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
401 jobs
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Claims Resolution Specialist- Remote
Claims Resolution Specialist- Remote
9 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical BillingICD Coding (ICD-9/ICD-10)Claims And Litigation ManagementBusiness WritingRegulatory ComplianceCPT Coding
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
11 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
VP of Healthcare Partnerships
VP of Healthcare Partnerships
30+ days ago
Talkspace
- Remote: New York (USA)
- Full time
Business DevelopmentBehavioral HealthReferral MarketingTelehealthMarket AnalysisCustomer Relationship Management
Project Manager LU 5-10
Project Manager LU 5-10
30+ days ago
FOCUSED HR SOLUTIONS LLC
- Remote: Illinois (USA)
- Full time
Microsoft ProjectEnterprise Information ManagementChange ManagementProject ManagementConflict ResolutionMicrosoft Access
Denials Specialist - Remote
Denials Specialist - Remote
4 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Coding TheoryMedical AbbreviationsICD Coding (ICD-9/ICD-10)Managed CareCPT CodingMedical Billing
Business Development Manager
Business Development Manager
17 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness DevelopmentBusiness WritingManaged Care
Market Physician Executive - Nashville, TN
Market Physician Executive - Nashville, TN
30+ days ago
Monogram Health
- Remote: Tennessee (USA)
- Full time
Clinical GovernanceEvidence-Based PracticeBasic Patient CarePublic HealthMedical Licensing (Health Law)Managed Care
Vice President, Risk Stratification, Remote
Vice President, Risk Stratification, Remote
30+ days ago
Aledade, Inc.
- Remote: Virginia (USA)
- Full time
AnalyticsMedicareRisk SelectionHealthcare StrategyEconomicsStatistical Modeling
Customer Service Representative, Medicare Advantage - Remote
Customer Service Representative, Medicare Advantage - Remote
26 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
MedicareHospital ExperienceOnline CommunicationEmail ManagementTelephonyManaged Care
URAC Accreditation Coordinator
URAC Accreditation Coordinator
30+ days ago
TriWest Healthcare Alliance
- Remote: Azerbaijan
- Senior (5-10 years)
- 68 - 87K
Regulatory ComplianceData ManagementProgram EvaluationProject ManagementManaged CareData Mining
Regional Business Manager
Regional Business Manager
13 day ago
Takeda
- Remote: Virginia (USA)
- Full time
Consultative SellingPharmaceutical SalesGastroenterologyManaged CareClinical ConsultingBusiness Advisory
Manager Medicare DSNP, Care Management, RN
Manager Medicare DSNP, Care Management, RN
30+ days ago
AmeriHealth Caritas
- Remote: Panama
Care ManagementProject ManagementManaged CareHealth Care IndustryCompliance ManagementBudget Management
Employee Benefits Educator
Employee Benefits Educator
22 day ago
Ascensus
- Remote: Oregon (USA)
- Part time
Benefits AdministrationMedicareManaged CareRetirement PlanningMedicareTraining Analysis
Market Physician Executive (MPE) - Phoenix, AZ
Market Physician Executive (MPE) - Phoenix, AZ
30+ days ago
Monogram Health
- Remote: Arizona (USA)
- Full time
Evidence-Based PracticeMedical GuidelinePublic HealthOutcomes ResearchRehabilitationHEDIS (Healthcare Effectiveness Data And Information Set)
Manager Medical Policy and Corporate Coding
Manager Medical Policy and Corporate Coding
22 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical GovernanceHealth PoliciesRegulatory ComplianceCoding TheoryCross-Functional CollaborationRegulatory Compliance
Actuarial Analyst II - Remote (Select States)
Actuarial Analyst II - Remote (Select States)
30+ days ago
Sentara Healthcare
- Remote: 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 time
Data ModelingIBNRRisk ControlActuarial ScienceReinsuranceLegal Support
Senior Vice President, Sales
Senior Vice President, Sales
30+ days ago
MedImpact Healthcare Systems, Inc.
