Remote Managed Care Jobs
Remote from:
Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
324 jobs:
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Director of Revenue Cycle / Chief Revenue Officer
Director of Revenue Cycle / Chief Revenue Officer
20 day ago
Genesis Orthopedics & Sports Medicine
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Medical BillingCoding TheoryRevenue ManagementManaged CareHealth PoliciesAnalytics
Personal Attendant Services (PAS) Clinical Consultant - Remote/Field
Personal Attendant Services (PAS) Clinical Consultant - Remote/Field
30+ days ago
Alcority
- Remote: United States
- Senior (5-10 years)
Ibm Lotus Word ProPresentation TrainingWeb AdministrationRegulatory ComplianceMotivational LeadershipManaged Care
Epic Application Analyst II, EDI Rev Cycle PB HB Tapestry
Epic Application Analyst II, EDI Rev Cycle PB HB Tapestry
21 day ago
Sutter Health
- Remote: United States
- Full time
Managed CareBusiness CycleBusiness OperationsPolicy Development
Care Guide (Physical Health) - Ohio Medicaid
Care Guide (Physical Health) - Ohio Medicaid
30+ days ago
Conviva Care Solutions
- Remote: United States, Ohio (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care CoordinationEducational AssessmentElectronic Case Filing SystemsOnline CommunicationGrievance ArbitrationSocial Work
Case Manager Long-term Care - Delaware
Case Manager Long-term Care - Delaware
25 day ago
Highmark Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 19 - 106K
Care CoordinationCare ManagementCultural Competency TrainingHome Health CareBehavioral HealthDigital File Management
Manager of Configuration and Payment Operations
Manager of Configuration and Payment Operations
30+ days ago
UST HealthProof
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 100 - 120K
Financial SalesMedicare AdvantageManaged Care
Field Care Coordinator
Field Care Coordinator
30+ days ago
Conviva Care Solutions
- Remote: United States, Florida (USA)
- Full time
- Senior (5-10 years)
- 53 - 72K
Service ManagementCare PlanningEducational AssessmentNursingPsychologyClinical Nursing
Virtual Advanced Practice Provider - Nashville, TN
Virtual Advanced Practice Provider - Nashville, TN
26 day ago
Monogram Health
- Remote: United States, Tunisia, Tennessee (USA)
Chronic Kidney DiseaseNursingEnd Stage Renal DiseaseBasic Patient CareMedicarePatient Evaluation
BH Utilization Manager
BH Utilization Manager
30+ days ago
Harris Health System
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
Managed CareClinical PracticesUtilization ManagementBehavioral HealthMedical Abbreviations
Quality Improvement Consultant - Remote in Idaho
Quality Improvement Consultant - Remote in Idaho
26 day ago
UnitedHealthcare
- Remote: United States, Idaho (USA)
- Freelance
- Mid-level (2-5 years)
- 54 - 107K
Change ManagementHedis Healthcare Effectiveness Data And Information SetQuality AssessmentProcess ImprovementDigital File ManagementManaged Care
RN Senior Medical Reviewer - CGS
RN Senior Medical Reviewer - CGS
27 day ago
CGS Administrators, LLC
- Remote: United States, South Carolina (USA), Tennessee (USA)
- Full time
- Senior (5-10 years)
Utilization ManagementNurse Licensure CompactClinical AssessmentsClinical AssessmentsHealthcare Delivery ModelsManaged Care
Remote Referral Support Specialist
Remote Referral Support Specialist
30+ days ago
Trinity Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Data EntryElectronic ReferralsDischarge PlanningHospice NursingReimbursement RegulationsManaged Care
Sales Contract Management Director
Sales Contract Management Director
30+ days ago
Hanger, Inc.
