Remote Provider Network Management Jobs

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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Albuquerque/Las Cruces, NM & El Paso, TX
Today

Otsuka Pharmaceutical Companies (U.S.) - Pharmaceuticals - Large

New
Remote from
New Mexico (USA), Texas (USA)
Full time

Mid-level (2-5 years)

Sales Management
Labeling Documents (Pharmaceutical)
Healthcare Marketing
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EML Group
Case Manager - Specialised Insurance
Today

EML Group - Insurance - Large

New
Remote from
Australia
Full time
Rehabilitation
Care Management
Return-to-Work Management
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Blue Cross NC
Episodic Care Manager
Today

Blue Cross NC - Insurance - XLarge

New
Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Clinical Data Analysis
Clinical Assessments
Medical Necessity
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Guide Health
Clinical Care Manager
Today

Guide Health

New
Remote from
Illinois (USA)
Full time
Care Coordination
Utilization Management
Clinical Assessments
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Centene Corporation
Senior Manager, Value Based Performance Management
Today

Centene Corporation - XLarge

New
Remote from
New York (USA)
Full time

Senior (5-10 years)

Provider Model
HEDIS (Healthcare Effectiveness Data And Information Set)
Performance Based Contracting
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Partners Health Management
Provider Network Specialist-Maintenance (Remote-NC)
Today

Partners Health Management - SME

New
Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Provider Network Management
Enrollment Management
Medical Licensing (Health Law)
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Aldevron
Sales Enablement Manager – Advanced Staining
1 day ago

Aldevron - Biotech: Biology + Technology - SME

Remote from
Denmark, Sweden
Full time
Sales Enablement
Sales Management
Immunohistochemistry
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Carenet Health
Bilingual Healthcare CSR | $15.50 per hour | Starts 4/9/26
Today

Carenet Health

New
Remote from
United States
Full time

Senior (5-10 years)

Outbound Calls
Data Entry
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WVU Hospitals — Ruby Memorial Hospital
Population Health Nurse Navigator - rotating
Today

WVU Hospitals — Ruby Memorial Hospital

New
Remote from
United States
Full time

Mid-level (2-5 years)

Care Coordination
Patient Education And Counseling
Triage
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TopTalent Recruitment Agency
Business Development Manager (Korean)
1 day ago

TopTalent Recruitment Agency - Information Technology & Services - Startup

Remote from
South Korea
Full time
Affiliate Networks
Customer Acquisition Management
Business Development
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OneDigital
Senior Benefit Consultant - Remote (EST)
Today

OneDigital - Large

New
Remote from
United States
Freelance

Senior (5-10 years)

Financial Analysis
Benefits Administration
Benefits Administration
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Carenet Health
Patient Care Coordinator | $15/hour | 4/9/26
Today

Carenet Health

New
Remote from
United States
Full time

Expert & Leadership (>10 years)

Care Coordination
Inbound Calls
Triage
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Centene Corporation
Remote Outpatient Medical Director
1 day ago

Centene Corporation - XLarge

Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Credential Manager
Utilization Management
Medical Management
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Babyscripts
Nurse Practitioner / Physician Assistant / Certified Nurse Midwife
1 day ago

Babyscripts

Remote from
United States
Part time

Mid-level (2-5 years)

Biomedical Instrumentation
Complications Of Pregnancy
Biomedical Instrumentation
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Delta Dental of Michigan
Professional Services Reporting Specialist
1 day ago

Delta Dental of Michigan - Insurance - SME

Remote from
Michigan (USA)
Full time
Network Service Assurance
Provider Network Management
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Labcorp
Senior Counsel - Managed Care
2 days ago

Labcorp - Health Care - XLarge

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

125 - 177K
Contract Management
Regulatory Compliance
Managed Care
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Dallas S, TX
1 day ago

Otsuka Pharmaceutical Companies (U.S.) - Pharmaceuticals - Large

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

Sales Management
Medical Sales
Labeling Documents (Pharmaceutical)
View Similar Jobs →
Centene Corporation
Head of Provider Operations
1 day ago

Centene Corporation - XLarge

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

Senior (5-10 years)

Provider Data Management
Regulatory Compliance
Provider Network Management
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Jukebox Health
Regional Project Manager (Construction)
1 day ago

Jukebox Health

Remote from
Massachusetts (USA)
Full time

Senior (5-10 years)

Residential Development
Construction Engineering
Project Management
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Humana
Field Service Coordinator
1 day ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Indiana (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Care Planning
Long-Term Care
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Axelon Services Corporation
Medical Coding Reviewer I Exception Template
1 day ago

Axelon Services Corporation - Human Resources, Staffing & Recruiting - SME

Remote from
Missouri (USA)
Full time

Mid-level (2-5 years)

Medical Billing
Medical Record Management
Code Analysis
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Wound Care Advantage
Lead Generator ( Dialer)
2 days ago

Wound Care Advantage

Remote from
United States
Full time

Senior (5-10 years)

Outbound Calls
Lead Generation
Microsoft Dynamics CRM
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Highmark Health
Provider Account Liaison - Delaware Medicaid
2 days ago

Highmark Health

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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Cardiovascular Institute of the South
LPN Virtual Care Center (M-TH: 9P-7A)
2 days ago

Cardiovascular Institute of the South - Large

Remote from
Louisiana (USA)
Full time

Mid-level (2-5 years)

Clinical Nursing
Telecare
Electronic Medical Record
View Similar Jobs →
Personify Health
Utilization Review Nurse-RN
1 day ago

Personify Health - TPE

Remote from
United States
Full time

Junior (1-2 years)

48 - 48K
Utilization Management
Prior Authorization
Medical Necessity
View Similar Jobs →
Datavant
Outreach Agent 6235
1 day ago

