Remote Jobs (Work From Home)

Payroll Operations and Systems Manager

About the role:

Job title: Payroll Operations & Systems Manager

Working hours: 37.5 hours per week

About the Role: The Payroll Operations & Systems Manager is the strategic engine behind our payroll delivery. While the Head of Payroll ensures compliance, accuracy, and legislative adherence, you are responsible for the operational machinery that allows the department to function efficiently and at scale.

In this pivotal role, you will bridge the gap between technical systems and operational delivery. You will own the resource planning, integration strategy, and workflow optimisation, ensuring that our HRIS connects seamlessly with our payroll software and that our teams are utilised effectively to meet customer requirements.

Key Responsibilities:

1. Operational Operations & Resource Planning

  • Strategic Capacity Management: Take ownership of the departments resource modeling. You will analyse sales forecasts, onboarding pipelines, and seasonal peaks to ensure the team is appropriately staffed and skilled to meet demand.
  • Work Allocation Strategy: Collaborate with the Head of Payroll to design data-driven work allocation models. You will move the team away from reactive assignment to proactive capacity planning, ensuring deadlines are met without team burnout.
  • Efficiency & Utilisation: Implement metrics to track team utilisation and identifying operational bottlenecks. You will constantly analyse the “time-to-process” and drive initiatives that reduce manual intervention.
  • Process Engineering: Lead the design of standardised operational workflows. You are responsible for identifying friction points in the payroll cycle and implementing lean processes that maximise speed and consistency.

2. Systems Integration & Technical Strategy

  • Integration Architecture: Define and own the operational strategy for integrating customer HRIS platforms with our payroll systems. You ensure the “pipes” that carry data are robust, secure, and scalable.
  • Data Integrity & Automation: Establish rigorous automated controls to ensure the synchronisation of data between systems. Your goal is to create a “zero-touch” data transfer environment where the system acts as the source of truth, minimising manual data entry for the payroll team.
  • Technical Troubleshooting: Act as the escalation point for complex data transfer or system configuration issues, preventing technical blockers from impacting payroll delivery deadlines.
  • Product Liaison: Act as the bridge between the Payroll Department and internal Product/Engineering teams, ensuring that software updates and new features support operational efficiency.

3. Financial Infrastructure & Control

  • Payment Systems (BACS): Lead the operational management of payment integration protocols. You will oversee the technical setup and reliability of BACS (or equivalent) transmissions, ensuring the mechanism for payment is fail-safe.
  • Statutory & Third-Party Connections: Standardise and manage the integration methods for pension providers and HMRC data exchanges. You ensure the file transfer protocols are compliant, secure, and fully automated where possible.
  • Risk & Security: Proactively identify operational risks related to data security and file handling. You will implement the systems-based controls required to protect sensitive client data during transit.

4. Leadership & Stakeholder Partnership

  • Partnership with Head of Payroll: Work in lock-step with the Head of Payroll. While they focus on the what (accuracy/legislation), you focus on the how (process/systems), forming a unified leadership front.
  • Working alongside the Head of Payroll, foster a culture of technical precision and operational excellence.
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Senior front end developer

Senior Front-end Developer

Contract: Freelance, fully remote

Commitment: 4 days per week (32 hours)

Compensation: $70,000 – $90,000 per year

The Opportunity

Looking for a fully remote, but ongoing contract where you can leverage your Front-end development?

Expatfile is looking for an eager senior front-end developer to become an integral part of our team! Expatfile builds tax software for American expats – making a painful, complex process simple. We’re a small, product-driven team shipping across multiple Next.js applications that handle everything from onboarding and document extraction to payments. Our users trust us with sensitive financial data, and we take that seriously in how we build.

About Expatfile

Filing U.S. taxes from abroad is notoriously painful, confusing, and expensive. AtExpatfile, were on a mission to change that. Weve built the most sophisticated, user-friendly tax software specifically designed for the millions of Americans living overseas.