- Remote: United States
- Full time
- Senior (5-10 years)
Financial AnalysisInsurance LawProject ManagementContract ManagementHealth Care IndustryHealth Reimbursement Arrangement
Senior Manager, Financial Planning & Analysis (FP&A)
Senior Manager, Financial Planning & Analysis (FP&A)
27 day ago
Nomi Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Financial AnalysisFinancial ManagementFinancial ModelingErp Systems KnowledgeAnalyticsMathematical Optimization
Field Reimbursement Manager (New Haven)
Field Reimbursement Manager (New Haven)
30+ days ago
Endo International plc
- Remote: United States, Connecticut (USA)
- Full time
- Senior (5-10 years)
Reimbursement RegulationsPaths To PurchaseMedicareBiopharmaceuticalsManaged CareHealth Policies
HSS Clinical Coordinator RN - Bristol, VA and surrounding areas
HSS Clinical Coordinator RN - Bristol, VA and surrounding areas
26 day ago
UnitedHealthcare
- Remote: United States, Massachusetts (USA), Oregon (USA)
- Mid-level (2-5 years)
Care CoordinationChronic CareNurse Licensure CompactChange ManagementCase Management SystemsMaternal Child Health
Clinical Pharmacist Consultant
Clinical Pharmacist Consultant
30+ days ago
Lifelancer
- Remote: United States, Oregon (USA)
- Freelance
- 112 - 184K
Clinical PharmacyMedication Therapy ManagementPharmaceutical SciencesPharmacy ExperienceRegulatory ComplianceCompliance Management
Technical Business Data Analyst at DATAMAXIS
Technical Business Data Analyst at DATAMAXIS
24 day ago
DATAMAXIS, Inc
- Remote: United States, Illinois (USA)
- Fixed term
- Senior (5-10 years)
AnalyticsData QualitySql Programming LanguageBusiness AnalysisMicrosoft SharepointTeradata Bi
Case Manager, LaCrosse, WI
Case Manager, LaCrosse, WI
30+ days ago
Conviva Care Solutions
- Remote: United States, Wisconsin (USA)
- Full time
- Mid-level (2-5 years)
- 53 - 72K
Care CoordinationEducational AssessmentOnline CommunicationWindows SoftwareSocial WorkHealth And Human Services
Registered Nurse - Telephonic Hospice Validations (Remote)
Registered Nurse - Telephonic Hospice Validations (Remote)
23 day ago
Morgan Stephens
- Remote: United States, California (USA)
- Mid-level (2-5 years)
- 86 - 86K
Care ManagementNurse RegistryManaged CareHospice NursingEnd Of Life CareRemote Administration
Chief Executive Officer
Chief Executive Officer
30+ days ago
Gold Coast Health Plan
- Remote: United States, California (USA)
- Full time
- Expert & Leadership (>10 years)
Regulatory ComplianceFinancial ManagementStrategic LeadershipStakeholder EngagementHealth AdministrationBudget Management
C&S Plan Associate Medical Director - Georgia Foster Care - Remote
C&S Plan Associate Medical Director - Georgia Foster Care - Remote
26 day ago
UnitedHealthcare
- Remote: United States, Georgia (country), Georgia (USA)
- Senior (5-10 years)
- 269 - 425K
Clinical GovernanceUtilization ManagementProvider ModelQuality AssessmentMedicaidState Childrens Health Insurance Programs
Regional Business Manager
Regional Business Manager
30+ days ago
Biolife Plasma Service
- Remote: United States
- Full time
- Senior (5-10 years)
Clinical ConsultingConsultative SellingPharmaceutical SalesMarket AnalysisGastroenterologyManaged Care
Registered Nurse-Review Analyst
Registered Nurse-Review Analyst
29 day ago
Strategic Staffing Solutions
- Remote: United States, Michigan (USA)
- Mid-level (2-5 years)
- 72 - 72K
Care CoordinationUtilization ManagementNursingClinical AssessmentsDischarge PlanningCare Management
Pharmacy Technician Clinical Support (Remote option)
Pharmacy Technician Clinical Support (Remote option)
28 day ago
Partners Health Management
