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Technical Product Manager

At Worth AI, were redefining how businesses make critical onboarding and risk decisionsinstantly, intelligently, and at scale. Were looking for a Technical Product Manager who thrives at the intersection of technology, data, and customer impact.

This is not a keep the lights on product role. This is for someone who wants to build, innovate, and move fast, partnering closely with Engineering, Sales, and Customer teams to deliver products that solve real-world problems for enterprise customers.

Youll be at the center of it all translating complex technical concepts into powerful, user-first solutions, shaping our roadmap, and helping us scale a platform that is transforming how financial institutions onboard and assess businesses.

If youre energized by ambiguity, obsessed with user experience, and motivated to create products that truly make a difference, this role is for you.

Responsibilities

  • Own and manage the day-to-day product development lifecycle, ensuring features are thoughtfully designed, user-focused, and delivered with quality
  • Partner closely with Engineering to translate product vision into clear technical requirements, user stories, and implementation-ready solutions
  • Define detailed use cases, workflows, acceptance criteria, and functional requirements to support scalable product development
  • Work alongside developers to ensure stories are technically groomed, prioritized appropriately, and aligned with business objectives
  • Manage and maintain the product backlog, making thoughtful prioritization recommendations based on impact, urgency, and customer value
  • Collaborate with QA to ensure testing strategies, user acceptance criteria, and release readiness are aligned with product goals and timelines
  • Ensure product documentation is accurate and up to date, including feature overviews, workflows, release notes, and internal enablement materials
  • Serve as a go-to decision-maker for functional clarity and product direction throughout the development process
  • Partner with internal stakeholders across Business Development, Sales, Marketing, and Operations to align product strategy with market and customer needs
  • Support technical conversations with prospects, partners, and ISVs by clearly articulating product capabilities and value
  • Engage directly with customers and external businesses to understand pain points, gather feedback, and identify opportunities for innovation
  • Help shape new features, enhancements, and strategic product opportunities that strengthen Worths market differentiation
  • Continuously advocate for a product experience that is intuitive, impactful, and built to scale
  • Take on additional responsibilities as needed in a fast-moving, high-growth environment
  • Proven experience in a Technical Product Manager or similar product leadership role
  • Experience working on SaaS platforms, with exposure to API-driven products strongly preferred
  • Demonstrated success managing data-rich, technically complex products and driving major product launches from concept to delivery
  • Ability to collaborate effectively with highly technical teams while also communicating clearly with non-technical stakeholders
  • Strong product intuition with the ability to think strategically, solve problems creatively, and make thoughtful decisions quickly
  • Comfortable operating in a fast-paced, high-growth environment with shifting priorities and evolving business needs
  • Exceptional organizational skills with a strong ability to prioritize, execute, and meet deadlines
  • Excellent written and verbal communication skills with a natural ability to create alignment across teams
  • Highly accountable, solution-oriented, and motivated by ownership
  • Coachable, adaptable, and open to feedback, while also confident enough to challenge ideas and push for better outcomes
  • Experience in fintech, financial services, risk, underwriting, identity, fraud, or related industries is a strong plus
  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance
  • Flexible Paid Time Off
  • 9 paid Holidays
  • Family Leave
  • Remote
  • Hybrid work (for Orlando Associates)
  • Free Food & Snacks (Orlando)
  • Wellness Resources
Remote Jobs (Work From Home)

Communications & External Affairs Manager

ROLE: Communications & External Affairs Manager

LOCATION: Remote

POSITION TYPE: Exempt, Full-time

TRAVEL REQUIREMENT: 20%

START DATE: ASAP

REPORTS TO: National Director, External Affairs

ROLE OVERVIEW

Democrats for Education Reform (DFER) and its partner organizations, Education Reform Now (ERN) and Education Reform Now Advocacy (ERNA), are seeking a sharp, experienced and politically savvy communications professional to serve as a hybrid press/media and digital campaigns lead across a portfolio of priority states and campaigns. This role is built for a communicator who can move fluidly between pitching a reporter, drafting an op-ed, shaping a social campaign, and briefing a state partner all in service of winning the policy and political debates that matter most to the families we serve.

