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
354 jobs
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Government Programs Care Manager III
Government Programs Care Manager III
Today
Health Care Service Corporation
- From: Illinois (USA), Montana (USA), New Mexico (USA), Oklahoma (USA), Tennessee (USA), Texas (USA) (Full Remote)
- Full time
NursingClinical Social WorkMental Health CounselingChronic Care
Triage Nurse I - Carebridge
Triage Nurse I - Carebridge
1 day ago
Elevance Health
- From: Arizona (USA), Florida (USA), Indiana (USA), Iowa (USA), Kansas (USA), Massachusetts (USA), New Mexico (USA), Ohio (USA), Tennessee (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Nurse Licensure CompactTriageCare ManagementClinical Documentation
Referral Coordinator NR
Referral Coordinator NR
Today
MultiCare Health System
- From: United States (Full Remote)
- Full time
Electronic ReferralsICD Coding (ICD-9/ICD-10)Insurance ReviewsCPT Coding
Key Account Manager - Hematology - CA/HI
Key Account Manager - Hematology - CA/HI
Today
Biolife Plasma Service
- From: California (USA), Hawaii (USA) (Full Remote)
- Full time
Account ManagementStakeholder EngagementBusiness Planning
Pharmacist - Remote
Pharmacist - Remote
Today
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Fixed term
MedicarePharmacy Benefit ManagementManaged CarePrior Authorization
Credentialing Specialist II
Credentialing Specialist II
Today
Sentara Healthcare
- From: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA) (Full Remote)
- Full time
Credential ManagerAnalyticsManaged Care
VP, Strategic Sourcing and Vendor Performance(Preferred Experience in Managed Care, Strategic Sourcing & Contract Negotiations)
VP, Strategic Sourcing and Vendor Performance(Preferred Experience in Managed Care, Strategic Sourcing & Contract Negotiations)
Today
CareSource
- From: United States (Full Remote)
- Full time
Data SecurityVendor ManagementProcurementContract Management
OneSource Support Specialist (CST)
OneSource Support Specialist (CST)
Today
Alexion Pharmaceuticals,Inc.
- From: United States (Full Remote)
- Full time
Insurance LawActivities Of Daily Living (ADLs)
Career Opportunities: Senior Professional Business Analyst (31354)
Career Opportunities: Senior Professional Business Analyst (31354)
Today
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
SAS (Software)AnalyticsSQL (Programming Language)Business Analysis
Utilization Management Policy Initiatives Registered Nurse
Utilization Management Policy Initiatives Registered Nurse
1 day ago
MDA Edge
- From: California (USA) (Full Remote)
- Full time
NursingRegulatory ComplianceHealth Policy DevelopmentClinical Documentation
Care Manager (RN)
Care Manager (RN)
1 day ago
Centene Corporation
- From: Georgia (USA), North Carolina (USA), Tennessee (USA) (Full Remote)
- Full time
Home Health CareCare ManagementCare PlanningManaged Care
Pharmacy Coordinator (Appeals)
Pharmacy Coordinator (Appeals)
1 day ago
Centene Corporation
- From: Florida (USA) (Full Remote)
- Full time
Pharmacy ExperiencePrior AuthorizationQuality Assessment
Career Opportunities: Senior Professional Business Analyst (31356)
Career Opportunities: Senior Professional Business Analyst (31356)
Today
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
SAS (Software)AnalyticsSQL (Programming Language)Business Analysis
Director of Care Management
Director of Care Management
1 day ago
Humana
- From: Illinois (USA) (Full Remote)
- Full time
Clinical MedicineCare Management
Revenue Cycle Specialist
Revenue Cycle Specialist
Today
Medical Guardian
- From: United States (Full Remote)
- Full time
Revenue ManagementMedical Insurance ClaimsCounterclaims
Dental Recontracting Professional - VSP
Dental Recontracting Professional - VSP
7 days ago
Humana
- From: Alabama (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA) (Full Remote)
- Part time
Financial AnalysisContract Management
Pharmacist - Remote
Pharmacist - Remote
7 days ago
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Full time
Pharmacy Benefit ManagementPrior Authorization
Access & Reimbursement Manager (ARM) – Central California - Remote
Access & Reimbursement Manager (ARM) – Central California - Remote
5 days ago
Novartis
- From: California (USA), Nevada (USA) (Full Remote)
- Full time
BillingReimbursement RegulationsClaims And Litigation Management
Sales Executive - Healthcare / Managed Care / Workers Comp (FL)
Sales Executive - Healthcare / Managed Care / Workers Comp (FL)
8 days ago
EK Health Services Inc.