We aren’t just another tax tool; we are a high-growth FinTech scale up that prioritizessecurity, simplicity, and speed. Because we handle sensitive financial data for users in over 100 countries, our software must be flawless. We are SOC 2 aligned and obsessed with quality.

Why Join Us?

  • Real Impact:Your work directly ensures that thousands of expats can file their taxes accurately and without stress.
  • Freedom & Stability:We offer the flexibility of a remote, part-time freelance lifestyle with the security of a long-term, permanent seat at the table.
  • Modern Stack:No legacy baggage. We work with the latest tools and tech stack and move fast.

Role focus:

  • Build features across multiple Next.js applications
  • Implement designs from Figma with high fidelity
  • Write and consume GraphQL queries and mutations with codegen
  • Write tests – component tests with Jest/Bun + Testing Library, API mocking with MSW
  • Maintain Storybook – keeping component documentation current
  • Code review the junior developer’s PRs and pair when needed
  • Collaborate with the FE Lead on architectural decisions
  • Work with feature flags for safe rollouts

How We Work:

  • 2-week sprints with daily standups
  • Central European Time (CET) working hours
  • Office space in Amsterdam; remote is an option
  • Company provided modern M-series MacBook Pro (32 GB+ RAM)

Required Skills

Core Stack:

  • TypeScript: advanced proficiency. Generics, discriminated unions, utility types, strict mode.
  • React 18/19: deep understanding of the rendering model, hooks, Suspense, transitions, concurrent features.
  • Next.js (App Router): fluent with React Server Components, server actions, streaming, layouts, route groups, middleware. This is the daily toolkit.
  • Next.js (Pages Router): fluent with getStaticProps/getServerSideProps and understands when migration to RSC makes sense, and when it doesn’t.

Styling:

  • SCSS / CSS Modules: production experience writing scalable, maintainable SCSS. Solid grasp of CSS specificity, responsive design, and CSS variables.

Data Layer:

  • GraphQL: strong, not surface-level. Comfortable with schema comprehension, codegen workflows, client cache management (Apollo Client and/or URQL), optimistic updates, pagination patterns, error handling, and composing fragments efficiently.

Design & Accessibility:

  • Figma-to-code: can receive designs and implement them with pixel-perfect fidelity. Understands design tokens, spacing systems, and typography scales.
  • Storybook: experience building and maintaining component stories for documentation, visual review, and design collaboration.
  • WCAG 2.1 AA: practical, not theoretical. Accessible forms, modals, focus management, ARIA attributes, keyboard navigation, screen reader compatibility.

Testing:

  • Jest or Bun test: unit and integration testing of components and hooks.
  • React Testing Library: testing behavior, not implementation details.
  • MSW (Mock Service Worker): mocking API responses in tests and Storybook.

Ideal Experience

  • 7+ years of professional front-end experience.
  • Patient, communicative, and able to give constructive code review feedback, you’ll be co-mentoring a junior developer.
  • Comfortable making pragmatic tradeoffs to deliver value to users.
  • Availability during CET work hours.

Remote Jobs (Work From Home)

Fullstack Developer (US – ET)

Chooose builds software to enable the lower carbon fuel value chain.

Companies like Delta Air Lines, Cathay Pacific, British Airways, and Microsoft use the Chooose platform to build, operate, and scale their lower carbon fuel programs (typically referred to as Sustainable Aviation Fuel, or SAF), and to advance voluntary and compliance carbon management initiatives.

With offices in Miami and Oslo, and remote employees across the US and Europe, Chooose is relentlessly focused on delivering enterprise software products to enable our customers to drive lower carbon fuel adoption. The company has raised $50M from leading venture capital and strategic investors.

The role

We are looking for a person who is open to new technologies, is not afraid to experiment, and is eager to learn. The ideal candidate will be self-driven and able to take charge and make decisions. You will develop internal applications to drive efficiency within the Chooose organization leveraging your development skills and modern AI technologies, build-out back-end services for our customers, and support our Commercial team through technical implementation with customer facing opportunities.

