Remote Utilization Management 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
359 jobs
Sort by:
Manager, Clinical Care Management (New Mexico - Active RN License)
Manager, Clinical Care Management (New Mexico - Active RN License)
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 85 - 107K
Financial ManagementNurse Licensure CompactUtilization Management
Medical Director - Pediatric Infectious Disease - EviCore
Medical Director - Pediatric Infectious Disease - EviCore
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 203 - 338K
Evidence-Based PracticePediatric Diseases And Disorders
Primary Therapist - Virtual
Primary Therapist - Virtual
28 day ago
Monte Nido & Affiliates
- Remote: United States
- Freelance
PsychotherapyNutrition InterventionCounseling TechniquesEmotional Disorders
Telephonic Case Manager I
Telephonic Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, Pennsylvania (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Medical Humanities
Remote Care Management Nurse (Future Opportunities)
Remote Care Management Nurse (Future Opportunities)
30+ days ago
Cambia Health Solutions
- Remote: United States, District of Columbia (USA), Idaho (USA), Iowa (USA), Maine (USA), Massachusetts (USA), Oregon (USA), Utah (USA), Washington (USA)
- Freelance
- Mid-level (2-5 years)
- 64 - 105K
Enterprise PHCO - Medicare & Duals - Lead
Enterprise PHCO - Medicare & Duals - Lead
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Care ManagementMedical ManagementUtilization Management
Director of Clinical Network Operations
Director of Clinical Network Operations
Today
NOCD
- Remote: United States
- Full time
Clinical System OperationsCross-Functional Collaboration
Medical Director - Florida
Medical Director - Florida
20 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment Planning
Business Development Director (Clinical Documentation and Coding)
Business Development Director (Clinical Documentation and Coding)
15 day ago
R1 RCM
- Remote: United States
- Full time
Coding TheoryRevenue ManagementClinical Documentation
Senior Manager, Resource Management
Senior Manager, Resource Management
30+ days ago
Wpromote
- Remote: United States
- Full time
Utilization ManagementStaff PlanningResource Management
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
1 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical WritingOnline Communication
Nurse Coder DRG Auditor I (US Remote)
Nurse Coder DRG Auditor I (US Remote)
9 day ago
Trend Health Partners
- Remote: United States
- Full time
Coding TheoryDiagnosis-Related GroupCPT Coding
Provider Engagement Account Manager
Provider Engagement Account Manager
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- 55 - 99K
Provider ModelAccount ManagementNetwork Performance Management
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
16 day ago
Sage Therapeutics
- Remote: United States
- Full time
Health AdministrationActivities Of Daily Living (ADLs)Reimbursement RegulationsPayer Marketing
Remote Medical Director
Remote Medical Director
16 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Clinical Case and Utilization Management (CM/UM) Training Manager
Clinical Case and Utilization Management (CM/UM) Training Manager
1 day ago
COPE Health Solutions
- Remote: United States
- Full time
Care ManagementPolicy EnforcementUtilization Management
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
30+ days ago
Collectiv
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
Power BIMicrosoft Azure
Clinical Admissions Therapist (Michigan)
Clinical Admissions Therapist (Michigan)
20 day ago
Charlie Health
- Remote: United States
- Full time
TelehealthBehavioral HealthMental Health Assessments
Care manager (LMFT or LCSW) - Remote
Care manager (LMFT or LCSW) - Remote
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Discharge Planning
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
13 day ago
The Cigna Group
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelineSpeech Therapy
Senior Customer Success Technical Architect
Senior Customer Success Technical Architect
16 day ago
Confluent
- Remote: United States
- Full time
PLINK (Genetic Analysis Software)Apache KafkaData StreamingCloud Computing
Clinical Formulary Pharmacist - Government Programs
Clinical Formulary Pharmacist - Government Programs
30+ days ago
Maxor National Pharmacy Services, LLC
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementCompliance Management
UR Case Manager II
UR Case Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization Management
Obstetrics/Newborn/Pediatrics Clinical Documentation Specialist PRN
Obstetrics/Newborn/Pediatrics Clinical Documentation Specialist PRN
30+ days ago
Wellstar Health System
