Remote Provider Network Management Jobs

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Blue Cross and Blue Shield of Kansas
Provider Network Analyst
2 days ago

Blue Cross and Blue Shield of Kansas - Insurance - Large

Remote from
United States
Full time

Mid-level (2-5 years)

SAS (Software)
Statistical Inference
Contract Management
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PacificSource Health Plans
Senior Clinical Pharmacy Strategist
30+ days ago

PacificSource Health Plans - Insurance - Large

Remote from
Montana (USA)
Full time
72 - 126K
Healthcare Analytics
Medication Administration
Care Coordination
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Savannah GA (Rhine GA, Argyle GA, Waverly GA)
19 days ago

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

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Labeling Documents (Pharmaceutical)
Pharmaceutical Sales
Key Opinion Leader Development
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Centene Corporation
Remote Medical Director, Appeals
3 days ago

Centene Corporation - XLarge

Remote from
United States, Canada, Arizona (USA) +8
Full time

Senior (5-10 years)

Clinical Governance
Utilization Management
Healthcare Quality
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Centene Corporation
Contract Negotiator III-2
Just Now

Centene Corporation - XLarge

New
Remote from
Connecticut (USA)
Full time

Mid-level (2-5 years)

Contract Management
Recruitment Consultancy
Configuration Design
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GEHA Health
Mgr - Provider Relations & Data Management
8 days ago

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

Remote from
Missouri (USA)
Full time

Senior (5-10 years)

100 - 142K
Provider Model
Provider Network Management
Provider Data Management
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CVP (Customer Value Partners)
Medical Support Assistant
7 days ago

CVP (Customer Value Partners)

Remote from
Wyoming (USA)
Full time

Expert & Leadership (>10 years)

Provider Network Management
Health Information Management
Medical Abbreviations
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Lyra Health
Neurodiversity Navigator
3 days ago

Lyra Health - SME

Remote from
United States
Full time
Advanced Case Management
Medical Licensing (Health Law)
Care Coordination
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Centene Corporation
Contract Negotiator II
16 days ago

Centene Corporation - XLarge

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Provider Model
Recruitment Consultancy
Contract Management
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Lowe's India
Provider Specialist
4 days ago

Lowe's India - Retail (Super / Hypermarket) - Large

Remote from
North Carolina (USA)
Full time

Junior (1-2 years)

KPI Reporting
Provider Network Management
Power BI
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Indianapolis W IN (Indianapolis IN, Lafayette IN, West Lafayette IN)
19 days ago

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

Remote from
Indiana (USA)
Full time

Mid-level (2-5 years)

Sales Management
Outbound Sales Skills
Labeling Documents (Pharmaceutical)
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Blue Cross and Blue Shield of Louisiana
Behavioral Health Utilization Reviewer
9 days ago

Blue Cross and Blue Shield of Louisiana - Insurance - Large

Remote from
Louisiana (USA)
Full time

Mid-level (2-5 years)

InterQual Criteria
Mental Health Assessments
Behavioral Health
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Bay Shore NY (Huntington Station NY, Bay Shore NY, Brentwood NY)
18 days ago

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

Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Sales Management
Health Information Exchange (HIE)
Pharmaceutical Sales
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Sanford Health
Patient Access Specialist (Differential Waiver)
Just Now

Sanford Health - Large

New
Remote from
North Dakota (USA), South Dakota (USA)
Full time
Electronic Referrals
Diagnosis Codes
Prior Authorization
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Hewlett Packard Enterprise
US Telco Senior Systems Engineering Director
3 days ago

Hewlett Packard Enterprise - Information Technology & Services - XLarge

Remote from
United States
Full time

Senior (5-10 years)

257 - 624K
Provider Network Management
Sales Management
IP Routing
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Richmond E VA (Chester VA, Charles City VA, Courtland VA)
18 days ago

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

Remote from
Virginia (USA)
Full time

Mid-level (2-5 years)

Business Communication
Pharmaceutical Sales
Region Management
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Tecsa
Provider Account Manager
15 days ago

Tecsa

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Provider Model
Provider Network Management
Provider Data Management
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Centene Corporation
Care Manager
5 days ago

Centene Corporation - XLarge

Remote from
Missouri (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Planning
Behavioral Health
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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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Oscar Health
Manager, Network Recruitment
30+ days ago

Oscar Health - Insurance - Large

Remote from
Alabama (USA), Arizona (USA), Florida (USA) +9
Full time
Provider Network Management
Contract Management
KPI Reporting
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Atlanta W, GA
30+ 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 →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Union NJ (Newark NJ, Elizabeth NJ, Clark NJ)
19 days ago

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

Remote from
New Jersey (USA)
Full time

Mid-level (2-5 years)

Labeling Documents (Pharmaceutical)
Pharmaceutical Sales
Neurology
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Soleo Health
Prior Authorization Coordinator
17 days ago

