... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Oversees the research, development, implementation, ongoing operational maintenance and ...
... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Oversees the research, development, implementation, ongoing operational maintenance and ...
Participate in training and workflow development as systems continue to evolve and improve Required ... Comfortable learning telecom terminology, splice planning concepts, and fiber routing logic
Participate in training and workflow development as systems continue to evolve and improve Required ... Comfortable learning telecom terminology, splice planning concepts, and fiber routing logic
Regional Sales Manager
Westbrook, ME · Remote
Position Summary The Regional Sales Manager (RSM) leads the development of the sales strategy and ... This role is offered on a hybrid basis, with a combination of in-office and remote work. Key ...
Regional Sales Manager
Westbrook, ME · Remote
Position Summary The Regional Sales Manager (RSM) leads the development of the sales strategy and ... This role is offered on a hybrid basis, with a combination of in-office and remote work. Key ...
Regional Sales Manager
Westbrook, ME · Remote
$145K - $170K/yr
Overview The Regional Sales Manager (RSM) leads the development of the sales strategy and required ... This role is offered on a hybrid basis, with a combination of in-office and remote work.
Quick apply
Regional Sales Manager
Westbrook, ME · Remote
$145K - $170K/yr
Overview The Regional Sales Manager (RSM) leads the development of the sales strategy and required ... This role is offered on a hybrid basis, with a combination of in-office and remote work.
Regional Sales Manager
Westbrook, ME · Remote
... remote work. * Ensures achievement of regional financial goals through successful development and ... Participates in training and other learning opportunities to expand knowledge of the company ...
Regional Sales Manager
Westbrook, ME · Remote
... remote work. * Ensures achievement of regional financial goals through successful development and ... Participates in training and other learning opportunities to expand knowledge of the company ...
Senior Healthcare Data Engineer
Portland, ME · On-site +1
$108K - $147K/yr
... remote You Will * Contribute to all aspects of the Systems Development Lifecycle: Engage in ... Provide guidance and mentorship to junior team members, fostering a culture of continuous learning ...
Senior Healthcare Data Engineer
Portland, ME · On-site +1
$108K - $147K/yr
... remote You Will * Contribute to all aspects of the Systems Development Lifecycle: Engage in ... Provide guidance and mentorship to junior team members, fostering a culture of continuous learning ...
OEM Sales Director-Machinery
Portland, ME · On-site +1
This involves such aspects as commercial agreements, proposal development, global pricing ... This role can be remote in the United States and supports the Motion Drive Products Division in New ...
OEM Sales Director-Machinery
Portland, ME · On-site +1
This involves such aspects as commercial agreements, proposal development, global pricing ... This role can be remote in the United States and supports the Motion Drive Products Division in New ...
The Senior Director will accelerate this transformation by embedding AIassisted development ... Ownership of dealer-facing software platforms (portals, commissioning tools, remote diagnostics ...
The Senior Director will accelerate this transformation by embedding AIassisted development ... Ownership of dealer-facing software platforms (portals, commissioning tools, remote diagnostics ...
Utilization Review Nurse - Remote
Portland, ME · On-site +1
... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Participates in the review and analysis of population data and metrics to inform development of ...
Utilization Review Nurse - Remote
Portland, ME · On-site +1
... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Participates in the review and analysis of population data and metrics to inform development of ...
... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Participates in the review and analysis of population data and metrics to inform development of ...
... learning, helping each other, and having fun - are brought to life every day. Join us and find out ... Participates in the review and analysis of population data and metrics to inform development of ...
Controller
Portland, ME · On-site +1
$120K - $135K/yr
Supervision, coaching and development, and annual evaluation of five positions KNOWLEDGE, SKILLS ... This position is ideally based in Portland, but we are open to discussing hybrid or remote work ...
Controller
Portland, ME · On-site +1
$120K - $135K/yr
Supervision, coaching and development, and annual evaluation of five positions KNOWLEDGE, SKILLS ... This position is ideally based in Portland, but we are open to discussing hybrid or remote work ...
Director of Accounting
Portland, ME · On-site +1
$110K - $125K/yr
Supervision, coaching and development, and annual evaluation of two accountant positions KNOWLEDGE ... This position is ideally based in Portland, but we are open to discussing hybrid or remote work ...
Director of Accounting
Portland, ME · On-site +1
$110K - $125K/yr
Supervision, coaching and development, and annual evaluation of two accountant positions KNOWLEDGE ... This position is ideally based in Portland, but we are open to discussing hybrid or remote work ...
Product Manager
Portland, ME · On-site +1
Our Team Dynamics Our teams support each other, collaborate, and never stop learning. Everyone ... R&D and technical sales with a preference for experience in more than one area OR Master's Degree ...
Product Manager
Portland, ME · On-site +1
Our Team Dynamics Our teams support each other, collaborate, and never stop learning. Everyone ... R&D and technical sales with a preference for experience in more than one area OR Master's Degree ...
Account Service Specialist-1
Portland, ME · Remote
$20.90 - $24.80/hr
This role is eligible for 100% remote work. We are excited to be growing and hope that you will ... Participate in ongoing learning and development opportunities * Collaborate with a variety of ...
