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...
Software Engineer
OR ยท On-site +1
This is a remote-friendly position, where Alteryx has a business entity. Responsibilities: * Assist ... medical, retirement, financial, wellness, time off, employee discounts, and others. Interested?
Software Engineer
OR ยท On-site +1
This is a remote-friendly position, where Alteryx has a business entity. Responsibilities: * Assist ... medical, retirement, financial, wellness, time off, employee discounts, and others. Interested?
RCM Billing Account Manager - Remote
OR ยท Remote
$28 - $30/hr
The ideal candidate should have at least five years of medical billing experience and must have ... Create proactive processes and software setup to streamline the billing process * Create a positive ...
RCM Billing Account Manager - Remote
OR ยท Remote
$28 - $30/hr
The ideal candidate should have at least five years of medical billing experience and must have ... Create proactive processes and software setup to streamline the billing process * Create a positive ...
RCM Billing Account Manager - Remote
OR ยท Remote
$28 - $30/hr
The ideal candidate should have at least five years of medical billing experience and must have ... Create proactive processes and software setup to streamline the billing process * Create a positive ...
Quick apply
RCM Billing Account Manager - Remote
OR ยท Remote
$28 - $30/hr
The ideal candidate should have at least five years of medical billing experience and must have ... Create proactive processes and software setup to streamline the billing process * Create a positive ...
Software Quality Engineer (V&V)
OR ยท On-site +1
Our software platforms support clinical trials, diagnostics, and medical decision-making in highly ... Flexible/remote work options What You'll Be Doing * Review software specifications and validation ...
Software Quality Engineer (V&V)
OR ยท On-site +1
Our software platforms support clinical trials, diagnostics, and medical decision-making in highly ... Flexible/remote work options What You'll Be Doing * Review software specifications and validation ...
Software Engineer, Product Security
Portland, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Portland, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Eugene, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Eugene, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Salem, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Salem, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Gresham, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Software Engineer, Product Security
Gresham, OR ยท On-site +1
$103K - $165K/yr
Learn more at Remote work options may be considered on a case-by-case basis and if approved by the ... medical field. You will be responsible for : * Designing, implementing, and testing software ...
Sr Staff Software Engineer
OR ยท Remote
$153K - $229K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Sr Staff Software Engineer
OR ยท Remote
$153K - $229K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Several comprehensive medical, dental, and vision benefit offerings to choose from, along with HSA ... Fully Remote: Enjoy the flexibility of working remotely while delivering exceptional results for ...
Several comprehensive medical, dental, and vision benefit offerings to choose from, along with HSA ... Fully Remote: Enjoy the flexibility of working remotely while delivering exceptional results for ...
Staff Software Engineer
OR ยท Remote
$135K - $203K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Staff Software Engineer
OR ยท Remote
$135K - $203K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Sr. Software Engineer - FOS
OR ยท On-site +1
$140K - $175K/yr
We offer a full benefit package including medical, dental and vision coverage and flexible spending ... We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk ...
Sr. Software Engineer - FOS
OR ยท On-site +1
$140K - $175K/yr
We offer a full benefit package including medical, dental and vision coverage and flexible spending ... We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk ...
Sr Software Engineer
OR ยท Remote
$127K - $191K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Sr Software Engineer
OR ยท Remote
$127K - $191K/yr
As a remote-first company, most of our positions can be remote in the US, except for key roles ... family medical history or genetic information, family or parental status, or any other status ...
Senior SDET
OR ยท Remote
$86K - $173K/yr
Complete software testing activities for user stories within the Agile SDLC by writing automated ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Senior SDET
OR ยท Remote
$86K - $173K/yr
Complete software testing activities for user stories within the Agile SDLC by writing automated ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Senior SDET
OR ยท Remote
$86K - $173K/yr
Complete software testing activities for user stories within the Agile SDLC by writing automated ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Senior SDET
OR ยท Remote
$86K - $173K/yr
Complete software testing activities for user stories within the Agile SDLC by writing automated ... Remote ADDITIONAL LOCATIONS: WORK SHIFT: Standard TRAVEL: Yes, 10 % of the Time MEDICAL ...
Lead Software Engineer BaaS Team
Salem, OR ยท Remote
$65 - $75/hr
Remote Reference ID: JN -052026-106955 Date Posted: 05/12/2026 Shortcut: * Description ... For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision ...
Lead Software Engineer BaaS Team
Salem, OR ยท Remote
$65 - $75/hr
Remote Reference ID: JN -052026-106955 Date Posted: 05/12/2026 Shortcut: * Description ... For our w2 consultants, we offer a great benefits package that includes Medical, Dental, and Vision ...
Medical Software Remote information
What is a medical software remote job?
What is the difference between Medical Software Remote vs Medical Software Developer?
| Aspect | Medical Software Remote | Medical Software Developer |
|---|---|---|
| Required Credentials | Relevant certifications (e.g., Certified Professional in Healthcare Quality), technical skills | Programming certifications, computer science degree |
| Work Environment | Remote, healthcare or tech companies | Office or remote, tech or healthcare companies |
| Employer & Industry Usage | Healthcare providers, software firms | Tech firms, healthcare software companies |
| Common Search & Comparison | Yes | Yes |
Medical Software Remote professionals focus on implementing and supporting healthcare software remotely, often requiring healthcare knowledge and technical skills. Medical Software Developers primarily write, test, and maintain healthcare software code, often working in tech environments. Both roles overlap in industry and credentials but differ in daily tasks and work settings.
What are common challenges faced by professionals working remotely in medical software roles?
What are the key skills and qualifications needed to thrive as a Medical Software Remote professional, and why are they important?
Other
Posted 22 days ago
Job description
Job Type: Full-time (40 hours/week)
Schedule: Monday-Friday, 8:00 AM - 5:00 PM
Max Salary: W-2 ($60,000-$63,000)
Location: Remote (U.S. - Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.
We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.
Key Responsibilities- Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
- Assess payment determinations using clinical information and established guidelines.
- Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
- Provide clear, well-documented rationales for service approvals or denials.
- Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
- Support quality control activities to meet corporate and team objectives.
- Provide guidance to LPN team members and support non-clinical staff through training and discussions.
- Assist with special projects and additional responsibilities as assigned.
- Active, unrestricted RN license in the U.S. and in the state of hire
OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact).
- Associate Degree in Nursing
OR - Graduate of an accredited School of Nursing.
- Two years of clinical experience plus at least two years in one of the following:
- Home Health
- Utilization/Medical Review
- Quality Assurance
- Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
- Ability to interpret and apply medical review criteria and clinical guidelines.
- Proficiency in Microsoft Office and word processing software.
- Strong analytical, organizational, and decision-making skills.
- Ability to work independently while managing priorities effectively.
- Excellent customer service, communication, and critical thinking skills.
- Ability to handle confidential information with discretion.
- Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
- Proficiency in using multiple screens and software programs simultaneously.
If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!
About BROADWAY VENTURES
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
Canton, MS, US
Year founded
2013