- Remote: United States
- Part time
- Senior (5-10 years)
Coding TheoryLine ChartDiagnosis-Related GroupClinical Documentation
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 100 - 150K
InterQual CriteriaUtilization Management
Medical Director, Children's Services (SafetyNet & Behavioral Health)
Medical Director, Children's Services (SafetyNet & Behavioral Health)
30+ days ago
Univera Healthcare
- Remote: United States, Massachusetts (USA), New York (USA), Virginia (USA)
- Full time
- Expert & Leadership (>10 years)
Behavioral HealthChild And Adolescent PsychiatryClinical Auditing
Medical Director -Pediatric Cardiology
Medical Director -Pediatric Cardiology
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 203 - 338K
CardiologyClinical Assessments
Remote Child & Adolescent Behavioral Medical Director - Washington
Remote Child & Adolescent Behavioral Medical Director - Washington
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Utilization Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: United States
- Freelance
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsProject Management
Ophthalmology - Remote 1099 Utilization Review Work
Ophthalmology - Remote 1099 Utilization Review Work
1 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementClinical AssessmentsBasic Patient CareOphthalmology
Mental Health Therapist (RMHCI, RCSWI)
Mental Health Therapist (RMHCI, RCSWI)
30+ days ago
Discovery Behavioral Health
- Remote: United States, Florida (USA)
- Full time
- Entry-level / graduate
- 52 - 65K
Physician Advisor
Physician Advisor
30+ days ago
Ensemble Health Partners
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Project ManagementBudget ManagementContinuing Medical Education
Pharmacy Coordinator
Pharmacy Coordinator
22 day ago
Centene Corporation
- Remote: United States
- Full time
Pharmacy ExperiencePrior Authorization
Research Analyst- Family Health Advocate
Research Analyst- Family Health Advocate
15 day ago
Sharecare
- Remote: United States
- Full time
Medical Director - EviCore - Cardiology
Medical Director - EviCore - Cardiology
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 196 - 328K
Evidence-Based PracticeCardiology
Senior Healthcare Analyst, Actuarial 
Senior Healthcare Analyst, Actuarial
30 day ago
Cohere Health
- Remote: United States
- Full time
AnalyticsCost ManagementCustomer EngagementActuarial Science
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
17 day ago
CommonSpirit Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
30+ days ago
Magellan Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Behavioral HealthDischarge PlanningUtilization ManagementCrisis Intervention
Medical Director Utilization Management
Medical Director Utilization Management
30+ days ago
AmeriHealth Caritas
- Remote: United States
- Expert & Leadership (>10 years)
Medical DirectionClinical PracticesUtilization ManagementQuality Assessment
Remote Behavioral Medical Director - western region
Remote Behavioral Medical Director - western region
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Cost ContainmentUtilization Management
Remote Medical Director
Remote Medical Director
16 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Manager, Clinical Operations
Manager, Clinical Operations
14 day ago
UST HealthProof
- Remote: United States
- Full time
Clinical System OperationsUtilization ManagementQuality Assessment
VP, Payer Analytics
VP, Payer Analytics
30+ days ago
Trinity Health
- Remote: United States, Michigan (USA)
- Full time
- Expert & Leadership (>10 years)
Financial AnalysisCost Management
Sales Executive - Payer
Sales Executive - Payer
30+ days ago
Notable
- Remote: United States, California (USA)
- Full time
- Senior (5-10 years)
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
21 day ago
Ensemble Health Partners
- Remote: United States
- Full time
Utilization ManagementClinical AssessmentsMedical NecessityResource Management
Neurologist Needed for Utilization Review work - Remote 1099
Neurologist Needed for Utilization Review work - Remote 1099
29 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementMedical Licensing (Health Law)Neurology
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: United States
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Residential Mental Health Therapist
Residential Mental Health Therapist
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 67 - 84K
PRN RN Utilization Review Audit Specialist
PRN RN Utilization Review Audit Specialist
30+ days ago
University of Maryland Medical System
- Remote: United States, Maryland (USA)
- Full time
- Mid-level (2-5 years)
- 7 - 19K
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
Nurse Registry