New
Account Service Specialist-1
Portland, ME · Remote
$20.90 - $24.80/hr
This role is eligible for 100% remote work. We are excited to be growing and hope that you will ... Participate in ongoing learning and development opportunities * Collaborate with a variety of ...
New
Account Service Specialist-1
Portland, ME · Remote
$20.90 - $24.80/hr
This role is eligible for 100% remote work. We are excited to be growing and hope that you will ... Participate in ongoing learning and development opportunities * Collaborate with a variety of ...
New
Account Service Specialist-1
Portland, ME · Remote
$20.90 - $24.80/hr
This role is eligible for 100% remote work. We are excited to be growing and hope that you will ... Participate in ongoing learning and development opportunities * Collaborate with a variety of ...
New
Remote working - with over 85% of our workforce successfully working from home, we can offer a flexible, home-based working arrangement. Continued learning and development - comprehensive onboarding ...
Remote working - with over 85% of our workforce successfully working from home, we can offer a flexible, home-based working arrangement. Continued learning and development - comprehensive onboarding ...
Accountants - AI Training - Portland, US
Portland, ME · Remote
$60/hr
Reliability: the ability to work independently on ad hoc, remote assignments that fit around your ... learning. Key Technologies * Prolific Platform: the secure workspace where you will access and ...
Quick apply
Accountants - AI Training - Portland, US
Portland, ME · Remote
$60/hr
Reliability: the ability to work independently on ad hoc, remote assignments that fit around your ... learning. Key Technologies * Prolific Platform: the secure workspace where you will access and ...
Nutrition Educator (Northern Aroostook Region)
Biddeford, ME · On-site +1
$20 - $24.75/hr
In an uncommonly welcoming and supportive community, we offer hands-on learning, empowering ... Support the development of sustainable nutrition education infrastructure across community and ...
Nutrition Educator (Northern Aroostook Region)
Biddeford, ME · On-site +1
$20 - $24.75/hr
In an uncommonly welcoming and supportive community, we offer hands-on learning, empowering ... Support the development of sustainable nutrition education infrastructure across community and ...
ASSOC DIR OF FINANCIAL AID FULL TIME HYBRID POSITION (NOT FULLY REMOTE)
South Portland, ME · On-site +1
$55K - $72K/yr
... development, and free tuition within the MCCS for employees, spouse and/or dependents. SMCC summary ... lifelong learning. MISSION, VISION, & STRATEGIC ANCHORS: SMCC is guided by a student-ready ...
ASSOC DIR OF FINANCIAL AID FULL TIME HYBRID POSITION (NOT FULLY REMOTE)
South Portland, ME · On-site +1
$55K - $72K/yr
... development, and free tuition within the MCCS for employees, spouse and/or dependents. SMCC summary ... lifelong learning. MISSION, VISION, & STRATEGIC ANCHORS: SMCC is guided by a student-ready ...
ASSOC DIR OF FINANCIAL AID FULL TIME HYBRID POSITION (NOT FULLY REMOTE)
South Portland, ME · On-site +1
$55K - $72K/yr
... development, and free tuition within the MCCS for employees, spouse and/or dependents. SMCC summary ... lifelong learning. MISSION, VISION, & STRATEGIC ANCHORS: SMCC is guided by a student-ready ...
ASSOC DIR OF FINANCIAL AID FULL TIME HYBRID POSITION (NOT FULLY REMOTE)
South Portland, ME · On-site +1
$55K - $72K/yr
... development, and free tuition within the MCCS for employees, spouse and/or dependents. SMCC summary ... lifelong learning. MISSION, VISION, & STRATEGIC ANCHORS: SMCC is guided by a student-ready ...
Remote Learning Development information
See Windham, ME salary details
$24.15 is the 25th percentile. Wages below this are outliers.
$18.91 - $24.15
25% of jobs
The median wage is $29.19 / hr.
$24.15 - $29.40
26% of jobs
$34.64 is the 75th percentile. Wages above this are outliers.
$29.40 - $34.64
24% of jobs
$34.64 - $39.89
0% of jobs
$39.89 - $45.13
0% of jobs
$45.13 - $50.38
0% of jobs
$50.38 - $55.62
6% of jobs
$55.62 - $60.86
8% of jobs
$60.86 - $66.11
4% of jobs
$66.11 - $71.35
3% of jobs
$71.35 - $76.60
3% of jobs
$18
$37
$76
How much do remote learning development jobs pay per hour?
What are some common challenges faced in Remote Learning Development roles, and how can they be addressed?
A common challenge in Remote Learning Development is ensuring high levels of learner engagement when designing courses for online platforms. Team members also often collaborate across different time zones and may face communication barriers without in-person interaction. To overcome these challenges, effective use of interactive multimedia, clear communication strategies, and regular feedback loops are essential. Professionals in this role frequently participate in ongoing training and team meetings to stay aligned on project goals and evolving best practices. Adapting to new technologies and maintaining flexibility are key to delivering impactful learning experiences remotely.
