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Remote Workable Jobs in Boston, MA (NOW HIRING)

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Remote Workable information

What is the difference between Remote Workable vs Remote Recruiter?

AspectRemote WorkableRemote Recruiter
Primary RolePlatform for managing remote job postings and applicationsProfessionally sourcing, interviewing, and hiring candidates remotely
Required SkillsHR software knowledge, job posting managementCandidate sourcing, interviewing, negotiation skills
Work EnvironmentOnline platform, administrative tasksRemote communication, candidate engagement
Industry UsageHR tech, recruitment platformsRecruitment agencies, HR departments

Remote Workable is a platform used by HR teams to manage remote job postings, while a Remote Recruiter actively sources and hires candidates remotely. Both roles involve HR functions but differ in focus: one is a tool, the other a profession.

What is remote work?

Remote work refers to a work arrangement where employees perform their job duties outside of a traditional office, typically from home or another location of their choice. This setup relies heavily on technology, such as computers, internet, and collaboration tools, to communicate and complete tasks. Remote work can offer greater flexibility, reduce commuting time, and allow for a better work-life balance. Many companies support remote work either full-time or as part of a hybrid model, depending on the nature of the job and organizational needs.

What are the key skills and qualifications needed to thrive as a Remote Worker, and why are they important?

To thrive as a remote worker, you need strong self-management, time management, and communication skills, often supported by relevant experience in your field. Familiarity with collaboration tools like Zoom, Slack, and project management systems such as Trello or Asana is typically required. Proactive problem-solving, adaptability, and self-motivation are standout soft skills for remote work settings. These abilities are crucial to maintain productivity, meet deadlines, and collaborate effectively while working independently from various locations.

How do remote workers typically stay connected and collaborate effectively with their teams?

Remote workers often rely on a combination of digital communication tools, such as video conferencing platforms, instant messaging apps, and project management software, to maintain strong connections with their teams. Regular check-ins, virtual meetings, and clear documentation help ensure alignment and accountability. Building rapport can require extra effort, so many teams schedule informal virtual gatherings or 'coffee chats' to foster camaraderie. Successful remote collaboration depends on proactive communication, transparency, and adaptability to different time zones and work styles.
What are popular job titles related to Remote Workable jobs in Boston, MA? For Remote Workable jobs in Boston, MA, the most frequently searched job titles are:
What job categories do people searching Remote Workable jobs in Boston, MA look for? The top searched job categories for Remote Workable jobs in Boston, MA are:
Remote Workable jobs near you
Medical Program Integrity Auditor

Medical Program Integrity Auditor

University of Massachusetts Medical School

Westborough, MA • On-site, Remote

$80K - $95K/yr

Full-time

Re-posted 13 days ago

Job description

Under the general direction of the Associate Director or designee, the Fraud, Waste, and Abuse (FWA) Auditor serves a crucial role in identifying, investigating, and preventing fraud, waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits across various provider types to ensure compliance with federal and state regulations. The Auditor performs investigative activities to develop leads and detect aberrant billing practices, including data mining, claims analysis, and medical record assessment.

Onsite requirement 1-2 times per month, all other aspects of the job are remote.


Responsibilities:

  • Ensure compliance with federal and state regulations and healthcare FWA industry standards.
  • Perform independent data mining and data analysis utilizing claims data to detect patterns and trends that may uncover fraud, waste, or non-compliant billing practices.
  • Conduct onsite audits as required, to assess the completeness of medical and administrative records and the compliance with applicable regulatory requirements.
  • Prepare detailed audit documentation, summaries of investigative findings, compile case files, calculate sanctions and overpayments based on violations cited.
  • Communicate with providers regarding issues such as general regulatory compliance, audit findings, and the recovery process.
  • Recommend policy, procedure and system changes to enhance investigative outcomes.
  • Update appropriate internal management staff regularly on progress of investigations.
  • Stay current with regulatory updates, coding changes, and industry standards.
  • Identify trends from national fraud-related publications and recommend new or improved strategies to strengthen fraud-detection efforts.
  • Assist with document management, updating case-tracking system and adhering to record retention policies and procedures.
  • Perform other duties as assigned.

Qualifications:

  • Bachelor's degree in business, health care administration, or other related field
  • 4-6 years of related experience in the healthcare industry, business,; with at least two years of experience conducting data mining in the healthcare insurance industry, healthcare claim audits, administrative medical record reviews or other claims analysis related experience
  • Knowledge of CPT, HCPCS and ICD-10 coding, reimbursement and claims processing policies
  • Strong analytical and qualitative skills as well as problem solving skills with the ability to look for root causes and implement workable solutions
  • Ability to interpret and apply law and regulations as it relates to fraud and fraud investigations
  • Ability to multi-task, establish priorities and work independently and collaboratively to achieve audit objectives
  • Proficiency in Microsoft Office applications (Word, Excel, PowerPoint and Access)
  • Excellent Customer service skills with the ability to interact professionally and effectively with providers, clients, and internal stakeholders from all departments
  • Ability to travel within Massachusetts and be on-site as needed for audits

Preferred Qualifications:

Prefer individual possessing any of the following certifications or licensure: CPC or CPMA
Knowledge of state and federal regulations as they apply to public assistance programs

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