Remote Provider Model Jobs

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195 jobs
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Centene Corporation
Quality Practice Advisor
Today

Centene Corporation - XLarge

New
Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Medical Record Management
HEDIS (Healthcare Effectiveness Data And Information Set)
Risk Control
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Health Advocate
Personal Health Advocate (Registered Nurse) Evening Shift (12:30-9:00 pm EST OR 1:00-9:30 pm EST)
Today

Health Advocate - Health, Sport, Wellness & Fitness - Large

New
Remote from
Oregon (USA)
Full time
Care Management
Nurse Licensure Compact
Telecare
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Nourish
Provider Recruiting Associate
Today

Nourish

New
Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Provider Model
Recruitment Strategies
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Humana
Utilization Management Nurse
Today

Humana - Health, Sport, Wellness & Fitness - XLarge

New
Remote from
Indiana (USA)
Full time
Care Coordination
Utilization Management
Clinical Nursing
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Centene Corporation
LTSS Service Care Manager
Today

Centene Corporation - XLarge

New
Remote from
Kansas (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Planning
Long-Term Care
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RHA Health Services, LLC
Director of Organic Growth
Today

RHA Health Services, LLC - XLarge

New
Remote from
Georgia (USA)
Full time

Expert & Leadership (>10 years)

Working With The Developmentally Disabled
Managed Care
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PGBA
LPN Medical Reviewer (Myrtle Beach, Remote after 6 months)
Today

PGBA

New
Remote from
South Carolina (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Medical Insurance Claims
Clinical Assessments
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Centene Corporation
Head of Provider Operations
Today

Centene Corporation - XLarge

New
Remote from
Florida (USA), Missouri (USA)
Full time

Senior (5-10 years)

Provider Data Management
Regulatory Compliance
Provider Network Management
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Delta Dental of Michigan
Professional Relations Research Specialist
Today

Delta Dental of Michigan - Insurance - SME

New
Remote from
Michigan (USA)
Full time
Clinical Informatics
Compliance Management
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Highmark Health
Provider Account Liaison - Delaware Medicaid
Today

Highmark Health

New
Remote from
United States, Austria, Delaware (USA)
Full time

Senior (5-10 years)

Provider Model
Value-Based Care
Provider Network Management
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The Cigna Group
Provider Relations & Claims Advocate - Evernorth Behavioral Health - Remote
Today

The Cigna Group - Health Care - XLarge

New
Remote from
United States, Austria
Full time
46 - 71K
Provider Model
Behavioral Health
Queue Management
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Genesys
Director, Product Management – A2A and MCP Integrations
1 day ago

Genesys - Computer Software / SaaS - XLarge

Remote from
North Carolina (USA)
Full time

Expert & Leadership (>10 years)

Product Management
Application Programming Interface (API)
Event-Driven Programming
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Centene Corporation
Manager, Claims & Contract Support Services
1 day ago

Centene Corporation - XLarge

Remote from
Louisiana (USA)
Full time

Senior (5-10 years)

Vendor Contracts
Contract Management
Claims And Litigation Management
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Prime Therapeutics
Pricing Analyst Sr-Remote
1 day ago

Prime Therapeutics - Insurance - Large

Remote from
United States
Full time

Senior (5-10 years)

Pharmacy Benefit Management
SQL (Programming Language)
Financial Modeling
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The Baldwin Group
Regional Growth Manager - Medicare
Today

The Baldwin Group

New
Remote from
United States
Full time

Senior (5-10 years)

Medicare
Recruitment Consultancy
Sales Management
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Novartis
Director, Future Field Engagement Strategy – Engagement Methodology
1 day ago

Novartis - Healthtech: Health + Technology - XLarge

Remote from
Florida (USA), New Jersey (USA), Texas (USA) +1
Full time

Expert & Leadership (>10 years)

Customer Engagement Strategy
Account Management
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Humana
Provider Contracting Executive
4 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Contract Management
Vendor Contracts
Contract Management
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Maryland Physicians Care
Sr. Provider Relations Representative
6 days ago

Maryland Physicians Care

Remote from
Maryland (USA)
Full time

Senior (5-10 years)