This is a remote role that must be based in Massachusetts, New York, Pennsylvania, Maryland, or Florida

What you’ll do

  • Maintain and scale complex front-end (React, Typescript) and back-end architecture (C#/.net)
  • Work directly with external clients
  • Develop and maintain Python-based data processing pipelines and command-line interface (CLI) tools.
  • Develop and integrate AI/ML solutions into company processes and external facing products
  • Have a hand in the technical implementation of our Platform and Solutions and support our Commercial team
  • Creation of unit tests or integration tests (Vitest)
  • Maintain and scale complex services
  • Drive efficiency internally through scalable processes and applications

What you’ll bring to the table

  • 5+ years of hands-on experience
  • Strong organizational and project management skills.
  • Excellent verbal communication skills. A bonus if you have managed external facing clients previously.
  • Critical problem-solving skills.
  • Meticulous attention to detail.
  • Degree in computer science, engineering or equivalent.
  • Must be based in Massachusetts, New York, Pennsylvania, Maryland, or Florida

You’ll stand out if you have knowledge of

  • Azure (Azure functions)
  • Integrations
  • Python (Fast API)
  • You have some experience incorporating AI features into SaaS products.

The interview process

At Chooose, we prioritize transparency throughout our interview process. If your qualifications look like a fit, well begin with a 2-3 introductory conversations where you’ll have the chance to discuss your experience and learn more about our company. The second phase varies depending on the role and will most likely involve a practical exercise or live session so you can show your work. The third and final phase consists of a one-on-one in-person conversation with a member of our executive team. The process should take approx. 4 weeks. While we strive to keep to this timeline, the occasional adjustment may occur; were focused on ensuring for enough time to get to know one another.

Pay, perks, & more

We offer a competitive salary, a comprehensive benefits package including medical, dental, and vision insurance, voluntary 401k contributions, paid parental leave, a robust PTO package, the option to participate in our employee equity program, flexible work hours, and access to ‘Spaces’ coworking space.

We value diversity and believe forming teams in which everyone can be their authentic self is key to our success. We encourage people from underrepresented backgrounds and different industries to apply.

Compensation will be based on experience and skill, commensurate with market rates, and will include both salary and equity in Chooose.

Chooose is an equal opportunity employer and does not discriminate based on race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status. We are committed to providing an inclusive and welcoming environment to our employees and welcome input from candidates and employees on how we can enhance our inclusiveness.

Prerequisite for Employment: Chooose may request to conduct background checks on prospective applicants to verify the information provided in the CV, transcripts, and other documentation. This background check may be carried out by our partner and will not be conducted without the applicant’s prior consent. Prospective applicants will receive more information about this.

Remote Jobs (Work From Home)

Crypto Trader

Fox Global is an international company operating at the intersection of digital assets, market intelligence, and data-driven trading strategies. Our focus is on building a strong team of professionals who want to gain real-world experience in financial markets and develop practical trading expertise.

We are currently opening a Crypto Trader position for individuals who are starting their professional path and are interested in market analysis, trading and data-driven decision making.

This role combines independent trading activity with structured guidance and mentorship from experienced market specialists. We don’t have strict KPI requirements, and our work is aimed at training and improving trading skills in the real cryptocurrency market. No prior professional background is required full training is provided.

Key Responsibilities

  • Execute trades across digital asset markets following established strategies and risk guidelines.
  • Monitor market movements, liquidity flows, and price dynamics in real time.
  • Analyze charts, indicators, and trading signals to support decision-making.
  • Manage open positions and evaluate potential risks.
  • Stay informed on crypto-related news and assess its market impact.
  • Work with professional trading platforms and analytical tools.
  • Track and evaluate personal trading performance.
  • Continuously develop market understanding and trading skills.

