123 jobs found in Macon, IL

Job Description Job Summary The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care.  This position will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong organizational skills, proficient knowledge of MS Excel, able to work on multiple screens simultaneously and be computer literate to keep up with the work. The team works in a very fast and productive environment. Further details to be discussed during our interview process. Remote position with location preference in MI, IL or WI Work hours: Monday- Friday: 8:30am -5:00pm EST. There is Saturday on call and holiday rotation....

JOB DESCRIPTION Job Summary The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and requirements pertaining to delegation agreements. Contributes to overarching strategy to provide quality and cost-effective member care. This position will support our Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work hours: Monday - Friday 8:00am – 4:00pm Remote position Essential Job Duties Coordinates, conducts and documents pre-delegation and annual assessments as necessary...

Ready to take control of your career? Say hello to Liveops where flexibility, freedom and meaningful opportunities are just a click away. Liveops is searching for dynamic, Spanish-English bilingual Independent Contractors (ICs) who are eager to deliver exceptional virtual teleservices for industry-leading brands. Whether your background is in healthcare, customer care, finance, or technical support, this is your chance to leverage your skills, broaden your horizons, and build a rewarding home-based business tailored to your strengths.  As an Independent Contractor, you will: Be your own boss Choose when and to whom you provide support services Set your own schedule Provide a distraction-free home office Provide your own home office equipment Handle customer calls, assess needs, and solve problems Requirements: Strong verbal and written English and Spanish skills At least 1 year of phone-based customer support experience Computer skills,...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...

Earn up to $16 USD/hourly and work fully remotely and flexibly. Outlier, a platform owned and operated by Scale AI, is looking for English speakers to contribute their expertise toward training and refining cutting-edge AI systems. If you're passionate about improving models and excited by the future of AI, this is your opportunity to make a real impact. What You’ll Do Work from a real user perspective to create natural, high quality data that reflects how people actually use AI in practice. Review, compare, and rank responses generated by large language models, focusing on usefulness, clarity, and reasoning quality. Contribute across a range of projects based on your skills, interests, and experience. What We’re Looking For Analytical and Problem-Solving Skills: Ability to craft thoughtful prompts and evaluate nuanced AI responses with sound judgment. Strong Written Communication: Clear, structured writing to explain decisions, provide feedback, and...