What is a Remote Learning Development job?
A Remote Learning Development job involves designing, creating, and managing online learning experiences for employees, students, or organizations. Professionals in this role develop e-learning courses, training materials, and interactive content using instructional design principles and digital tools. They work with subject matter experts to ensure course content is engaging and effective. This role often requires proficiency in learning management systems (LMS), multimedia production, and educational technology. It is ideal for those with a background in education, instructional design, or digital media.
What are the key skills and qualifications needed to thrive in the Remote Learning Development position, and why are they important?
To excel in Remote Learning Development, you need a strong background in instructional design, curriculum development, and educational technology, often supported by a relevant degree or certification. Familiarity with Learning Management Systems (LMS), authoring tools like Articulate or Captivate, and collaboration platforms is typically required. Excellent communication, creativity, and time management skills enable successful course development and effective remote teamwork. These capabilities are crucial for designing engaging online learning experiences that meet diverse learner needs in virtual environments.
Senior Director, Claims & Payment Integrity - Remote
Portland, ME • On-site, Remote
Full-time
Posted 18 days ago
Martin’s Point Health Care rating
7.4
Based on 6 frontline employees who took The Breakroom Quiz
Job description
Position Summary
The Senior Director, Claims & Payment Integrity, is responsible for oversight of health plan claims administration and payment integrity functions. The position will develop, maintain, and optimize process flows to maintain claims payment accuracy.
Job Description
Key Outcomes:
- Drives quality, timely claims processing to allow the health plan to achieve regulatory compliance, robust financial management and product strategy outcomes
- Oversee strong inventory management processes and enhance auto adjudication
- Delivers strong vendor oversight to optimize system processing to improve efficiency and accuracy; pursue new vendor opportunities including Request for Information (RFI)/Request for Proposal (RFP) as deemed appropriate
- Collaborates with business and IT teams to ensure system and operational readiness for system fixes, configuration, and project rollouts impacting claims processing
- Ensures operational readiness, testing, training, reporting, and communications are in place for claims processing updates
- Acts as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management
- Oversees, develops, and maintains documentation for claims and configuration processes and procedures with appropriate controls, reporting and quality assurance
- Develops work intake mechanisms, exploring and implementing tools to manage claims processing tickets, prioritize backlog and assess different work types (i.e., reporting, configuration, project vs. production fixes, etc.)
- Remains up to date on industry trends and advancements in claims provider reimbursement and system technology to identify opportunities for improvement
- Supports regular audits and quality checks to ensure data accuracy and system performance
- Oversees the research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies and fee schedules for all provider types in support of provider contractual arrangements
- Supports the development and integration of provider payment policies and guidelines applicable to institutional and professional reimbursements and in concert with the Organization's products and member benefits
- Maintains all institutional and professional reimbursement methodologies leveraged by the organization. This includes demonstrating deep knowledge in industry standard payment methods
- Demonstrates working knowledge in the design and roll out of alternative payment methods that are focused on an incentive-based pay for value approach. This will require partnering cross organizationally to support the development of these new programs, and direct the operational activities necessary to stand them up
- Researches and provides recommendations on development of new or enhancements to existing reimbursements in conjunction with corporate and contractual initiatives including sound financial modeling/impact analyses
Education/Experience:
- Bachelor's degree required; Master's in business administration or comparable advanced degree strongly preferred
- CPC Preferred
- 10+ years health plan management experience required
- Experience managing vended system applications
- Experience with test plan development, strategy, and execution
Skills/Knowledge/Competencies (Behaviors):
- Demonstrates an understanding of and alignment with Martin's Point Values.
- Maintains knowledge and understanding of reimbursement agreements as well as claims and billing practices that impact cost and utilization data.
- Detailed knowledge of applicable regulatory and accrediting body standards (National Committee of Quality Assurance (NCQA), Centers of Medicare and Medicaid Services (CMS))
- Develops and maintains positive, effective working relationships with colleagues, vendors, and other internal and external customers.
- Excellent workflow and inventory management skills.
- Excellent problem solving, quantitative and analytical skills with the ability to assess performance against metrics.
- In-depth technical knowledge and ability to learn new technologies; knowledge of the Software Development Life Cycle (SDLC).
- Ability to manage, organize, and prioritize workload in a timely accurate manner.
- Ability to manage multiple competing demands and function independently.
- Knowledge of industry standards for claims and enrollment configuration, reporting and analysis.
- Knowledge of benefit coverage and servicing members, providers, and the DoD, CMS/ Medicare Advantage, and ME state insurance coverage.
- Knowledge of managed care computer systems, features, and reporting.
- Demonstrated interpersonal, communications, operational, team building, and quality improvement skills.
- Critical thinking: can identify root causes and implement short- and long-term sustainable solutions.
There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position.
This position is not eligible for immigration sponsorship.
We are an equal opportunity/affirmative action employer.
Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact jobinquiries@martinspoint.org
Do you have a question about careers at Martin's Point Health Care? Contact us at: jobinquiries@martinspoint.org
About Martin's Point Health Care
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, ME, US
Year founded
1858