Reporting to the National Director of External Affairs, the Communications & External Affairs Manager will help extend the organization’s earned media footprint, own regional press strategy across priority states, and manage significant aspects of our digital and social campaigns. The ideal candidate brings strong writing chops, political instincts honed on campaigns, government or non-profit work; and a track record of building durable relationships with reporters, editors, and outside validators. This person will work in close partnership with the National Director to shape messaging, respond to a fast-moving political landscape, and ensure DFER, ERN, and ERNA punch above their weight in the regional press and digital ecosystems where we operate.

Applicants must be legally authorized to work for any employer in the United States and will be required to submit proof of eligibility. We are unable to sponsor or take over sponsorship of an employment visa at this time.

Democrats for Education Reform welcomes applications from all, and strongly encourages women, people of color, people with disabilities, immigrants, refugees, and LGBTQ people to apply for this position. We are committed to maximizing the diversity of our organization and recruiting a team that reflects the diversity of the students we serve.

THE ORGANIZATION

Democrats for Education Reform (DFER) is a national political organization that supports elected Democrats and candidates for office who seek to expand policies and practices that work well for Americas students and confront those that do not. We prioritize students and families, especially low-income students and students of color who should be better served by our countrys public education system.

DFER partner Education Reform Now Advocacy (ERNA) is an advocacy group that advances education reform measures through empowering community leaders to support our legislative and political advocacy work. ERNA keeps constant pressure on legislators to champion high-quality public education.

DFER partner Education Reform Now (ERN) is a nonpartisan think tank that promotes increased resources and innovative reforms in K-12 public education, particularly for students of color and students from low-income families.

WHAT WE DO

Support Forward-Thinking Education Leaders In an approach that is markedly different from our peers and partners in the field, DFER engages directly with candidates and elected officials to empower them to advocate for education policies that focus foremost on serving students. Our partner organization, Education Reform Now, does work that involves policy research, analysis and education that helps policy makers at all levels understand complex education issues and make informed decisions.

Inform the Education Debate Our coalition work reflects the breadth of our policy priorities. We work collaboratively with organizations and our community networks to create an education system that serves and is held accountable to all students and families.

Targeted Interventions and Rapid Response DFERs reach, from the most local district relationships to state and federal policymakers, enables us to respond quickly to the changing landscape and policy trends. Activities vary significantly from project to project and may include training, policy analysis, public engagement, electoral and issue advocacy, and policy guidance for elected officials and local advocates.

KEY RESPONSIBILITIES

Regional Press & Media Relations

  • Draft press releases, statements and campaign communications tailored to regional audiences and reporters.
  • Develop social media strategy and content, and execute social strategy, including Instagram, Tik-Tok, Substack, Linked-In and X to expand the organizations digital footprint.
  • Build, cultivate, and maintain trusted relationships with reporters, editors, columnists, and producers across priority regional markets including local dailies, statehouse press corps, education trade press, and political press.
  • Serve as a regional spokesperson and press contact where appropriate
  • Monitor regional media narratives on education policy, politics, and DFER-adjacent issues; surface threats and opportunities to the National Director and recommend rapid-response strategy.
  • Digital & Social Campaign Management

  • Partner with the National Director and the Digital Manager to plan and execute digital campaigns that amplify DFER, ERN, and ERNA priorities across priority states.
  • Collaborate on day-to-day execution of regional social media content, including drafting copy, shaping creative briefs for our Graphic Designer & Digital Communications Manager, and ensuring content aligns with messaging strategy and entity-specific compliance requirements.
  • Help shape paid digital strategy (targeting, creative, copy, landing pages) for issue campaigns in priority states; collaborate with consultants and vendors as needed.
  • Track, analyze, and report on earned and digital performance across priority states; use insights to iterate on strategy and inform organizational decision-making.
  • Messaging & Political Strategy Support

  • Serve as a close thought partner to the National Director on messaging strategy, narrative development, and political positioning especially as it translates into regional press and digital execution.
  • Stay fluent in the political landscape of priority states: governors and gubernatorial candidates, legislative leaders, key reporters, influential validators, and the organizations shaping the local education debate.
  • Contribute to rapid-response operations, including drafting statements and coordinating surrogate outreach on tight timelines.
  • Support broader External Affairs priorities as assigned, including coalition communications, principal-facing materials, and cross-entity campaigns.
  • Cross-Team Collaboration

  • Work closely with the Campaigns and Partnership teams to ensure press and digital execution is aligned with advocacy strategy in each priority state.
  • Partner with the Graphic Designer & Digital Communications Manager to translate regional strategy into on-brand, high-performing creative.
  • Coordinate with outside consultants as needed
  • QUALIFICATIONS AND EXPERIENCE