- Remote: United States, North Carolina (USA), Virginia (USA)
- Full time
- Senior (5-10 years)
Medication Therapy ManagementMedical AbbreviationsPharmacy OperationsStatistical ReportingMedication ReconciliationInternal Documentation
Manager, Care Management Support
Manager, Care Management Support
30+ days ago
Conviva Care Solutions
- Remote: United States, Maryland (USA), North Carolina (USA), Tennessee (USA), Virginia (USA), West Virginia (USA)
- Full time
- Senior (5-10 years)
- 78 - 107K
Medicaid Management Information Systems MmisCare ManagementElectronic Medical RecordManaged CareMedical Licensing Health LawNurse Licensure Compact
RN Medical Case Manager I
RN Medical Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, New Mexico (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Utilization ManagementNeurologyPhysical Medicine And RehabilitationOrthopedicsNurse RegistryManaged Care
Clinical Reviewer - LPN
Clinical Reviewer - LPN
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Senior (5-10 years)
- 58 - 74K
Managed CareClinical NursingMedical NecessityUtilization ManagementClinic Management SystemsInterqual Criteria
SVP Value-Based Care
SVP Value-Based Care
30+ days ago
Guaranteed
- Remote: United States, New York (USA)
- Expert & Leadership (>10 years)
Value Based CareHealthcare StrategyHealthcare Industry KnowledgeManaged CareContract ManagementPublic Health
Utilization Review Nurse 
Utilization Review Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Illinois (USA)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems MmisPrior AuthorizationUtilization ManagementMeditouchManaged Care
Utilization Management Policy Initiatives Registered Nurse
Utilization Management Policy Initiatives Registered Nurse
30+ days ago
MDA Edge
- Remote: United States, California (USA)
- Senior (5-10 years)
Clinical DocumentationRegulatory ComplianceHealth Policy DevelopmentNursingPolicy Change RequestsClinical Research
DSNP Care Manager-Middlesex County, NJ
DSNP Care Manager-Middlesex County, NJ
29 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: United States, New Jersey (USA)
- Full time
- Mid-level (2-5 years)
- 62 - 83K
Care ManagementMedical AbbreviationsHome Health CareDischarge PlanningHedis Healthcare Effectiveness Data And Information SetClinical Assessments
Key Account Manager - Mid-Atlantic
Key Account Manager - Mid-Atlantic
26 day ago
BIOCODEX
- Remote: United States
- Full time
- Senior (5-10 years)
- 9 - 9K
Business IntelligenceProject ManagementSales ManagementKnow Your CustomerCross Functional CollaborationHealth Administration
Key Account Manager - Transplant - Seattle, WA
Key Account Manager - Transplant - Seattle, WA
23 day ago
Takeda
- Remote: United States, District of Columbia (USA), Washington (USA)
- Senior (5-10 years)
- 154 - 212K
Account ManagementBusiness DevelopmentManaged CareSolution SellingOrgan ProcurementPharmaceutical Product Management
Sr. Director of Medical Cost Management
Sr. Director of Medical Cost Management
30+ days ago
UNITE HERE HEALTH
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
- 176 - 229K
Financial ModelingBusiness Intelligence ToolsManaged CareNetwork AdministrationEconomicsAnalytics
Senior Contract Manager-$5000 sign on bonus**
Senior Contract Manager-$5000 sign on bonus**
23 day ago
WellSense Health Plan
- Remote: United States, Massachusetts (USA)
- Fixed term
- Senior (5-10 years)
Healthcare Industry KnowledgeContract ManagementAnalyticsReimbursement RegulationsContract ManagementCompensation Program Design
Nurse Practitioner
Nurse Practitioner
26 day ago
Monogram Health
- Remote: United States, Panama, Pennsylvania (USA)
