Remote Provider Model Jobs

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189 jobs
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Clover Health
Regional Medical Director, GA MSO
30+ days ago

Clover Health - Health Care - Scaleup

Remote from
Georgia (USA)
Full time

Senior (5-10 years)

288 - 352K
Clinical Governance
Value-Based Care
Provider Model
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Sharecare
Manager, Provider Sales
30+ days ago

Sharecare - Health, Sport, Wellness & Fitness - XLarge

Remote from
Texas (USA)
Full time

Senior (5-10 years)

New Business Development
Account Management
Wireless Sales
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Centene Corporation
Chief Medical Officer, Behavioral Health
30+ days ago

Centene Corporation - XLarge

Remote from
United States, Canada, California (USA) +4
Full time

Senior (5-10 years)

271 - 515K
Utilization Management
Public Health
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AmeriHealth Caritas
Utilization Management Technician
14 days ago

AmeriHealth Caritas - XLarge

Remote from
United States
Full time
Utilization Management
Medical Record Management
Drug Utilization Review
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Syntellis Performance Solutions
Consultant, Decision Support
30+ days ago

Syntellis Performance Solutions - Information Technology & Services - Scaleup

Remote from
Illinois (USA)
Freelance
70 - 90K
Provider Model
Cost Accounting
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Cohere Health
Account Manager, Delivery Solutions
7 days ago

Cohere Health - SME

Remote from
United States
Full time

Mid-level (2-5 years)

Provider Model
Account Management
Prior Authorization
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Partners Health Management
Cross-Functional Provider Engagement & Outreach Spec-Remote Opt
30+ days ago

Partners Health Management - SME

Remote from
North Carolina (USA)
Full time
Transformation (Genetics)
Value-Based Care
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CrewBloom
Care Coordinator
30+ days ago

CrewBloom - Scaleup

Remote from
Philippines
Full time
Care Coordination
Care Management
Clinical Assessments
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Ensemble Health Partners
Charge Description Master Analyst I
30+ days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

57 - 57K
Revenue Management
Medical Coding
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AMSURG
MGR, Contracting - Health Plan Relations
5 days ago

AMSURG - Large

Remote from
United States
Full time

Senior (5-10 years)

Financial Modeling
Managed Care
Contract Management
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Ensemble Health Partners
Physicians - Accounts Receivable Associate Specialist
29 days ago

Ensemble Health Partners - XLarge

Remote from
United States, Austria, Tennessee (USA)
Full time

Junior (1-2 years)

32 - 35K
Accounts Receivable
Medical Jurisprudence
Claims And Litigation Management
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Quantiphi
Strategic Account Manager - Payor
6 days ago

Quantiphi - Information Technology & Services - Large

Remote from
United States
Full time

Expert & Leadership (>10 years)

Cloud Computing
Sales Management
Healthcare Industry Knowledge
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WellSense Health Plan
Coding and Compliance Auditor-Behavioral Health
30+ days ago

WellSense Health Plan - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Full time
Medical Billing
Behavioral Health
Auditing
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Ensemble Health Partners
Physician Billing Associate Specialist
11 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Junior (1-2 years)

Medical Billing
Revenue Management
Insurance Follow-Up
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Ensemble Health Partners
Accounts Receivable Specialist
8 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Junior (1-2 years)

Appeals
Accounts Receivable
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Ensemble Health Partners
Customer Service Specialist
15 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Junior (1-2 years)

Call Center Experience
Revenue Management
Payment Processing
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Plaid
Account Executive - Named Enterprise - Public Sector
30+ days ago

Plaid - Fintech: Finance + Technology - SME

Remote from
United States
Full time
12 - 12K
Solution Selling
Enterprise Sales
Government Marketing
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Centene Corporation
Provider Engagement Account Manager
30+ days ago

Centene Corporation - XLarge

Remote from
Georgia (USA)
Full time
56 - 101K
Provider Data Management
Value-Based Care
Performance Analytics
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DCX PH Inc.
Consultant II Data Mining
30+ days ago

DCX PH Inc. - Scaleup

Remote from
United States
Freelance
Data Mining
Medical Insurance Claims
Auditing
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Conviva Care Solutions
Provider Engagement Professional - Gulf Coast Conviva Florida
30+ days ago

Conviva Care Solutions - Large

Remote from
United States
Full time
Provider Model
Vendor Contracts
Financial Management
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Geisinger
Contract Analyst - Provider Network, Geisinger Health Plan (resident Mid-Atlantic United States)
30+ days ago

Geisinger - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

Contract Management
Provider Network Management
Regulatory Compliance
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Centene Corporation
VBC Performance Manager
30+ days ago

Centene Corporation - XLarge

Remote from
New York (USA)
Full time
70 - 126K
Utilization Management
Provider Network Management
HEDIS (Healthcare Effectiveness Data And Information Set)
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Magellan Health
Network Management Specialist (Contract Specialist)
30+ days ago

Magellan Health - XLarge

Remote from
United States, New Mexico (USA)
Full time

Junior (1-2 years)

45 - 68K
Provider Model
Regulatory Compliance
Network Administration
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Humana
Senior Manager, Medicare Sales - Los Angeles, CA
6 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States, Canada, California (USA)
Full time

Senior (5-10 years)

Medical Sales
Sales Management
Sales Management
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Essen Health Care
Product Owner – Digital Care Platform (ecares health)
30+ days ago

Essen Health Care - SME

Remote from
United States
Full time

Senior (5-10 years)

Care Coordination
Product Management
Clinical Data Management
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Centene Corporation
Remote Medical Director- New York
30+ days ago