- Remote: California (USA)
- Full time
Market AnalysisSales StrategyCustomer Relationship ManagementPharmacy ExperienceManaged CareSales Analysis
Analyst-Financial, Mgd Care
Analyst-Financial, Mgd Care
6 day ago
Northeast Georgia Health System
- Remote: Georgia (USA)
- Full time
Financial AnalysisManaged CareContract ManagementRevenue ManagementLive MigrationData Integrity
Vice President Business Development
Vice President Business Development
30+ days ago
AmeriHealth Caritas
- Remote: Panama
- Expert & Leadership (>10 years)
Business ExpansionBusiness DevelopmentPerformance ManagementRegulatory ComplianceBusiness OperationsManaged Care
Government Programs Business Development Analyst
Government Programs Business Development Analyst
19 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Business AnalysisHealth Policy DevelopmentFinancial AnalysisBusiness DevelopmentBusiness WritingCompetitive Analysis
National Director Market Access & Reimbursement
National Director Market Access & Reimbursement
24 day ago
Agendia
- Remote: California (USA)
- Full time
Direct Market AccessReimbursement RegulationsEconomicsCross-Functional CollaborationCoding TheoryManaged Care
Field Care Coordinator - ALTCS - Apache / Navajo Counties, AZ
Field Care Coordinator - ALTCS - Apache / Navajo Counties, AZ
30+ days ago
UnitedHealthcare
- Remote: Azerbaijan
- Mid-level (2-5 years)
- 45 - 88K
Care ManagementChronic CareCare CoordinationPublic TransportHealth And Human ServicesMedication Therapy Management
Payor Contract Manager - Remote
Payor Contract Manager - Remote
30+ days ago
Amedisys
- Remote: Tunisia
- Fixed term
- 112 - 112K
Managed CareDatabase ManagementHealthcare Industry KnowledgeContract ManagementProject CollaborationMarket Analysis
Advisor, Payor Partnerships Enablement
Advisor, Payor Partnerships Enablement
29 day ago
Pediatric Associates Family of Companies
- Remote: Florida (USA)
- Full time
Credential ManagerPerformance Based ContractingClaims And Litigation ManagementOperational EfficiencyData IntegrityManaged Care
Insurance Claim Specialist- Remote
Insurance Claim Specialist- Remote
12 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical Insurance ClaimsClinical AuditingBusiness CycleMedicaidCommercial InsurancesMedicare
Sales Executive - Remote in TX or OK
Sales Executive - Remote in TX or OK
15 day ago
Prime Therapeutics
- Remote: Oklahoma (USA), Texas (USA)
- Full time
Pipeline PlanningMarket AnalysisSales StrategyContract ManagementSalesforceProject Management
Career Opportunities: Sr./System Account Executive - Montefiore Health System (Bronx, NY) (20422)
Career Opportunities: Sr./System Account Executive - Montefiore Health System (Bronx, NY) (20422)
30+ days ago
Boehringer Ingelheim
- Remote: New York (USA)
- Full time
Account ManagementConsultative SellingPharmaceutical SalesManaged CareSales ManagementBusiness Analysis
Clinical Reviewer - LPN
Clinical Reviewer - LPN
22 day ago
TriWest Healthcare Alliance
- Remote: Arizona (USA)
- Full time
Utilization ManagementClinical NursingManaged CareMedical Record ManagementMedical AbbreviationsElectronic Referrals
Managed Care Liaison, West
Managed Care Liaison, West
15 day ago
PharmaEssentia
- Remote: China, South Korea, Japan, Singapore
- Full time
OncologyEconomicsHematologyManaged CareDirect Market AccessEconomics
Population Health Coordinator - Remote in Michigan
Population Health Coordinator - Remote in Michigan
11 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
AnalyticsProject CoordinationPublic HealthProcess ImprovementWindows SoftwareContract Management
Lead Program Manager
Lead Program Manager
5 day ago
Savvy HR Partner
- Remote: Colorado (USA), Massachusetts (USA)
- Full time
Risk ManagementProject ManagementStakeholder EngagementBudget ManagementResource AllocationHealth Care Industry
Internal Medicine Telecommute Medical Review Stream
Internal Medicine Telecommute Medical Review Stream
25 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Business NegotiationBasic Patient CareStandards Organization
Managed Care Coordinator I
Managed Care Coordinator I
9 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical AbbreviationsManaged CareClaims And Litigation ManagementManaged CareEnrollment ManagementBilling
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
25 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Medical NecessityManaged CareCredential Manager