What We Offer

  • Opportunity to join a growing international company.
  • Fully remote format work from anywhere.
  • Flexible schedule and workload.
  • Work with professional trading platforms and real market data.
  • Use of advanced analytical tools and systems.
  • Clear development path with increasing responsibilities.
  • Ongoing support from experienced market professionals.
  • Practical training in working with professional trading platforms under the guidance of experienced specialists.

Interview Process

  • Initial phone conversation with a company recruitment coordinator.
  • Detailed interview with HR.
  • Practical training session with one of our trading specialists.
Remote Jobs (Work From Home)

Product Manager Data Management & Platform

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.

HHAeXchange is seeking a Product Manager, Data Management & Platform to help define, govern, and scale how data is used across our healthcare platform. This role sits at the intersection of Product, Engineering, and Clinical/Financial operations, ensuring that the data powering RCM, EHR, Payroll, Payments, and the Universal Patient Record is accurate, connected, and trusted and that it serves as a reliable foundation for AI-driven innovation.

This is an individual contributor role for a healthcare product professional who understands real-world clinical and financial workflows, is energized by the potential of AI to transform healthcare data, and can translate complex requirements into clear, actionable product decisions. The ideal candidate brings 57 years of product management experience in healthcare IT, a solid grasp of data platform concepts, and a genuine enthusiasm for applying AI and machine learning to solve meaningful problems in the home care space.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a fully remote opportunity for candidates located in the EST or CST time zones within the US only.

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Essential Job Duties

Product-Led Data Strategy

  • Contribute to and help execute the product vision and roadmap forHHAeXchange’senterprise data platform.
  • Define how core clinical, operational, and financial dataismodeled, linked, and surfaced across the product ecosystem.
  • Partner with domain PMs (RCM, EHR, Payroll, Payments) to align data structures to real-world workflows and end-user needs.
  • Identifyopportunities to reduce data fragmentation and improve consistency across product domains.

AI Enablement & Innovation

  • Serve as a product champion for AI and machine learning use cases built on theHHAeXchangedata platform.
  • Define and prioritize data requirements that enable AI-driven features including predictive analytics, anomaly detection, automation, and intelligent recommendations.
  • Work with data science and engineering teams to ensure training data quality, feature pipelines, and model outputs are properly governed and trustworthy.
  • Evaluate and recommend AI tools, platforms, and frameworks that can accelerate product delivery and enhance the platform’s intelligence capabilities.
  • Stay current on emerging AI/ML trends in healthcare including generative AI, LLM applications, and agentic workflows and translate relevant developments into product opportunities.
  • Champion responsible AI practices, including fairness, explainability, and compliance considerations relevant to healthcare data.

Healthcare Data Enablement

  • Ensure data models support claims, visits, authorizations, care plans, payroll, and payer rules.
  • Translate regulatory, audit, and reimbursement requirements into data standards and traceability.
  • Improve data lineage and reconciliation across payer-provider workflows.
  • Support the development of a Universal Patient Record that is complete, current, and usable across the platform.

Cross-Team Execution

  • Collaborate closely with Engineering, Architecture, and Platform teams to shape data services, APIs, and pipelines.
  • Write clear product requirements, user stories, and acceptance criteria for data platform features.
  • Prioritize data initiatives based on customer impact, revenue risk, compliance needs, and scalability.
  • Drive alignment across product teams on shared data definitions, metrics, and reporting standards.

Governance & Data Quality

  • Support the definition of data ownership, stewardship, and quality standards across product domains.
  • Helpestablishvalidation, monitoring, and escalation processes for data defects.
  • Create visibility into data health for product leaders, operations teams, and stakeholders.
  • Contribute to documentation of data standards and governance policies.

