Remote Provider Network Management Jobs

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The Home Depot
Field Director Services - Long Island
30+ days ago

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

Remote from
New York (USA)
Full time
120 - 120K
Data Mining
Predictive Modeling
Analytics
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The Cigna Group
Provider Contracting Lead Analyst - Cigna Healthcare - Remote, Pennsylvania
8 days ago

The Cigna Group - Health Care - XLarge

Remote from
Pennsylvania (USA)
Full time

Senior (5-10 years)

Vendor Contracts
Provider Network Management
Vendor Management
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Humana
Field Service Coordinator (Dist 4)
13 days 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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Sentara Healthcare
Supervisor, Integrated Care Manager for LTSS- Remote in Virginia
5 days ago

Sentara Healthcare - XLarge

Remote from
Indiana (USA), Virginia (USA)
Full time
Care Coordination
Care Management
Medical Management
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PacificSource Health Plans
Senior Clinical Pharmacy Strategist
28 days ago

PacificSource Health Plans - Insurance - Large

Remote from
Montana (USA)
Full time
72 - 126K
Healthcare Analytics
Medication Administration
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Centene Corporation
Service Coordinator LTSS
6 days ago

Centene Corporation - XLarge

Remote from
Illinois (USA)
Full time

Senior (5-10 years)

Care Coordination
Care Planning
Common Assessment Framework
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Medefy Health
Part Time Benefits Navigation Specialist
12 days ago

Medefy Health

Remote from
Oklahoma (USA)
Part time
Pharmacy Benefit Management
Benefits Administration
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Maritime & Healthcare Group
Onshore Medical Operations Assistant Intern - Remote
20 days ago

Maritime & Healthcare Group - Human Resources, Staffing & Recruiting - Scaleup

Remote from
Greece, Bulgaria, Romania +9
Internships

Entry-level / graduate

Credential Manager
Corporate Sourcing
Patient Interviews
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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
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Point32Health
Director, Provider Partnerships Strategy and Analytics
6 days ago

Point32Health - Insurance - Large

Remote from
Massachusetts (USA)
Full time

Expert & Leadership (>10 years)

Vendor Contracts
Provider Network Management
Network Administration
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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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Centene Corporation
Remote Medical Director
7 days ago

Centene Corporation - XLarge

Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Credential Manager
Utilization Management
Medical Record Management
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Impresiv Health
HealthRules Configuration Lead
14 days ago

Impresiv Health - SME

Remote from
Florida (USA)
Fixed term

Senior (5-10 years)

Health Maintenance
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Slipstream
Senior Manager
19 days ago

Slipstream - Non-profit Organization - Charity - SME

Remote from
Wisconsin (USA)
Full time

Senior (5-10 years)

Software Project Management
Weatherization
Workforce Development
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Hilb Group | HR Consulting Practice
Population Health & Wellness Practice Nurse
8 days ago

Hilb Group | HR Consulting Practice

Remote from
Rhode Island (USA)
Full time

Senior (5-10 years)

Care Coordination
Nurse Registry
Healthcare Analytics
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NTT DATA
Remote Claims Examiner with TPA
30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from
Alabama (USA), Arkansas (USA)
Full time

Senior (5-10 years)

1 - 69K
Registration Authority
Adjudication
Claims And Litigation Management
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exccon AG
Senior ServiceNow GRC/IRM Consultant (m/w/d)
30+ days ago

exccon AG

Remote from
Germany
Full time

Senior (5-10 years)

ServiceNow
Risk Management
ServiceNow
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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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Point32Health
Clinical Reviewer, BH outpatient services
15 days ago

Point32Health - Insurance - Large

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Mental Health Assessments
Prior Authorization
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Hospital Specialist - Atlanta S, GA
7 days ago

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

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Labeling Documents (Pharmaceutical)
Group Health Insurance Sales
Sales Management
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Oscar Health
Associate, Network Contracting
27 days ago

Oscar Health - Insurance - Large

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

Mid-level (2-5 years)

87 - 127K
Contract Management
Financial Analysis
Provider Network Management
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Devoted Health
Provider Network Manager
14 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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INSEMACO® Recruiting & Executive Search Consultants GmbH & Co. KG
Executive Partner@INSEMACO® (m/w/d) remote in Österreich!
30+ days ago

INSEMACO® Recruiting & Executive Search Consultants GmbH & Co. KG - Startup

Remote from
Indiana (USA)
Full time
Global Leadership
Business Advisory
Interim Management
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US Tech Solutions
Clinical Reviewer RN
30+ days ago

US Tech Solutions - Human Resources, Staffing & Recruiting - Large

Remote from
Massachusetts (USA)
Fixed term

Mid-level (2-5 years)

InterQual Criteria
Inpatient Care
Medical Necessity
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Humana
RVP Contracting (Hospital/Facility and Ancillary Services)
20 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Florida (USA)
Full time

Expert & Leadership (>10 years)

Strategic Partnership
Provider Network Management
Medicare Advantage
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Devoted Health
In-House Representative
23 days ago