Provider Services Educational & Communications Professional
Provider Services Educational & Communications Professional
6 day ago
Humana
- Remote: District of Columbia (USA)
- Full time
Content CreationMarketingCarrier ManagementInstructional DesignProvider ModelPresentation Design
Medical Management Specialist Sr
Medical Management Specialist Sr
7 day ago
Elevance Health
- Remote: Indiana (USA), Virginia (USA)
- Full time
Utilization ManagementMedical ManagementCare ManagementQuality AssessmentMedicaidMedicare
Manager, Provider Performance Program Management
Manager, Provider Performance Program Management
8 day ago
CareSource
- Remote: Ohio (USA)
- Full time
Provider ModelAnalyticsProject ManagementProspective Payment SystemsHealth Care IndustryRegulatory Compliance
Neurologist Medical Review Stream
Neurologist Medical Review Stream
25 day ago
Concentra
- Remote: California (USA)
- Full time
NeurologyUtilization ManagementLanguage InterpretationManaged CareBusiness Negotiation
Medical Management Specialist (Farmington, NM)
Medical Management Specialist (Farmington, NM)
30+ days ago
Health Care Service Corporation
- Remote: New Mexico (USA)
- Full time
NursingMental Health CounselingCare CoordinationCare PlanningOnline CommunicationAnalytics
Telecommute Medical Review Stream Physician
Telecommute Medical Review Stream Physician
25 day ago
Concentra
- Remote: Louisiana (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)Plastic SurgeryRehabilitationPhysical Medicine And Rehabilitation
Managed Care Benefit Configuration Analyst
Managed Care Benefit Configuration Analyst
9 day ago
CommonSpirit Health
- Remote: California (USA)
- Full time
Program ImplementationCompliance ManagementExplanation Of Benefits (EOB)Managed CareHealth Care IndustryEnd Cap Placement
Utilization Management LTSS Registered Nurse
Utilization Management LTSS Registered Nurse
16 day ago
Humana
- Remote: Kentucky (USA), Maryland (USA), North Carolina (USA), Tennessee (USA), West Virginia (USA)
- Full time
Utilization ManagementNurse Licensure CompactClinical NursingInternal DocumentationHome Health CareDischarge Planning
Career Opportunities: Sr./System Account Executive - Southwestern Health Resources + Christus (20425)
Career Opportunities: Sr./System Account Executive - Southwestern Health Resources + Christus (20425)
30+ days ago
Boehringer Ingelheim
- Remote: Germany
- Full time
Account ManagementConsultative SellingPharmaceutical SalesManaged CareSales ManagementBusiness Analysis
Associate Director Pharmacy Utilization Management
Associate Director Pharmacy Utilization Management
8 day ago
Banner Health
- Remote: Arizona (USA)
- Full time
Clinical InformaticsPublic HealthPrior AuthorizationPharmacy OperationsData ManagementRegulatory Compliance
Encounters Operations Data Reporting Analyst III
Encounters Operations Data Reporting Analyst III
2 day ago
CareSource
- Remote: United States
- Full time
AnalyticsSQL (Programming Language)SAS (Software)Power BIData MappingData Visualization
Manager, Care Management, BH
Manager, Care Management, BH
10 day ago
Humana
- Remote: Oklahoma (USA)
- Full time
Care CoordinationAnalyticsBehavioral HealthNurse Licensure CompactManaged CareMedicare
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
Career Opportunities: PMO Lead, Manager Service Delivery (Remote in US) (29959)
9 day ago
Gainwell Technologies LLC
- Remote: Maine (USA)
- Full time
Stakeholder CommunicationsChange ManagementProject ManagementRisk ManagementAccount ManagementProcess Engineering
Employee Benefits Educator
Employee Benefits Educator
22 day ago
Ascensus
- Remote: Maryland (USA)
- Part time
Benefits AdministrationMedicarePresentation Training401K Plan AdministrationMedical Licensing (Health Law)Retirement Planning
Finance Analyst II - Medicaid
Finance Analyst II - Medicaid
Today
Centene Corporation
- Remote: Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA), Louisiana (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA)
- Full time
Financial AnalysisAnalyticsCorporate ForecastingReconciliationAccount AnalysisAccount Analysis
Epic Digital Products Manager - Member Experience
Epic Digital Products Manager - Member Experience
2 day ago
Cook Children's Health Care System
- Remote: United States
- Full time
Agile Software DevelopmentProject ManagementDigital Product ManagementBusiness AnalysisSoftware UpdaterDigital Advertising