Other Job Duties

  • Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

  • Travel 10-25%, including overnight travel

Required Education, Experience, Certifications and Skills

Required

  • 57 years of experience in product management within healthcare IT, preferably in RCM, EHR, or payer-provider platforms.
  • Solid understanding of claims workflows, clinical documentation, authorizations, eligibility, and reimbursement processes.
  • Demonstrated interest in and experience with AI, machine learning, or advanced analytics applied to healthcare data.
  • Familiarity with data platforms, data warehouses orlakehouses, and analytics and reporting tools.
  • Ability to partner effectively with Engineering and Architecture on platform-level systems and data infrastructure.
  • Working knowledge of healthcare data regulations and compliance requirements (e.g., HIPAA, Medicaid program integrity, EVV).
  • Strong written and verbal communication skills, including the ability to translate technical data concepts for non-technical stakeholders.
  • Experience writing product requirements, managing a backlog, and driving delivery in an agile environment.
  • Curiosity, adaptability, and a proactive mindset in a fast-evolving product environment.

Preferred

  • Experience with AI/ML product development, including defining data pipelines, feature requirements, or model evaluation criteria.
  • Familiarity with generative AI tools and their application in healthcare workflows (e.g., clinical documentation, billing, analytics).
  • Experience with Medicaid home care, personal care services (PCS), or HCBS programs.
  • Knowledge of data governance frameworks, master data management (MDM), or data quality tooling.
  • Exposure to modern data stack technologies (e.g.,dbt, Snowflake, Databricks, or similar).
  • Experience working with EVV data or similar real-time visit verification systems.
  • Familiarity with interoperability standards such as HL7, FHIR, or X12 EDI.

Success Measures (First 1218 Months)

  • Clear, well-adopted data models across key clinical and financial workflows.
  • Measurable reduction in data-related defectsimpactingclaims, payroll, and reporting.
  • At least one AI-driven product capability successfully launched on a trusted data foundation.
  • Improved reconciliation across payer, provider, and caregiver data.
  • Faster time-to-market for data-dependent product features.
  • Strong cross-team adoption of shared data standards and definitions.

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The base salary range for this US-based, full-time, and exempt position is $105,000-115/yr, not including variable compensation. An employees exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

Remote Jobs (Work From Home)

Client Support Specialist

We are looking for a proactive Client Support Specialist to serve as the operational backbone of our client-facing department at Sentry Credit. In this critical role, youll ensure every account is handled with precision and every client interaction meets our high standards for compliance. Your ability to coordinate across teams will be the key to maintaining the seamless, high-quality experience our partners expect in this fast-paced environment.

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What Youll Do:

  • Coordinate & Communicate: Act as a primary point of contact for client inquiries, ensuring all professional correspondence is handled with clarity and speed.

  • Data Integrity: Manage and audit client accounts with a high degree of accuracy.

  • Administrative Support: Assist leadership with report generation, document management, and ensuring compliance across multiple digital platforms.

  • Workflow Management: Manage multiple tasks simultaneously, ensuring that deadlines are met and nothing falls through the cracks.

  • Empower Collections:Assist collections specialists with settlement offers and account notations.

Who You Are:

  • A Precision-Oriented Professional: You follow instructions precisely and take pride in the accuracy of your work.

  • A Skilled Communicator: Your writing is always professional, polished, and clear.

  • A Multitasking Pro: You stay calm under pressure and can pivot between tasks without losing your place or your focus.

  • Tech-Savvy: Youre proficient in Microsoft Office or Google Workspace and CRM tools.

  • A Reliable Teammate: You understand that your role is critical to the teams success and you show up ready to support the mission every day.

Qualifications

  • Experience: 13 years of administrative or client service experience in collections, fintech, or financial services.

  • Skills: Excellent verbal/written communication and strong organizational habits.

  • Tech: Proficiency in standard office software (Excel/Google Sheets is a must) and CRM tools.

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$21 – $21 an hour

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Remote Jobs (Work From Home)

Sales Development Representative

About the Role

You are the client’s first impression of Pushpay, representing yourself as a passionate, personable and professional individual who will be able to connect our prospects business needs to our service. In this role, you make outbound calls to potential clients who appear to be strong potential customers based upon our general market focus.