    While no candidate will possess every desired qualification, the ideal Communications & External Affairs Manager will bring many of the following experiences and characteristics:

  • Press & Media Relations Experience 4+ years of experience in communications, press, or public affairs roles, including demonstrated success placing stories, managing reporter relationships, and serving as an on-the-record or background resource. Prior experience on a political campaign, in a statehouse or federal press shop, advocacy organization, or political press operation is strongly preferred.
  • Exceptional Writing A sharp, versatile writer who can move quickly between a tight rapid-response statement or a social caption without losing voice or strategic discipline.
  • Political Acumen A feel for the center-left political landscape and an instinct for how stories, messages, and narratives land with political audiences, reporters, and the public. Comfortable operating in environments where politics, policy, and press intersect.
  • Digital & Social Campaign Fluency Hands-on experience planning and executing digital and social campaigns, including content strategy, platform-specific best practices (X, Instagram, LinkedIn, Facebook, TikTok where relevant), paid social, and performance analytics. Comfortable briefing designers and vendors and reviewing creative with a strategic eye.
  • Regional Relationship-Building Existing relationships with reporters, political operatives, and advocacy leaders in one or more priority states is a strong plus; a demonstrated ability to build those relationships quickly from scratch is essential.
  • Education Policy Interest Familiarity with K12 education policy, school choice, charter schools, or related issues is preferred. A genuine commitment to educational equity and expanding opportunity for underserved families is non-negotiable.
  • Rapid-Response Mindset Comfortable operating on short timelines, in politically dynamic environments, with sound judgment and discretion.
  • Collaborative Operator Works well across teams, takes direction and feedback gracefully, and can also operate independently with minimal oversight when the situation calls for it.
  • Multi-Entity Awareness Working knowledge of the compliance environment governing 501(c)(3), 501(c)(4), and PAC activity or a demonstrated willingness to learn it quickly and operate fluently within it.
  • COMPENSATION

    The compensation band for this role is $80,000 – $100,000. Compensation is competitive and commensurate with experience. DFER is proud to offer excellent benefits: health, vision, and dental coverage; cell phone and internet reimbursement; flexible spending plan; life insurance; short- and long-term disability insurance; 401K plan with a match; paid family leave; and paid time off (vacation, sick time, floating holidays, and all national holidays).

    Remote Jobs (Work From Home)

    Asistente Administrativo

    Hybrid role in CDMX

    Buscamos un perfil administrativo para brindar soporte al equipo de Project Management Office (PMO), colaborando en la organizacin, seguimiento y coordinacin de tareas vinculadas a proyectos.

    Responsabilidades:

  • Soporte administrativo al Project Manager en la gestin diaria de proyectos
  • Organizacin y actualizacin de documentacin, reportes y seguimiento de avances
  • Coordinacin de reuniones, agenda y minutas
  • Carga y mantenimiento de informacin en herramientas de gestin
  • Elaboracin de reportes y presentaciones utilizando herramientas de Microsoft Office
  • Control y seguimiento de tareas, deadlines y entregables

  • Requisitos:

  • Manejo de herramientas de Microsoft Office (principalmente Excel, PowerPoint y Word) [HR – Andres Mendoza | Word]
  • Experiencia en tareas administrativas y/o soporte a equipos de proyectos (deseable)
  • Conocimiento bsico de procesos o gestin de proyectos (valorable)

  • Skills:

  • Perfil ordenado y detallista
  • Metdico y organizado para gestionar mltiples tareas
  • Buen manejo del tiempo y priorizacin
  • Proactividad y disposicin para el trabajo en equipo
  • Buenas habilidades de comunicacin
  • Remote Jobs (Work From Home)

    Business Intelligence Analyst

    Business Intelligence (Power BI) Analyst

    Client: Government of Alberta (GoA) Technology and Innovation
    Project: Digital Regulatory Assurance System (DRAS)
    Location: Remote within Canada (Occasional onsite meetings in Edmonton, AB)
    Duration: Long-Term Contract (Approx. 18 Months + Possible 6-Month Extension)
    Hours: 36.25 Hours/Week (Monday Friday, Alberta Time)
    Start Date: June 2026

    About the Project

    The Digital Regulatory Assurance System (DRAS) is a major Government of Alberta initiative led by Environment and Protected Areas (EPA) to modernize, digitize, and streamline environmental and natural resource regulatory processes.