Provider Model
Auditing
Medical Coding
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Centene Corporation
Sr. Manager Payment Integrity - Health Plan Concierge
4 days ago

Centene Corporation - XLarge

Remote from
Missouri (USA), Texas (USA)
Full time

Senior (5-10 years)

Reimbursement Regulations
Managed Care
Claims And Litigation Management
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MVP Health Care
Professional, Senior Appeals Specialist
3 days ago

MVP Health Care

Remote from
New York (USA)
Full time

Senior (5-10 years)

Appeals
Regulatory Compliance
Case Management Systems
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Oscar Health
Manager, Network Recruitment
12 days ago

Oscar Health - Insurance - Large

Remote from
Alabama (USA), Arizona (USA), Florida (USA) +9
Full time
Provider Network Management
Contract Management
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WellSense Health Plan
Prior Authorization Medical Clinician
30+ days ago

WellSense Health Plan - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Full time
68 - 98K
Utilization Management
Prior Authorization
Medical Necessity
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Habitat Health
Certified Risk Adjustment Coder
30+ days ago

Habitat Health - Startup

Remote from
California (USA)
Full time

Junior (1-2 years)

46 - 51K
ICD 503
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Nuvalent, Inc.
Associate Director, Pricing & Contracting Operations
30+ days ago

Nuvalent, Inc. - Biotech: Biology + Technology - Startup

Remote from
Idaho (USA)
Full time
175 - 200K
Medical Sales
Pricing Strategies
Reimbursement Regulations
View Similar Jobs →
Oscar Health
Bilingual Customer Service Representative (Remote GA)
30+ days ago

Oscar Health - Insurance - Large

Remote from
Georgia (USA)
Full time

Junior (1-2 years)

1 - 36K
Provider Model
Case Management Systems
View Similar Jobs →
Gartner
Sr. Director, Analyst - Public Cloud Sourcing Expert Focus (Remote: US)
30+ days ago

Gartner - Information Technology & Services - Large

Remote from
Texas (USA)
Full time
172 - 401K
Microsoft Azure
Amazon Web Services
Contract Management
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Impresiv Health
HealthRules Configuration Lead
13 days ago

Impresiv Health - SME

Remote from
Florida (USA)
Fixed term

Senior (5-10 years)

Health Maintenance
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Centene Corporation
Provider Engagement Account Manager
30+ days ago

Centene Corporation - XLarge

Remote from
Kentucky (USA)
Full time
56 - 101K
Provider Model
Account Management
Value-Based Care
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Alpine Physician Partners
Director, Risk Adjustment Coding
4 days ago

Alpine Physician Partners - Scaleup

Remote from
California (USA), Colorado (USA)
Full time

Expert & Leadership (>10 years)

Risk Adjustment Coding (RAC)
Clinical Documentation
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Johnson & Johnson Innovative Medicine
Field Reimbursement Manager - Shockwave (East)
5 days ago

Johnson & Johnson Innovative Medicine

Remote from
Michigan (USA)
Full time

Senior (5-10 years)

Reimbursement Regulations
CPT Coding
View Similar Jobs →
ZOLL Cardiac Management Solutions
Coordinator of Patient Administration - Davenport, IA
7 days ago

ZOLL Cardiac Management Solutions - Large

Remote from
Iowa (USA)
Full time

Expert & Leadership (>10 years)

Medical Billing
Case Management Systems
Cardiac Devices
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AHS Staffing
Placement Coordinator
19 days ago

AHS Staffing

Remote from
Oklahoma (USA), Texas (USA)
Full time

Expert & Leadership (>10 years)

Provider Model
Shift Scheduling
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Highmark Health
Social Health Product Manager
4 days ago

Highmark Health

Remote from
United States, Austria, Canada +12
Full time

Mid-level (2-5 years)

19 - 96K
Product Management
Agile Product Management
Medical Social Work
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Oscar Health
Bilingual Customer Service Representative (Remote — FL/GA/TX/AZ)
30+ days ago

Oscar Health - Insurance - Large

Remote from
Arizona (USA), Florida (USA), Georgia (USA) +1
Full time

Junior (1-2 years)

1 - 36K
Case Management Systems
Escalation Management
View Similar Jobs →
Devoted Health
Provider Network Manager
12 days ago