Named as one of BuiltIn ‘Best Places to Work‘ in Seattle, Denver and Dallas for 2025; ranked number 10 by Seattle Business Magazine in the ‘Washington’s 100 Best Companies to Work For‘ list in the large companies category for 2024; named as a 2025 ‘Best Places to Work for Women‘ by Best Companies Group.

Benefits and Compensation

We have a passion for making all employees feel supported. In addition to having a genuine interest in helping you do your best work and drive your career, we offer:

  • 100% employer-paid premiums for Medical, Dental, and Vision for employee
  • 50% employer-paid premiums for Medical, Dental, and Vision for dependents
  • 401K match
  • Flexible working program
  • 12 paid company holidays
  • 2 paid Volunteer Time Off days
  • 15 days PTO to start, increases with tenure and seniority
  • Pay Range: $24.04 hourly + $20k variable = $70k OTE

The following states are approved as remote work locations for this position: AR, AZ, CA, CO, FL, GA, IA, IL, IN, MD,

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English Contract Attorney

English Document Reviewer

Contact Review – Washington, DC

Location: Remote

Start Date: Negotiable

EXPERIENCE & QUALIFICATIONS:

Familiarity with document review workflows

Examples: Privilege/Responsiveness Review, Redactions, Conceptual Searching, First and Second Review, etc.

Experience with electronic document review technology

Examples: Relativity, Concordance, ViewPoint, etc.

Active bar admission in at least 1 U.S. Jurisdiction and status in good standing

THE FOLLOWING SKILLS ARE PREFERRED BUT NOT REQUIRED:

Experience as a member of a document review team

Familiarity with Relativity 9.0 or higher version

2+ years of legal support experience

HOURS & LOCATION

Location (including opportunity for remote work) is established on a project-by-project basis

Hours (including the opportunity to work outside standard business hours) are established on a project-by-project basis

About Contact:

Contact Reviewprides itself on finding high-quality, high-accountability, barred attorneys specifically tailored to the needs of our project. We seek attorneys to assist with document review, privilege review, expert testimony, legal research, and foreign language translation.Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer, engineer, reviewer, and analyst sees themselves as an extension of the projects’ team. Here at Contact,we look for ways to improve efficiency, streamline workflows, and put our clients in the best possible position to weather the next storm.

For more information about Contact Review please visit:https://contactdiscoveryservices.com/managed-document-review/

#CJ

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$27 – $40 an hour

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Remote Jobs (Work From Home)

Fraud Waste and Abuse Data Analyst

HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.

Today, HHAeXchange supports Medicaid home and community-based care (HCBS) programs across all 50 states. Following the acquisition of Sandata, the platform processes electronic visit verification (EVV), visit records, and billing data for a significant portion of Medicaid home care services in the United States.

As Medicaid programs grow in scale and complexity, states and managed care plans face increasing pressure to ensure program integrity and protect public funds. HHAeXchange is expanding its Fraud, Waste, and Abuse (FWA) capabilities to help customers identify billing anomalies, improper payments, and potential fraud within their data.

The Sr FWA Data Analyst will play a key role in building these capabilities by analyzing large healthcare datasets to identify suspicious billing patterns and translating those insights into scalable detection tools. Working closely with product, engineering, and payer stakeholders, this role will help shape how fraud detection is embedded within the HHAeXchange platform. The ideal candidate brings deep knowledge of Medicaid regulatory requirements, the end-to-end revenue cycle, and the operational realities of both payers and providers in the home and community-based care space.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a fully remote opportunity for candidates located in the EST or CST time zones within the US only.