    DRAS supports the complete regulatory lifecyclefrom application and authorization through compliance monitoring, remediation, and closureusing a single digital platform. As the volume and complexity of data continue to grow, the program requires an experienced Business Intelligence Analyst to provide advanced analytics, reporting, dashboard development, and data-driven insights that support operational and strategic decision-making.

    Key Responsibilities

    • Design, develop, and maintain advanced dashboards, scorecards, and visual analytics using Microsoft Power BI.
    • Build and optimize enterprise reporting solutions using Power BI, DAX, and Power Query.
    • Develop and maintain data models, semantic models, and ETL processes.
    • Integrate Power BI solutions with Azure-based data platforms and on-premises data sources.
    • Collaborate with business stakeholders, data architects, and data engineers to understand reporting requirements and KPIs.
    • Translate business requirements into scalable analytical and reporting solutions.
    • Conduct data analysis to identify trends, patterns, anomalies, and business opportunities.
    • Present analytical findings and recommendations to business and executive stakeholders.
    • Implement and maintain Power BI Service features including scheduled refreshes, alerts, and workspace management.
    • Configure Row-Level Security (RLS), incremental refresh, and performance optimization strategies.
    • Ensure data quality, consistency, governance, and security compliance.
    • Provide end-user support, training, and documentation.
    • Leverage AI-assisted analytics tools to automate insights generation and enhance reporting capabilities.
    • Perform other related duties as required.

    Mandatory Qualifications

    Education

    • Post-secondary Degree, Diploma, or Certificate in Computer Science, Information Technology, Data Analytics, or a related discipline.

    Experience

    • 5+ years of experience translating business requirements into analytical and reporting solutions.
    • 5+ years of hands-on experience designing, developing, and optimizing advanced Power BI dashboards and reports.
    • 5+ years of experience with SQL for querying, data transformation, and reporting.
    • 5+ years of experience analyzing large and complex datasets.
    • 5+ years of experience developing complex DAX measures, calculated columns, and data models.
    • 4+ years of experience implementing Power BI Service capabilities including refresh schedules, security, and deployment.
    • 4+ years of experience designing business intelligence and analytics solutions.
    • 4+ years of experience using advanced data visualization and storytelling techniques.
    • Strong experience working with Azure data platforms and enterprise reporting environments.

    Preferred Qualifications

    • Experience with source code control and version management practices.
    • Experience leveraging AI-assisted analytics tools and technologies.
    • Experience with Databricks Medallion Architecture.
    • Experience building data products using Azure Synapse Analytics.
    • Experience working with Government of Alberta data environments and datasets.

    Work Arrangement

    • Remote work from within Canada is required.
    • Resource must supply their own computer and equipment.
    • Windows operating system is preferred for Azure Virtual Desktop (AVD) compatibility.
    • Occasional onsite meetings may be required in Edmonton, Alberta (approximately 34 times annually or as needed).
    • Travel, accommodation, relocation, and related expenses will not be reimbursed.

    Security Requirements

    • Criminal Record Check may be required prior to project commencement.
    • Successful candidate must complete mandatory Government of Alberta training, including:
      • Freedom of Information and Protection of Privacy (FOIP)
      • Security Awareness Training
      • Other required onboarding courses

    Submission Requirements

    Candidates must provide:

    • Updated Resume
    • Detailed project descriptions demonstrating required experience
    • Employment history in MMM/YYYY to MMM/YYYY format
    • Three professional references (most recent first)
    Remote Jobs (Work From Home)

    Regional Managing Director Canada

    Bigger Better Future

    Imagine working for a company that measures its success based off the growth of its colleagues, a company that invests in its future by investing in you. Little Caesars is a company where our colleagues make an impact.

    Your Mission:

    Serves as the senior executive leader accountable for driving market performance across the assigned region, acting as the primary strategic partner and trusted advisor to franchisees. Provides endtoend leadership of regional franchise operations, shaping and executing comprehensive development strategies across both emerging and established markets. Aligns corporate and field teams through clear strategic direction, sound executive judgment, and disciplined execution. Builds strong, resultsdriven partnerships and proactively identifies growth opportunities to accelerate sales performance, expand market share, and strengthen the brands position as a market leader.