Devoted Health - Scaleup

Remote from
Louisiana (USA)
Full time

Senior (5-10 years)

Recruitment Consultancy
Provider Network Management
Prospective Payment Systems
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CareSource
Customer Care Specialist I (Central/Pacific location required)
18 days ago

CareSource - Insurance - Large

Remote from
Arkansas (USA), Mississippi (USA), Nevada (USA)
Full time

Mid-level (2-5 years)

Claims And Litigation Management
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Oscar Health
Associate, National Ancillary Contracting
26 days ago

Oscar Health - Insurance - Large

Remote from
Arizona (USA), California (USA), Florida (USA) +12
Full time

Mid-level (2-5 years)

87 - 127K
Regulatory Compliance
Provider Network Management
Contract Management
View Similar Jobs →
Precision Medicine Group
Senior Director, Market Access Consulting
30+ days ago

Precision Medicine Group - Pharmaceuticals - Large

Remote from
New York (USA)
Full time
17 - 26K
Direct Market Access
Activities Of Daily Living (ADLs)
Drug Commercialization
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Sentara Healthcare
Nurse Case Manager
30+ days ago

Sentara Healthcare - XLarge

Remote from
Virginia (USA)
Full time

Mid-level (2-5 years)

10 - 10K
Care Management
Nurse Licensure Compact
Mechanical Ventilation
View Similar Jobs →
Med A/Rx
VP of Operations, Insurance (Remote)
30+ days ago

Med A/Rx

Remote from
North Carolina (USA)
Full time
View Similar Jobs →
WellSky
Engagement Manager - Provider Network Management
30+ days ago

WellSky - Large

Remote from
Texas (USA)
Full time

Senior (5-10 years)

Utilization Management
Client Education
Provider Network Management
View Similar Jobs →
Personify Health
Network Operations Laision
26 days ago

Personify Health - TPE

Remote from
Arizona (USA)
Full time

Senior (5-10 years)

95 - 110K
Clinical Systems And Networks
View Similar Jobs →
Health Care Service Corporation
Medical Director
11 days ago

Health Care Service Corporation - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Provider Model
Medical Practice Management Software
Clinical Assessments
View Similar Jobs →
CHG Healthcare
Business Development Consultant: Weatherby
12 days ago

CHG Healthcare - Large

Remote from
Florida (USA)
Freelance
FoxPro
Physician Credentialing
Business Development
View Similar Jobs →
Massive Bio
Australia - Hematology/Oncology Account Manager
17 days ago

Massive Bio - Scaleup

Remote from
Australia
Full time

Mid-level (2-5 years)

Medical Sales
Hematology
Clinical Systems And Networks
View Similar Jobs →
Devoted Health
Senior Provider Network Manager
21 days ago

Devoted Health - Scaleup

Remote from
Indiana (USA)
Full time

Senior (5-10 years)

Provider Network Management
Prospective Payment Systems
Contract Management
View Similar Jobs →
Regence BlueCross BlueShield of Oregon
Pharmacy Operations Coordinator
12 days ago

Regence BlueCross BlueShield of Oregon

Remote from
Idaho (USA), Oregon (USA), Utah (USA) +1
Full time

Expert & Leadership (>10 years)

Medication Administration
Prior Authorization
U.S. Regulatory Compliance
View Similar Jobs →
Oscar Health
Senior Analyst, Regulatory Affairs
26 days ago

Oscar Health - Insurance - Large

Remote from
Arizona (USA), Florida (USA), Georgia (USA) +12
Full time
3 - 104K
Alternative Dispute Resolution
Arbitration
View Similar Jobs →
ConsultNet
Software Engineer III (Data)
20 days ago

ConsultNet - Hrtech: Human Resources + Technology - SME

Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Java (Programming Language)
AWS Cloud Services
Apache Spark
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WNS
Associate Disability Claims Examiner
30+ days ago

WNS - Consumer Services - Large

Remote from
United States, Canada, Alabama (USA) +12
Full time

Junior (1-2 years)

42 - 69K
Leave Of Absence Management
Contract Management
Claims And Litigation Management
View Similar Jobs →
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