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Essential Job Duties

Data Analysis & Fraud Detection

  • Analyze Medicaid claims,visit, and billing datasets using SQL and other analytical tools.
  • Identifypatterns and anomalies that mayindicatefraud, waste, or abuse, including:
  • Visit overlaps and impossible or implausible service combinations
  • Inflated, duplicate, or unbundled billing
  • Provider billing spikes or outlierutilizationpatterns
  • Inconsistencies in electronic visit verification (EVV) data
  • Suspicious provider enrollment or credentialing indicators
  • Patterns indicative of upcoding, place-of-service manipulation, or beneficiary identity issues
  • Develop and refine detection queries and analytical logic that can be applied across datasets at scale.
  • Conduct proactive data analysis toidentifyemerging fraud patterns and program integrity risks.
  • Apply knowledge of the end-to-end revenue cycle including claims submission, adjudication, remittance, and denial/appeal workflows to contextualize billing anomalies and assess their integrity implications.

AI & Advanced Analytics

  • Apply machine learning and AI techniques to fraud detection, including anomaly detection models, predictive risk scoring, and unsupervised clustering of suspicious billing behavior.
  • Collaborate with data science teams on feature engineering, model validation, and the operationalization of AI-driven detection logic.
  • Leverage generative AI and LLM-based tools to support investigation summarization, pattern narrative development, and analytical workflow acceleration.
  • Stay current on emerging AI/ML applications in healthcare payment integrity and recommend adoption of relevant tools and techniques.
  • Test,validate, and continuously improve fraud detection models and analytical tools as they are developed and refined.

Product & Engineering Collaboration

  • Translate analytical findings into clear, actionable requirements for product and engineering teams.
  • Contribute to the design of fraud detection dashboards, alerting systems, and investigation workflows.
  • Support the development of automated detection tools and AI-driven fraud identification capabilities.
  • Serve as a subject matter expert on FWA and program integrity concepts to ensure detection logic is clinically and operationally sound.

Client & Stakeholder Engagement

  • Present analytical findings and insights to internal stakeholders and payer clients including state Medicaid agencies and managed care organizations in a clear and actionable format.
  • Support client discussions related to fraud detection strategy, program integrity reporting, and regulatory compliance obligations.
  • Advise payer and state partners on detection methodologies aligned with CMS program integrity expectations, Medicaid Integrity Program (MIP) standards, and applicable federal regulations.
  • Document analytical methodologies and investigation approaches to support compliance, audit readiness, and regulatory expectations.

Other Job Duties

  • Other duties as assigned by supervisor or HHAeXchange leader.

Travel Requirements

  • Travel up to 10%, including overnight travel

Required Education, Experience, Certifications and Skills

Required

  • 57 years of experience in healthcare analytics, payment integrity, fraud detection, program integrity, forensic data analysis, ora relatedfield.
  • Strong SQLproficiency, including the ability to independently query and analyze large, complex datasets.
  • Experienceidentifyingpatterns, anomalies, or outliers in large healthcare claims or billing datasets.
  • Solid understanding of the end-to-end revenue cycle, including claims submission, adjudication, remittance (EOB/835), and denial and appeal processes.
  • Working knowledge of Medicaid billing structures, including procedure/service codes (HCPCS, CPT), claim types (837P/837I), and applicable billing rules for home and community-based services.
  • Familiarity with federal Medicaid program integrity regulations, including 42 CFR Parts 431, 447, and 455, and CMS oversight and reporting expectations.
  • Understanding ofhow Medicaid managed care organizations (MCOs) and state Medicaid agenciesoperate, contract, and oversee provider networks.
  • Working knowledge of provider operations in home care or personal care settings, including how providers enroll, bill, and are reimbursed under Medicaid.
  • Experience using AI or machine learning tools for anomaly detection, fraud identification, risk scoring, or predictive analytics in healthcare claims data.
  • Strong analytical and investigative problem-solving skills with the ability to follow a data thread from anomaly to actionable finding.
  • Ability to communicate complex analytical findings to both technical and non-technical audiences, including state regulators and managed care compliance teams.
  • Comfort working in an evolving environment where new capabilities and processes are actively being developed.