    How Youll Make an Impact:

    • Provides executive oversight of franchise operations across assigned countries, ensuring rigorous operational evaluations and consistent adherence to company standards.
    • Drives continuous operational excellence by identifying strategic improvement opportunities and executing highimpact initiatives that enhance franchise performance and profitability, while reinforcing brand standards and positioning the system as an industry benchmark.
    • Leads the design and execution of regional growth strategies that elevate brand positioning, accelerate disciplined restaurant expansion, and drive sustained sales and profitability. Sets strategic direction across all functions, ensuring alignment with company operating procedures and brand standards, and partners closely with the Vice President of International to drive cohesive regional execution and longterm value for franchisees and stakeholders.
    • Provides strategic oversight of regional budget planning and fiscal management, leading annual franchisee financial reviews in partnership with the Vice President of International. Delivers executive-level guidance informed by franchisee financial performance and local economic conditions to ensure alignment and sustainable growth.
    • Provides strong executive leadership by building high performing teams through strategic coaching and talent development, fostering a culture of excellence aligned with the organizations vision, and partnering with Human Resources to reinforce culture, address colleague concerns, and support the growth of the regional team.performing teams through strategic coaching and talent development, fostering a culture of excellence aligned with the organizations vision, and partnering with Human Resources to reinforce culture, address colleague concerns, and support the growth of the regional team.
    • Serves as the primary liaison between the region and corporate headquarters, proactively communicating significant opportunities, risks, and strategic priorities. Ensures timely delivery of insights and recommendations to corporate leadership, enabling informed decision-making that advances the interests of the brand, the company, and franchisees; Making that advances the interests of the brand, the company, and franchisees.
    • In partnership with Public Relations, ensures the brand is consistently and accurately represented across all media, in full compliance with applicable laws, and in close collaboration with corporate and local legal counsel on regional legal and public affairs matters.
    • Provides strategic leadership across global crossfunctional teams, including strategy, finance, compliance, IT, development, and research and development, to design and execute scalable development and operational strategies for both emerging and established markets.
    • Partners with Development to provide executive oversight of franchisee selection, market growth, and operational excellence, ensuring sustainable and disciplined business expansion.
    • Ensures the delivery of strategic, marketrelevant training programs that promote continuous learning and consistently uphold brand standards across all franchise locations.
    • Partners with regional and international marketing teams to lead highimpact initiatives that strengthen brand visibility and drive sustained market share growth.
    • Provides executive oversight of supply chain effectiveness and quality assurance, partnering closely with supply chain and marketing leaders to ensure adequate product availability across the region while supporting ongoing product innovation.
    • Oversees the development of comprehensive, crossfunctional Franchise Business Plans supporting annual regional initiatives and newcountry market entries, ensuring successful execution through close coordination with enterprise support functions and the assignment of appropriate operational leadership.

    Who You Are:

    • Bachelors degree in business, Marketing, or a related field.
    • Ten (10) or more years of executivelevel leadership experience, including a minimum of five (5) years within a franchisebased business environment.
    • Demonstrated success within a large, complex organization, leading teams and influencing crossfunctional stakeholders across diverse backgrounds and geographies.
    • Advanced strategic business acumen with a proven ability to integrate, align, and optimize enterprisewide functions to drive organizational performance.
    • Exceptional written, verbal, and presentation skills, with the ability to influence executive stakeholders and clearly communicate complex concepts to diverse audiences.
    • Demonstrated expertise in analyzing and interpreting financial statements to deliver actionable, strategic insights that enhance business plans, accelerate sales growth, and expand market share, including leadership of largescale initiatives.
    • Fluency in English, with the ability to communicate effectively at an executive level in both written and spoken forms.
    • Unrestricted ability to travel extensively across the assigned region and to the United States, including the ability to obtain and maintain all required visas, passports, and government documentation necessary for international business travel.

    Preferred Knowledge, Skills, and Abilities:

    • Demonstrated proficiency in speaking, reading, and writing key regional languages, enabling effective executivelevel communication and leadership across diverse international markets.
    • Working knowledge of local regulatory environments, including taxation, labor, and related employment laws, with the ability to navigate regional legal and compliance considerations effectively

    Where Youll Work:

    • Operates within a professional office or homeoffice environment with minimal physical demands.
    • Requires regular field engagement across companyowned and franchised locations, supplier facilities, research centers, and other nontraditional environments throughout international markets.
    • Involves extensive travel by air, car, and train across both developed and emerging international markets, in accordance with company travel policies.
    Remote Jobs (Work From Home)

    Driving Examiner

    The Department of Customer Services, Open Data and Small and Family Business (CDSB) is excited to welcome a Full Time AO3 Driving Examiner at the Cairns Customer Service Centres.