- From: Florida (USA) (Full Remote)
- Full time
Medical SalesSales StrategyCustomer Relationship Management
Medical Economics Applications and Report Developer
Medical Economics Applications and Report Developer
7 days ago
Trillium Health Resources
- From: North Carolina (USA) (Full Remote)
- Full time
EconomicsPower BIHealthcare AnalyticsSQL (Programming Language)
Registered Nurse, Out-Patient Case Manager
Registered Nurse, Out-Patient Case Manager
5 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Care ManagementChronic CareCross-Functional CollaborationPatient Evaluation
Employer Stop Loss/Regional Sales Representative - Remote
Employer Stop Loss/Regional Sales Representative - Remote
7 days ago
BlueCross BlueShield of South Carolina
- From: Minnesota (USA) (Full Remote)
- Full time
Presentation TrainingSales Strategy
Career Opportunities: Delegation Oversight Specialist- Auditor (24998)
Career Opportunities: Delegation Oversight Specialist- Auditor (24998)
12 days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Regulatory ComplianceAuditingProcess Improvement
Remote Staff Physician
Remote Staff Physician
19 days ago
Monogram Health
- From: Florida (USA) (Full Remote)
- Full time
Chronic Kidney DiseaseTelehealthMedical Licensing (Health Law)
Case Manager Long-term Care - Delaware
Case Manager Long-term Care - Delaware
4 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Care CoordinationChronic CareCultural Competency Training
Senior Compliance Analyst
Senior Compliance Analyst
1 day ago
Avesis, Incorporated
- From: United States (Full Remote)
- Full time
Regulatory ComplianceAuditingCompliance ManagementProject Management
Bilingual Reimbursement Specialist
Bilingual Reimbursement Specialist
19 days ago
Insulet International
- From: Canada (Full Remote)
- Full time
Reimbursement RegulationsCustomer Interaction Management
Senior Stop Loss Underwriter
Senior Stop Loss Underwriter
3 days ago
BlueCross BlueShield of South Carolina
- From: Florida (USA) (Full Remote)
- Full time
UnderwritingManaged CareRisk Selection
RN Utilization Management Clinical Reviewer Senior Analyst - Work from Home, California
RN Utilization Management Clinical Reviewer Senior Analyst - Work from Home, California
7 days ago
The Cigna Group
- From: California (USA) (Full Remote)
- Full time
Care ManagementNursingClinical AssessmentsPatient Education And Counseling
Health Partner Network Manager
Health Partner Network Manager
10 days ago
CareSource
- From: North Carolina (USA) (Full Remote)
- Full time
Financial AnalysisRecruitment ConsultancyReimbursement RegulationsContract Management
Managed Care Coordinator I
Managed Care Coordinator I
5 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: Connecticut (USA), Delaware (USA), New Jersey (USA), New York (USA), Pennsylvania (USA) (Full Remote)
- Full time
Medical Abbreviations
Manager - PBM/Payer Industry
Manager - PBM/Payer Industry
8 days ago
Optimity Advisors
- From: District of Columbia (USA), Washington (USA) (Full Remote)
- Full time
Pharmacy Benefit ManagementProject ManagementPayment Systems
Manager, Clinical Pharmacy for Prior Authorization- Remote
Manager, Clinical Pharmacy for Prior Authorization- Remote
5 days ago
Sentara Healthcare
- From: Alabama (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Indiana (USA), Kansas (USA), Louisiana (USA), Maine (USA), Maryland (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), North Carolina (USA) (Full Remote)
- Full time
Utilization ManagementClinical PharmacyPrior Authorization
Manager, Risk Adjustment Analytics
Manager, Risk Adjustment Analytics
1 day ago
Datavant