Datavant - Computer Software / SaaS - Startup

Remote from
United States
Full time

Mid-level (2-5 years)

30 - 30K
Outbound Calls
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Datavant
Outreach Agent 6234
1 day ago

Datavant - Computer Software / SaaS - Startup

Remote from
United States
Full time

Mid-level (2-5 years)

30 - 30K
Outbound Calls
Call Center Experience
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General Dynamics Information Technology
Provider Data Analyst - WTCHP
2 days ago

General Dynamics Information Technology - Aerospace & Defense - XLarge

Remote from
United States
Full time

Senior (5-10 years)

Root Cause Analysis
Provider Network Management
Data Governance
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Northwestern Mutual
LTC Claims Pending Specialist
5 days ago

Northwestern Mutual - Financial Services - XLarge

Remote from
Wisconsin (USA)
Full time

Mid-level (2-5 years)

58 - 113K
Medical Record Management
Insurance Regulatory Law
Long Term Disability Claims
View Similar Jobs →
ICF
PMO Director / Program Operations Manager (Oklahoma REMOTE)
5 days ago

ICF - Management Consulting - XLarge

Remote from
Oklahoma (USA)
Full time

Expert & Leadership (>10 years)

Compliance Management
Procurement
Grant Applications
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Allied Benefit Systems, LLC
Allied Care Navigator
6 days ago

Allied Benefit Systems, LLC - Unicorn

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Benefits Administration
Provider Network Management
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Centene Corporation
Remote Medical Director, Outpatient
5 days ago

Centene Corporation - XLarge

Remote from
Arizona (USA)
Full time

Expert & Leadership (>10 years)

Utilization Management
Medical Necessity
Clinical Quality Management
View Similar Jobs →
Humana
Provider Contracting Executive
5 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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Jackson HealthPros
Practice Manager
1 day ago

Jackson HealthPros

Remote from
United States
Full time

Mid-level (2-5 years)

Provider Network Management
Payroll Processing
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The Home Depot
Field Director Services - Dallas
7 days ago

The Home Depot - Retail (Super / Hypermarket) - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Predictive Modeling
Sales Management
Service Management
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Pinnacle Services, Inc.
Case Manager - Ramsey County
30+ days ago

Pinnacle Services, Inc. - Individual & Family Services - SME

Remote from
Kansas (USA)
Full time
49 - 51K
Care Coordination
Care Management
Human-Centered Design
View Similar Jobs →
Forward Networks, Inc.
Customer Care Engineer
9 days ago

Forward Networks, Inc. - Computer Software / SaaS - SME

Remote from
Georgia (USA)
Full time
Provider Network Management
Cloud Computing
Microsoft Networking
View Similar Jobs →
Centene Corporation
Remote Medical Director
6 days ago

Centene Corporation - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Credential Manager
Utilization Management
Medical Record Management
View Similar Jobs →
Centene Corporation
Clinical Review Nurse - Concurrent Review
7 days ago

Centene Corporation - XLarge

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Discharge Planning
Medical Necessity
Clinical Assessments
View Similar Jobs →
Maryland Physicians Care
Sr. Provider Relations Representative
7 days ago

Maryland Physicians Care

Remote from
Maryland (USA)
Full time

Senior (5-10 years)

Provider Model
Auditing
Medical Coding
View Similar Jobs →
Point32Health
Sr Network Consultant
12 days ago

Point32Health - Insurance - Large

Remote from
Massachusetts (USA)
Freelance

Senior (5-10 years)

Vendor Contracts
Provider Network Management
Software Project Management
View Similar Jobs →
GEHA Health
Health Care Navigator
14 days ago

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

Remote from
Missouri (USA)
Full time

Mid-level (2-5 years)

42 - 60K
Care Coordination
Care Management
Public Health
View Similar Jobs →
Myriad Genetics
Mental Health Customer Service Representative (Remote)
29 days ago

Myriad Genetics - Biotech: Biology + Technology - Large

Remote from
Ohio (USA)
Full time
19 - 19K
Diagnostic Tests
View Similar Jobs →
Oscar Health
Manager, Network Recruitment
13 days ago

Oscar Health - Insurance - Large

Remote from
Alabama (USA), Arizona (USA), Florida (USA) +9
Full time
Provider Network Management
Contract Management
View Similar Jobs →
Centene Corporation
LTSS Service Care Coordinator
6 days ago

Centene Corporation - XLarge

Remote from
Iowa (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Care Planning
Care Management
View Similar Jobs →
National Partners In Healthcare
Provider Enrollment Manager
5 days ago

National Partners In Healthcare - Scaleup

Remote from
Texas (USA)
Full time
Provider Network Management
Enrollment Management
Managed Care
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Atlanta W, GA
12 days ago

Otsuka Pharmaceutical Companies (U.S.) - Pharmaceuticals - Large

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Sales Management
Labeling Documents (Pharmaceutical)
Pharmaceutical Sales
View Similar Jobs →
Jacoby & Meyers Attorneys LLP
Lien Negotiator
30+ days ago

Jacoby & Meyers Attorneys LLP - Law Practice - SME

Remote from
California (USA)
Full time
46 - 53K
Medical Billing
Liens
View Similar Jobs →
GTT
Network Provisioning Engineer
30+ days ago

GTT - Telecommunication Services - Large

Remote from
Bulgaria
Full time
3 - 5K
MPLS VPN
Computer Networks
Juniper Network Technologies
View Similar Jobs →
Oscar Health
Senior Specialist, Coding Auditor
28 days ago

Oscar Health - Insurance - Large

Remote from
Arizona (USA), Georgia (USA), Illinois (USA) +5
Full time
1 - 85K
ICD Coding (ICD-9/ICD-10)
CPT Coding
View Similar Jobs →
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