Preferred

  • Experience with a payment integrity organization, healthcare analytics company, managed care plan, or state Medicaid agency.
  • Experience with Python, R, or advanced analytics and data visualization tools.
  • Experience with electronic visit verification (EVV) data and familiarity with EVV mandates under the 21st Century Cures Act.
  • Familiarity with Medicaid RAC, UPIC, or MIC audit processes and how findings are used in program integrity workflows.
  • Experience with ML model development, feature engineering, or working alongside data science teams on healthcare fraud models.
  • Exposure to generative AI or LLM tools applied to healthcare analytics, investigation support, or clinical/billing documentation review.
  • Knowledge of CARC/RARC codes, claim edit logic, or prior authorization workflows as they relate to payment integrity.
  • Experience with Medicaid home care, personal care services (PCS), or HCBS programs.
  • Professional certifications such as:
  • Certified Fraud Examiner (CFE)
  • Accredited Healthcare Fraud Investigator (AHFI)
  • Certified Professional Coder (CPC)
  • Certified in Healthcare Compliance (CHC)

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The base salary range for this US-based, full-time, and exempt position is $130,000-155,000/yr, not including variable compensation. An employees exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.

This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.

HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.

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Supportyourapp: (fluent Czech) Customer Support Consultant (LATAM, remotely)

Headquarters: Santiago, Santiago Metropolitan Region, Chile

Passionate about the world of tech?

What if you had a chance to be a part of the worlds leading SaaS, Software, or Hardware solutions?

Join our team as a Customer Support Consultant today and thrive in a multicultural and multilingual environment while enjoying your home office. Unlock your potential by mastering new skills and achieving challenging goals with our People First management approach.

Excited? Lets see what it takes

What You Will Do:

  • Communicate with hot leads and existing customers via calls
  • Build positive and long-lasting relationships with customers
  • Meet team KPIs
  • Always be up-to-date with cutting-edge technology
  • Securely work with customers sensitive information
  • Apply the latest and greatest customer happiness practices
  • Maintain working knowledge of our clients products and services

What you need to succeed in this role:

  • Excellent Czech and English (B2) communication skills
  • At least 6 months of experience in a customer support role
  • Attention to details
  • Analytical and research skills
  • Positive and responsible attitude
  • Personal laptop or computer (at least 8Gb of RAM) and a stable internet connection (minimum 50 Mbpsdownload and 40 Mbpsupload)

Will be a great plus:

  • Customer service or sales experience
  • Experience with CRM systems

Benefits and Perks:

  • Fixed schedule, Monday to Friday, 4 AM 12 PM UTC-3
  • Opportunity to work fully remotely
  • Inclusive international environment
  • Compensation in USD
  • Good bonuses for referring friends
  • Paid intensive training and probation
  • Work-life balance
  • Responsive management interested in your growth and long-lasting cooperation
  • Greenhouse conditions for self-development

*The items listed in this section may vary depending on the terms of your engagement. Certain benefits and conditions typically apply to employees; independent contractors may not be eligible for all of these. The specific terms, including compensation, benefits, and work conditions, will be clearly defined in your agreement if selected.

Who are we?

SupportYourApp is a Support-as-a-Service company that provides secure technical, customer support, and CX services for tech companies around the globe. We work with clients from over 30 countries and speak over 60 languages.

Since 2010, weve become an industry leader in premium outsourced customer support and turned global with 8 hubs around the world.

We treat our team like our clients, surrounding them with unlimited care, an individual approach, and a wholesome positive experience.

We welcome people with various backgrounds and experiences. Grab the chance to join us and send your CV in English, pointing out your outstanding skills!

Visit our website: www.supportyourapp.com

DISCLAIMER

We are a multinational company with unbiased views. The assessment of candidates is not affected by such characteristics as race, sex, color, religion, age, national origin, marital status, disability, veteran status, genetic information, sexual orientation, gender identity, or any other reason prohibited by law in provision of opportunities and benefits.

Your personal data will be processed as described in the SupportYouAppCandidate Privacy Notice.

To apply: https://weworkremotely.com/remote-jobs/supportyourapp-fluent-czech-customer-support-consultant-latam-remotely

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