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Remote Healthcare Strategy Jobs in Ohio (NOW HIRING)

CareSource

AI Developer (HealthCare Experience)

Dayton, OH · On-site +1

$94K - $164K/yr

Domain: Healthcare, Facets, GuidingCare, etc Note: Domain skills are nice to have and not mandatory ... Assess technical risks and develop effective mitigation strategies to ensure successful project ...

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Remote Healthcare Strategy information

What is remote healthcare strategy?

Remote healthcare strategy refers to the planning and implementation of healthcare services that are delivered virtually, such as through telemedicine, remote patient monitoring, and digital health platforms. Professionals in this field develop solutions to improve access, efficiency, and quality of care for patients who are not physically present at healthcare facilities. This role often involves analyzing data, designing patient engagement programs, and working with technology to streamline healthcare delivery. The goal is to make healthcare more accessible and effective for patients regardless of their location.

What are the key skills and qualifications needed to thrive in remote healthcare strategy, and why are they important?

To thrive in Remote Healthcare Strategy, you need expertise in healthcare management, data analysis, and strategy development, often backed by a degree in healthcare administration or a related field. Familiarity with healthcare analytics platforms, telemedicine systems, and regulatory compliance tools is typically required. Strong communication, problem-solving, and leadership skills help you collaborate across remote teams and drive impactful change. These abilities are essential for designing effective remote healthcare solutions that improve patient outcomes and organizational efficiency.

What are some common challenges faced by professionals in remote healthcare strategy roles, and how can they be addressed?

Professionals in Remote Healthcare Strategy often encounter challenges such as coordinating across time zones, ensuring regulatory compliance in different regions, and maintaining effective communication with dispersed teams. Success in this role requires strong digital collaboration skills, adaptability to diverse healthcare regulations, and proactive engagement with stakeholders. Building robust virtual communication channels and staying updated on telehealth policies are essential for overcoming these obstacles and driving strategic initiatives.

What is the difference between Remote Healthcare Strategy vs Remote Healthcare Operations?

AspectRemote Healthcare StrategyRemote Healthcare Operations
Primary FocusDeveloping long-term plans, market analysis, and strategic initiativesManaging daily workflows, process implementation, and service delivery
Required SkillsStrategic planning, healthcare industry knowledge, data analysisProcess management, team coordination, operational efficiency
Work EnvironmentCorporate offices, remote strategic teamsRemote operational teams, healthcare facilities
Common EmployersHealthcare consulting firms, health systems, insurersHospitals, clinics, healthcare providers

Remote Healthcare Strategy focuses on planning and shaping the future of healthcare services, while Remote Healthcare Operations manages the day-to-day functions ensuring smooth service delivery. Both roles require healthcare industry knowledge but differ in scope and responsibilities.

What are the most commonly searched types of Healthcare Strategy jobs in Ohio?

The most popular types of Healthcare Strategy jobs in Ohio are:

What are popular job titles related to Remote Healthcare Strategy jobs in Ohio?

For Remote Healthcare Strategy jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Healthcare Strategy jobs in Ohio look for?

The top searched job categories for Remote Healthcare Strategy jobs in Ohio are:

What cities in Ohio are hiring for Remote Healthcare Strategy jobs?

Cities in Ohio with the most Remote Healthcare Strategy job openings:

Remote Healthcare Strategy jobs near you
Infographic showing various Remote Healthcare Strategy job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Claims Examiner - Commercial Healthcare

Core Specialty

Cincinnati, OH • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 26 days ago

Job description

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As the Healthcare Claims Examiner, you will directly handle Commercial Healthcare Claims across the U.S.

Key Accountabilities/Deliverables:

  • Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages, evaluation, and resolution.

  • Provide oversight on claims portfolios within the primary casualty book. Maintain direct contact with insureds, agents, and brokers.

  • Provide oversight on claims portfolios handled by TPAs within the excess casualty book.

  • Engage in rigorous ALAE control and management, by competently selecting, instructing, and managing 3rd party vendors, as appropriate.

  • Gather and analyse information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decision within established authority levels and identifying settlement issues.

  • Establish reserves pursuant to established reserving protocols and reserve authority procedures.

  • Successfully and proactively resolve complex and/or high exposure claims, promptly limiting exposure to the Company. Substantial involvement in mediation negotiations will be required.

  • Adhere to the Panel Counsel Program and all Litigation Management Guidelines.

  • Meet all Reporting Requirements by completing reports timely and accurately, including Large Loss Reports, etc.

  • Liaise and attend meetings with the underwriting team regarding claim trends and other areas of interest.

  • Work with external customers to address questions, resolve problems and maintain rapport.

  • Occasional domestic travel may be required to attend mediations and / or trials.

  • Undertaking general office administrative duties as and when required.

  • Proactively expanding and maintaining awareness of the current market/industry and attend continuing educations programs when available.

  • In addition to the above key responsibilities, you may be required to undertake other duties from time to time as the Company may reasonably require.


Technical Knowledge and Understanding:

  • Must possess a general understanding and knowledge of state and federal laws as they apply to US Specialty Healthcare claims.

  • Must possess a general understanding of policy language/coverages applicable to US Specialty Healthcare.

  • Must understand medical terminology.


Experience:

  • College degree required or equivalent experience

  • Must be licensed as a claims adjuster in their home state - multi-state licensure is preferred.

  • A minimum of 3 years of claims adjusting or legal experience is required. A background in US Healthcare Professional/General Liability is preferred.

  • A prior history of employment as a Healthcare professional or Medical Malpractice attorney is a plus.

  • Must have experience handling Primary and Excess claims. Additional experience handling Reinsurance is preferred.

  • Ability to travel for meetings, mediations and trials as required.

  • Ability to negotiate and be persuasive.

  • Possess strong communication and writing skills.

  • Must be detail oriented and organized.

  • Must possess the ability to work independently and as a team member.

  • Must be a self-starter and possess problem solving skills.

  • Must be able to manage pending caseloads, additional projects and meet all deadlines as set by management


Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position.
#LI-Hybrid
#LI-Remote

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

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