Devoted Health - Scaleup

Remote from
Indiana (USA), Iowa (USA), Nebraska (USA)
Full time
Provider Network Management
Performance Based Contracting
Contract Management
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Mount Auburn Hospital
Specialty Pharmacist Full Time 40hrs. Westwood Ma 4x10 or 1 day remote
30+ days ago

Mount Auburn Hospital - Large

Remote from
Massachusetts (USA), Oregon (USA)
Full time

Mid-level (2-5 years)

7 - 153K
Pharmacist Assistance
Clinical Assessments
Medication Dispensation
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Bumble Inc.
Senior NetOps Engineer
12 days ago

Bumble Inc. - SME

Remote from
United Kingdom
Full time

Senior (5-10 years)

Computer Networks
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The Cigna Group
Market Medical Executive - Tennessee Market
30+ days ago

The Cigna Group - Health Care - XLarge

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

Senior (5-10 years)

Clinical Governance
Analytics
Provider Network Management
WORKOO.NET
Data Analyst and Visualization Specialist - Remote
30+ days ago

WORKOO.NET - Human Resources, Staffing & Recruiting - SME

Remote from
New York (USA)
Full time
Data Visualization
SAS (Software)
Relational Databases
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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
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OneDigital
Benefits Consultant - Remote (New Jersey or Philadelphia)
30+ days ago

OneDigital - Large

Remote from
New Jersey (USA), Oregon (USA), Pennsylvania (USA)
Freelance

Mid-level (2-5 years)

80 - 85K
Financial Analysis
Account Management
Benefits Administration
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Forward Networks, Inc.
Senior Customer Care Engineer - Federal TS SCI w/ FSP
8 days ago

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

Remote from
Washington (USA)
Full time

Senior (5-10 years)

TypeScript
Remote Technical Support
Provider Network Management
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Centene Corporation
Care Coordinator II
17 days ago

Centene Corporation - XLarge

Remote from
Arkansas (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Planning
Care Management
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Billings, MT
30+ days ago

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

Remote from
Montana (USA)
Full time

Mid-level (2-5 years)

107 - 166K
Sales Management
Neuroscience
Clinical Messaging
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COMMUNITY ALTERNATIVES UNLIMITED
Case Manager - QIDP Community/Home Based
18 days ago

COMMUNITY ALTERNATIVES UNLIMITED

Remote from
Illinois (USA)
Full time
Care Management
Service Planning
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Everly Health
Director of Telehealth Clinical Operations (Remote - ATX or NY Preferred)
30+ days ago

Everly Health

Remote from
New York (USA), Oregon (USA)
Full time
Clinical Data Management
Capacity Planning
Telehealth
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Devoted Health
Senior Provider Network Manager
23 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 →
The Cigna Group
Account (IC) Senior Advisor - Accredo - Remote
30+ days ago

The Cigna Group - Health Care - XLarge

Remote from
New Jersey (USA)
Full time
Upselling
Financial Analysis
Strategic Management
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Included Health
Pediatric Nurse Care Manager
7 days ago

Included Health - Large

Remote from
Washington (USA)
Full time

Senior (5-10 years)

Care Coordination
Telehealth
Care Management
View Similar Jobs →
Centene Corporation
LTSS Service Care Manager - Behavioral Health (SED waiver)
7 days ago

Centene Corporation - XLarge

Remote from
Kansas (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Behavioral Health
Crisis Prevention
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Denver, CO
6 days ago

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

Remote from
Colorado (USA)
Full time

Mid-level (2-5 years)

Sales Management
Health Information Exchange (HIE)
Pharmaceutical Sales
View Similar Jobs →
Harbor Health
Utilization Management LVN (Remote, Texas-based)
12 days ago

Harbor Health - Medical Device - Startup

Remote from
Texas (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Prior Authorization
Medical Necessity
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Blue Cross NC
Principal Value-Based Care Operations Advisor
10 days ago

Blue Cross NC - Insurance - XLarge

Remote from
Alabama (USA), Arizona (USA), Arkansas (USA) +12
Full time

Expert & Leadership (>10 years)

Value-Based Care
Attribution Analysis
Cash Management
View Similar Jobs →
Gainwell Technologies LLC
Career Opportunities: Call Center Pharmacy Technician - Remote MS (34824)
16 days ago

Gainwell Technologies LLC - Information Technology & Services - Large

Remote from
Norway, Mississippi (USA)
Full time
Call Center Experience
Prior Authorization
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Tecsa
Project Manager, Provider Quality
5 days ago

Tecsa

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Project Management
Medicare Advantage
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Partners Health Management
I/DD Care Manager (QP)-Mobile/Remote (NC)
13 days ago

Partners Health Management - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Care Planning
Developmental Disabilities
Medicaid Waiver
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Agero, Inc.
Market Development Executive (IL)
20 days ago

Agero, Inc. - Large

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

80 - 80K
Sales Management
Customer Relationship Management
Field Marketing
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Pinnacle Services, Inc.
Case Manager - Washington County
30+ days ago

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

Remote from
Washington (USA)
Full time
49 - 51K
Care Coordination
Care Management
Service Planning
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Cleveland E, OH
22 days ago

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

Remote from
Ohio (USA)
Full time

Mid-level (2-5 years)

Regulatory Compliance
Sales Management
View Similar Jobs →
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