Soleo Health - XLarge

Remote from
Texas (USA)
Full time

Expert & Leadership (>10 years)

Prior Authorization
Benefits Administration
Benefits Realization Management
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Oscar Health
Associate, Network Contracting
30+ 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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Pinnacle Services, Inc.
Case Manager Float - Hennepin County
19 days ago

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

Remote from
Minnesota (USA)
Full time
Care Management
Educational Assessment
Service Planning
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Poughkeepsie NY (Poughkeepsie NY, Spring Valley NY, Middletown NY)
19 days ago

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

Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Business Communication
Sales Management
Cross-Functional Collaboration
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Community Behavioral Health
Clinical Care Manager - Integrated Care (CBCM)
5 days ago

Community Behavioral Health

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Evidence-Based Practice
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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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PacificSource Health Plans
Health Equity Accreditation Program Manager
17 days ago

PacificSource Health Plans - Insurance - Large

Remote from
Florida (USA)
Full time

Senior (5-10 years)

Health Equity
Healthcare Analytics
Project Management
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Crozier Fine Arts
Network Engineer (Data Center Infrastructure and Services)
7 days ago

Crozier Fine Arts

Remote from
Arizona (USA), Virginia (USA)
Full time

Senior (5-10 years)

VxLAN (Virtual Extensible LAN)
Performance Systems Analysis
Metasys Building Automation System
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TopTalent Recruitment Agency
Business Development Manager (Korean)
25 days 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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Maritime & Healthcare Group
Onshore Medical Operations Assistant Intern - Remote
30+ 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
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- West Palm Beach FL (Port Saint Lucie FL, Fort Pierce FL, Palmdale FL)
19 days ago

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

Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Clinical Messaging
Sales Management
Pharmaceutical Sales
View Similar Jobs →
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
View Similar Jobs →
Magellan Health
Care Manager, BH - Remote PA
10 days ago

Magellan Health - XLarge

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

Performance Analytics
Care Coordination
Utilization Management
View Similar Jobs →
Northwestern Mutual
LTC Claims Pending Specialist
29 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 →
Crozier Fine Arts
Director, Solution Architecture
7 days ago

Crozier Fine Arts

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

Expert & Leadership (>10 years)

Lifecycle Management
Solution Architecture
Pricing Systems
View Similar Jobs →
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
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 →
PetPartners Pet Insurance
Claims Adjuster - Associate
8 days ago

PetPartners Pet Insurance

Remote from
Ohio (USA)
Full time

Junior (1-2 years)

Medical Insurance Claims
Veterinary Medicine
Claims And Litigation Management
View Similar Jobs →
Sanford Health
Senior Network Engineer
Just Now

Sanford Health - Large

New
Remote from
Wisconsin (USA)
Full time

Senior (5-10 years)

Prisma Access
Cisco DNA Center
Aruba ClearPass
View Similar Jobs →
Russell Tobin
CO Medicaid - Cust Service Rep (4/20)
19 days ago

Russell Tobin - Human Resources, Staffing & Recruiting - SME

Remote from
Colorado (USA), Minnesota (USA)
Full time
Medical Billing
Call Center Experience
Prior Authorization
View Similar Jobs →
Medefy Health
Part Time Benefits Navigation Specialist
30+ days ago

Medefy Health

Remote from
Oklahoma (USA)
Part time
Pharmacy Benefit Management
Benefits Administration
LiveChat
View Similar Jobs →
Highmark Health
Member Engagement Guide
4 days ago

Highmark Health

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

Senior (5-10 years)

19 - 96K
Change Management
Sales Effectiveness
Patient Education And Counseling
View Similar Jobs →
Humana
Utilization Management Registered Nurse
3 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States, Austria, Alabama (USA) +12
Full time
Utilization Management
Nurse Licensure Compact
Nursing
View Similar Jobs →
ICF
PMO Director / Program Operations Manager (Oklahoma REMOTE)
29 days ago

ICF - Management Consulting - XLarge

Remote from
Oklahoma (USA)
Full time

Expert & Leadership (>10 years)

Compliance Management
Procurement
Grant Applications
View Similar Jobs →
Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist, CNS- Salt Lake City N UT (Centerville UT, Coalville UT)
18 days ago

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

Remote from
Utah (USA)
Full time

Mid-level (2-5 years)

Labeling Documents (Pharmaceutical)
Business Communication
Pharmaceutical Sales
View Similar Jobs →
Centene Corporation
Remote Medical Director
30+ 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 →
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
View Similar Jobs →
Seamen's Society for Children and Families
Case Planner EFFC
17 days ago

Seamen's Society for Children and Families

Remote from
New York (USA)
Full time
Care Management
Legal Depositions
Treatment Planning
View Similar Jobs →
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