Chronic Kidney DiseaseNursingEnd Stage Renal DiseaseBasic Patient CareCare CoordinationNurse Licensure Compact
Patient Services Representative I - Remote - Nationwide
Patient Services Representative I - Remote - Nationwide
29 day ago
Vituity
- Remote: United States, California (USA)
- 30 - 30K
Data EntryInsurance LawMedical AbbreviationsOnline CommunicationCall Center ExperienceHospital Experience
Enrollment Specialist - ADAP - Remote in Connecticut
Enrollment Specialist - ADAP - Remote in Connecticut
25 day ago
Prime Therapeutics
- Remote: United States, Connecticut (USA)
- Full time
- 30 - 44K
Data EntryEnrollment ManagementClaims And Litigation ManagementProblem ManagementQuality AssessmentPharmacy Operations
Head of Market Access (Remote) - 25-112
Head of Market Access (Remote) - 25-112
30+ days ago
Elevar Therapeutics
- Remote: United States
- 250 - 300K
Strategic ManagementMarket Access StrategyCross Functional CollaborationContract ManagementManaged CarePharmaceutical Marketing
Dispute and Appeals Manager - Remote in Idaho
Dispute and Appeals Manager - Remote in Idaho
26 day ago
UnitedHealthcare
- Remote: United States, Idaho (USA)
- Mid-level (2-5 years)
- 59 - 116K
AppealsGrievance ArbitrationDocumentation GenerationWindows SoftwareOnline CommunicationCase Assessment
National Account Director - Southeast
National Account Director - Southeast
30+ days ago
Avidity Biosciences, Inc.
- Remote: United States
- Expert & Leadership (>10 years)
- 232 - 257K
Pharmacy ExperienceDirect Market AccessSales ManagementContract ManagementReimbursement RegulationsProduct Launch Readiness
Medical Director
Medical Director
30+ days ago
Samaritan Health Services
- Remote: United States
- Part time
- Senior (5-10 years)
Clinical Quality ManagementMedical ManagementUtilization ManagementMedicareManaged CareHealth Policies
Claims Reviewer - A/R & Collections
Claims Reviewer - A/R & Collections
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Azerbaijan, Arizona (USA)
- Mid-level (2-5 years)
Managed CareBehavioral HealthMedical Abbreviations
Actuarial Manager
Actuarial Manager
30+ days ago
Pediatric Associates Family of Companies
- Remote: United States
- Full time
- Senior (5-10 years)
Utilization ManagementStatistical AnalysisReimbursement RegulationsActuarial SciencePresentation TrainingData Validation
Key Account Manager - Southwest
Key Account Manager - Southwest
26 day ago
BIOCODEX
- Remote: United States
- Full time
- Senior (5-10 years)
- 9 - 9K
Direct Market AccessBusiness PlanningCustomer Relationship ManagementCross Functional CollaborationManaged CareStakeholder Engagement
Corporate Account Manager
Corporate Account Manager
26 day ago
Acrotech Biopharma Inc
- Remote: United States
- Senior (5-10 years)
- 19 - 19K
Financial AnalysisOncologyStrategic SellingDirect Market AccessClient ServicesBuilding Inspections
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Kansas (USA)
- Fixed term
- Mid-level (2-5 years)
Managed CareUtilization ManagementPrior AuthorizationInpatient CareMedicareMedicaid
Territory Manager, Bone Growth Therapies - Fracture - Fort Myers, Fl
Territory Manager, Bone Growth Therapies - Fracture - Fort Myers, Fl
30+ days ago
Orthofix
- Remote: United States, Florida (USA)
- Full time
- Mid-level (2-5 years)
- 38 - 57K
Sales DevelopmentManaged CarePresentation TrainingMedical SalesClinical Assessments
Pharmacy Technician - Prior Auth Review (Remote PST Hours)
Pharmacy Technician - Prior Auth Review (Remote PST Hours)
26 day ago
Molina Healthcare
- Remote: United States, Washington (USA)
- Mid-level (2-5 years)
- 40 - 58K
Managed CarePrior AuthorizationPharmaceuticalsRetail PharmacyIbm Notes