    At the Department of Customer Services, Open Data and Small and Family Business (CDSB), we are improving customer services to Queenslanders, supporting small and family business owners, and providing better government services and support.

    We ensure customer-focused, effective and accessible engagement with government for Queenslanders, small and family business owners and other government agencies. We are responsible for driving the Queensland Government’s priorities in customer service delivery, digital technology, and data that enables a transparent and efficient government.

    You will receive flexible working options, competitive salary and benefits, generous leave entitlements and the chance to make a difference to Queenslanders. We value and respect differences and the diversity of thought and experiences all our people bring, and we encourage applicants of all genders, ethnicities, ages, languages, sexual orientations, disabilities, and family responsibilities to apply.

    Your Responsibilities

    As the Driving Examiner, you will:

    • Conduct practical driving assessments for applicants, ensuring compliance with Queensland Government standards and road safety regulations.
    • Evaluate candidates’ driving skills, knowledge of road rules, and ability to operate vehicles safely in various traffic and road conditions.
    • Provide clear, constructive, and professional feedback to candidates following assessments.
    • Ensure all testing procedures are carried out fairly, consistently, and in accordance with departmental policies.
    • Promote road safety awareness and contribute to the department’s goals of reducing road incidents involving heavy vehicles.
    • Collaborate with team members and other stakeholders to ensure the smooth delivery of services to the community.

    Role Requirements

    • The successful applicant will be required to hold an Open Heavy Rigid (HR) class licence for minimum of 12 months.
    • Higher licence classes held will be highly regarded, including Heavy Combination (HC).
    • A clear driving record with no significant infringements.

    IN RETURN WE OFFER A RANGE OF BENEFITS WHICH INCLUDE:

    We celebrate diversity in creating a workplace culture that is built on respect, dignity and fairness.

    • A competitive remuneration package including Employer Superannuation contributions up to 12.75%.
    • Five weeks annual leave and annual leave loading of 14%.
    • Salary packaging arrangements.
    • Learning and development opportunities.
    • Access to study assistance.
    • Wellness Program.
    • Employee Assistance Program.
    • Work/life balance, variety and flexibility.

    Please refer to the role description for further information.

    Applications will remain current for 12 months.

    Occupational group Customer Service/Call centre

    Remote Jobs (Work From Home)

    Medical Claims Processor I

    Lets do great things, together!

    About Moda

    Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Lets be better together.

    Position Summary

    Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. This is a FT WFH role.

    Pay Range

    $17.34 – $19.41 hourly, DOE.

    • Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.

    Please fill out an application on our company page, linked below, to be considered for this position.

    https://j.brt.mv/jb.do?reqGK=27778986&refresh=true

    Benefits

    • Medical, Dental, Vision, Pharmacy, Life, & Disability
    • 401K- Matching
    • FSA
    • Employee Assistance Program
    • PTO and Company Paid Holidays

    Required Skills, Experience & Education

    • High School diploma or equivalent
    • 6-12 months data entry or medical office experience preferred
    • 10-key proficiency of 135 spm
    • Type a minimum of 35 wpm
    • Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred
    • Demonstrates work habits that include punctuality, organization, and flexibility
    • Ability to maintain balanced performance in areas of production and quality
    • Analytical reasoning and flexibility
    • Professional and effective written and verbal communication skills
    • Experience with Facets platform a plus
    • Identify all the duties and responsibilities

    Primary Functions

    • Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures.
    • Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims.
    • Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, out of pocket, etc.
    • Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system.
    • Adjudication of claims to achieve quality and production standards applicable to this position.
    • Release claims by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards.
    • Reviews Policies and Procedures (P&PS) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements.
    • Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines.
    • Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Modas standard workweek is a 37.5 hour work week.

    Working Conditions & Contact With Others

    • Office environment with extensive close PC and keyboard work with constant sitting. Must be able to navigate multiple screens. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Modas standard workweek is a 37.5 hour work week.
    • Works internally with the customer service, membership accounting, and appeals departments. Works externally to support client needs.

    Together, we can be more. We can be better.

    Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training.

    For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our humanresources@modahealth.com email.

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