- From: United States (Full Remote)
- Full time
Data MiningHealthcare AnalyticsRisk Control
Clinical Integration Liaison - Licensed/Remote in CA
Clinical Integration Liaison - Licensed/Remote in CA
30+ days ago
Magellan Health
- From: California (USA) (Full Remote)
- Full time
Clinical Data ExchangeUtilization ManagementProject ManagementMental Health Education
Quality Program Strategist II
Quality Program Strategist II
6 days ago
Centene Corporation
- From: Connecticut (USA), Maine (USA), Missouri (USA), New Hampshire (USA), New Jersey (USA), New York (USA) (Full Remote)
- Full time
AnalyticsHEDIS (Healthcare Effectiveness Data And Information Set)Quality Assessment
Senior Compliance Corrections Specialist - Medicaid/Marketplace
Senior Compliance Corrections Specialist - Medicaid/Marketplace
12 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
Data MiningCorrective Action TrainingRoot Cause AnalysisCompliance Management
Medical Director
Medical Director
15 days ago
Health Care Service Corporation
- From: Illinois (USA) (Full Remote)
- Full time
Medical Licensing (Health Law)
RC Appellate Clinician - Remote $10K Sign on Bonus
RC Appellate Clinician - Remote $10K Sign on Bonus
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
InterQual CriteriaMedical Necessity
Policy Intern
Policy Intern
2 days ago
Hopelab
- From: United States (Full Remote)
- Internships
Policy AnalysisLegislative Procedures
Market RN - New York
Market RN - New York
8 days ago
ConcertoCare
- From: New York (USA) (Full Remote)
- Full time
Care CoordinationPatient Education And CounselingChronic CareTelecare
Denial Management and Follow Up Representative - Remote
Denial Management and Follow Up Representative - Remote
30+ days ago
Conifer Health Solutions
- From: Texas (USA) (Full Remote)
- Full time
Revenue ManagementMedical Insurance Claims
Case Manager Long-term Care - New Castle and Kent County (Delaware)
Case Manager Long-term Care - New Castle and Kent County (Delaware)
6 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Care CoordinationCare ManagementHealth AssessmentCultural Competency Training
Access & Reimbursement Manager (ARM) – Upstate New York - Remote
Access & Reimbursement Manager (ARM) – Upstate New York - Remote
5 days ago
Novartis
- From: New York (USA) (Full Remote)
- Full time
Reimbursement RegulationsClaims And Litigation Management
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
30+ days ago
Concentra
- From: New Jersey (USA) (Full Remote)
- Full time
Credential ManagerUtilization ManagementClinical AssessmentsClinical Assessments
Utilization Review Nurse - LPN (Remote)
Utilization Review Nurse - LPN (Remote)
28 days ago
Morgan Stephens
- From: Georgia (USA) (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceUsage Tracking
Prior Authorization Representative - 100% Remote - multiple openings at Andeo Group LLC
Prior Authorization Representative - 100% Remote - multiple openings at Andeo Group LLC
30+ days ago
Andeo Group LLC
- From: District of Columbia (USA), Virginia (USA), West Virginia (USA) (Full Remote)
- Full time
Pharmacy Tech I
Pharmacy Tech I
7 days ago
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Full time
MedicaidMedicareCall Center ExperiencePrior Authorization
Account Executive, Digital Radiography (Northern California)
Account Executive, Digital Radiography (Northern California)
30+ days ago
Boston Imaging
- From: California (USA) (Full Remote)
- Full time
RadiographyMedical Imaging
Care Manager
Care Manager
19 days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
Utilization ManagementCare ManagementClinical AssessmentsService Management