Centene Corporation - XLarge

Remote from
New York (USA)
Full time
231 - 440K
Clinical Governance
Utilization Management
Medical Necessity
Health Care Service Corporation
Medical Director
30+ days ago

Health Care Service Corporation - XLarge

Remote from
Illinois (USA), Texas (USA)
Full time
191 - 355K
Provider Model
Clinical Medicine
Clinical Assessments
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Oscar Health
Manager, Network Contracting & Services
8 days ago

Oscar Health - Insurance - Large

Remote from
United States
Full time
Contract Management
Provider Network Management
Contract Management
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Geode Health
Denovo Launch Project Manager
30+ days ago

Geode Health

Remote from
United States
Full time

Senior (5-10 years)

80 - 90K
Site Analysis
Provider Model
Mission Planning
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Ensemble Health Partners
Supervisor Accounts Receivable
26 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

46 - 89K
Revenue Management
Accounts Receivable
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Innovative Integrated Health
Provider Relations Coordinator
8 days ago

Innovative Integrated Health

Remote from
United States, Canada, California (USA)
Full time

Expert & Leadership (>10 years)

Provider Model
Prior Authorization
Credential Manager
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Clearway Health
Director, Pharmacy Finance
30+ days ago

Clearway Health - SME

Remote from
United States
Full time
140 - 175K
Financial Management
Financial Modeling
Pharmacy Operations
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Carrum Health
Senior Manager, Clinical Programs
25 days ago

Carrum Health

Remote from
United States
Full time
125 - 145K
Oncology
Nurse Licensure Compact
Clinical Nursing
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Aspire Software
Sales and Development Lead
30+ days ago

Aspire Software - Information Technology & Services - Large

Remote from
United States
Full time
View Similar Jobs →
Guardian Life
Dental Network Recruiter Support Specialist
30+ days ago

Guardian Life - Financial Services - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

70 - 106K
Lead Generation
Analytics
Customer Relationship Management
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DCX PH Inc.
Consultant I Data Mining
30+ days ago

DCX PH Inc. - Scaleup

Remote from
United States
Freelance

Senior (5-10 years)

Data Mining
Medical Insurance Claims
Auditing
View Similar Jobs →
Carrum Health
Provider Operations Associate
7 days ago

Carrum Health

Remote from
United States
Full time

Mid-level (2-5 years)

Provider Model
Account Management
Billing
View Similar Jobs →
Hansa Biopharma
Value and Access Liaison: West (CA, WA, NV)
5 days ago

Hansa Biopharma - Biotech: Biology + Technology - SME

Remote from
United States, Canada, California (USA) +2
Full time

Senior (5-10 years)

Health Reimbursement Arrangement
Managed Markets
Health Economics And Outcomes Research (HEOR)
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Sound Physicians
Senior VP, System Development
30+ days ago

Sound Physicians - XLarge

Remote from
United States
Full time
Strategic Partnership
Business Expansion
Business Development
View Similar Jobs →
Oscar Health
Senior Manager, Clinical & Disease Specific Insurance Solutions
12 days ago

Oscar Health - Insurance - Large

Remote from
United States
Full time

Senior (5-10 years)

Insurance Products
Product Lifecycle Management
Product Strategy
View Similar Jobs →
Ensemble Health Partners
Senior Accounts Receivable Specialist
6 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Senior (5-10 years)

Appeals
Accounts Receivable
Claims And Litigation Management
View Similar Jobs →
Lifesteps, Inc.
Service Coordinator
30+ days ago

Lifesteps, Inc. - Individual & Family Services - SME

Remote from
Pennsylvania (USA)
Full time
Care Management
Stakeholder Communications
Service Management
View Similar Jobs →
Oscar Health
Associate, Network Contracting - Florida
30+ days ago

Oscar Health - Insurance - Large

Remote from
Florida (USA)
Full time
88 - 116K
Vendor Contracts
Provider Network Management
Contract Management
Ensemble Health Partners
Accounts Receivable Specialist RH
7 days ago

Ensemble Health Partners - XLarge

Remote from
United States
Full time

Junior (1-2 years)

Medical Billing
Revenue Management
Accounts Receivable
View Similar Jobs →
Humana
Grievances and Appeals Corporate Medical Director
30+ days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Full time
246 - 344K
Utilization Management
Clinical Informatics
Total Quality Management
View Similar Jobs →
Guidehouse
Healthcare Strategic Planner, Associate Director
30+ days ago

Guidehouse - Professional Services - Large

Remote from
United States
Full time
149 - 248K
Provider Model
Healthcare Facilities Planning
Healthcare Strategy
View Similar Jobs →
Centene Corporation
Behavioral Health Medical Director
30+ days ago

Centene Corporation - XLarge

Remote from
Louisiana (USA)
Full time

Senior (5-10 years)

221 - 420K
Psychiatry
Utilization Management
Behavioral Health
View Similar Jobs →
Guidehouse
Healthcare Managed Care and Financial Strategy , Managing Consultant
14 days ago

Guidehouse - Professional Services - Large

Remote from
United States
Freelance

Senior (5-10 years)

Value-Based Care
Healthcare Strategy
Managed Care
View Similar Jobs →
Partners Health Management
Claims Analyst I (Remote-NC)
30+ days ago

Partners Health Management - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

ICD 503
Adjudication
View Similar Jobs →
Centene Corporation
Remote Behavioral Medical Director
30+ days ago

Centene Corporation - XLarge

Remote from
United States, Canada, Arizona (USA) +10
Full time
231 - 440K
Psychiatry
Utilization Management
Medical Management
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