Remote Provider Network Management Jobs

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Carenet Health
Bilingual Healthcare CSR | $15.50 per hour | Starts 4/9/26
4 days ago

Carenet Health

Remote from
United States
Full time

Senior (5-10 years)

Outbound Calls
Data Entry
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Blooming Health
Enterprise Account Executive – Health Systems & Health Plans at Blooming Health
30+ days ago

Blooming Health - Health Care - Startup

Remote from
New York (USA)
Full time
Group Health Insurance Sales
Employee Engagement Strategy
Enterprise Sales
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KMC Solutions
XTN-D9F7826 | SENIOR NETWORK ENGINEER
30+ days ago

KMC Solutions - Real Estate Management & Development - Large

Remote from
Philippines
Full time
Network Troubleshooting
VxLAN (Virtual Extensible LAN)
EVPN (Ethernet VPN)
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Husqvarna Group
Technico-Commercial H/F
30 days ago

Husqvarna Group - XLarge

Remote from
France
Full time
Technical Sales
Account Management
Business Development
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Centene Corporation
Remote Inpatient Medical Director
10 days ago

Centene Corporation - XLarge

Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Utilization Management
Medical Record Management
Medical Management
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Premier Orthopaedics
Coder I
30+ days ago

Premier Orthopaedics

Remote from
Pennsylvania (USA)
Full time
Clinical Document Architecture
ICD Coding (ICD-9/ICD-10)
CPT Coding
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Vaya Health
Care Manager (Jackson County, NC)
30+ days ago

Vaya Health - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Care Coordination
Health Administration
Transitional Care
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Avanos Medical
Career Opportunities: Associate Director, Market Access & Reimbursement - Alpharetta, GA or Remote (6896)
30+ days ago

Avanos Medical - Large

Remote from
Georgia (USA), Oregon (USA)
Full time
160 - 185K
Direct Market Access
Health Policies
Reimbursement Regulations
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CrewBloom
Medical Scribe
30+ days ago

CrewBloom - Scaleup

Remote from
Philippines
Full time
Medical Transcription
Electronic Health Record Applications
Medical Abbreviations
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Vaya Health
Innovations Access Coordinator (Remote)
30+ days ago

Vaya Health - SME

Remote from
North Carolina (USA)
Full time
19 - 19K
Developmental Disabilities
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MDA Edge
Contract Manager
30+ days ago

MDA Edge - Scaleup

Remote from
Connecticut (USA)
Fixed term

Mid-level (2-5 years)

Provider Network Management
Medicare
Contract Management
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Humana
Director, Provider Contracting
11 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Louisiana (USA)
Full time

Expert & Leadership (>10 years)

Contract Management
Vendor Contracts
Reimbursement Regulations
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Atlanta E, GA
16 days ago

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

Remote from
Georgia (USA)
Full time

Mid-level (2-5 years)

Pharmaceutical Sales
Neuroscience
Region Management
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Devoted Health
Provider Network Specialist
23 days ago

Devoted Health - Scaleup

Remote from
Colorado (USA)
Full time

Mid-level (2-5 years)

Debt Settlements
Root Cause Analysis
Vendor Contracts
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Beam Healthcare
Part-Time Tele-Neurology | Arkansas
11 days ago

Beam Healthcare - Healthtech: Health + Technology - Startup

Remote from
Arkansas (USA)
Part time

Senior (5-10 years)

Electronic Referrals
Telehealth
Neurology
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Wound Care Advantage
Lead Generator ( Dialer)
5 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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Pinnacle Services, Inc.
Case Manager - Wright 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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Bluestone Physician Services
Temporary Patient Administrative Assistant (Part-time 20hrs/week, Work from home in MN, WI or FL)
21 days ago

Bluestone Physician Services - Medical Device - SME

Remote from
Minnesota (USA)
Part time

Expert & Leadership (>10 years)

Electronic Referrals
Electronic Medical Record
Care Coordination
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Zing Health
Project Manager, Provider Quality
8 days ago

Zing Health - Startup

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Provider Network Management
Project Management
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Enara Health
Medical Director, Clinical Excellence & Care Catalyst
30+ days ago

Enara Health - Scaleup

Remote from
California (USA)
Full time
Provider Network Management
Basic Patient Care
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VIVA HEALTH
Medicare Member Advocate I
16 days ago

VIVA HEALTH - Insurance - SME

Remote from
Alabama (USA)
Full time
Call Center Experience
Data Entry
Customer Success Management
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Tufts Medicine
TuftsMedicine Referral Navigator I - Remote/Hybrid
12 days ago

Tufts Medicine - XLarge

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Prior Authorization
Electronic Medical Record
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Spring Health
Clinical Care Navigator, After Hours (Saturday to Wednesday; 2pm-10pm ET)
30+ days ago

Spring Health - Medical Device - Scaleup

Remote from
Ethiopia
Full time
1 - 81K
Telecare
Hazard Analysis
Crisis Management
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Partners Health Management
Provider Engagement & Outreach Specialist (NC-Remote)
16 days ago

Partners Health Management - SME

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Transformation (Genetics)
Value-Based Care
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WVU Medicine
Supervisor, Utilization Management RN - Peak Health
3 days ago

WVU Medicine - XLarge

Remote from
United States
Full time

Senior (5-10 years)

Utilization Management
Milliman Care Guidelines (MCG)
InterQual Criteria
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The Cigna Group
Pharmacy Technician – Freedom Fertility - Remote, AZ
19 days ago

The Cigna Group - Health Care - XLarge

Remote from
Arizona (USA)
Full time

Junior (1-2 years)

Drug Development
Order Management
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WVU Hospitals — Ruby Memorial Hospital
Supervisor, Utilization Management RN - Peak Health
3 days ago

WVU Hospitals — Ruby Memorial Hospital

Remote from
United States
Full time

Senior (5-10 years)

Utilization Management
Milliman Care Guidelines (MCG)
Medical Management
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Nokia
Deepfield Post Sales Engineer
30+ days ago

Nokia - Telecommunication Services - XLarge

Remote from
Brazil
Full time
Network Administration
DDoS Mitigation
Bandwidth Management
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Enlyte
Provider Network Contracting Specialist
3 days ago

Enlyte

Remote from
United States
Full time

Mid-level (2-5 years)

Contract Management
Provider Network Management
Contract Management
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WVU Hospitals — Ruby Memorial Hospital
Population Health Nurse Navigator - rotating
4 days ago

WVU Hospitals — Ruby Memorial Hospital

Remote from
United States
Full time

Mid-level (2-5 years)

Care Coordination
Patient Education And Counseling
Triage
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Humana
Care Coordinator
16 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Illinois (USA)
Full time

Expert & Leadership (>10 years)

Care Coordination
Care Management
Health Assessment
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Sun Life
Provider Partner Consultant, DentaQuest (Iowa)
30+ days ago

Sun Life - Financial Services - XLarge

Remote from
Iowa (USA)
Freelance

Senior (5-10 years)

Provider Network Management
Dental Experience
Managed Care
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Otsuka Pharmaceutical Companies (U.S.)
Neuroscience Specialist - Williamsport, PA
30+ days ago

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

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

107 - 166K
Performance Analytics
Sales Management
Health Information Exchange (HIE)
Brasil TecPar
Analista de Redes Telecom - Pleno
18 days ago

Brasil TecPar

Remote from
Delaware (USA)
Full time

Senior (5-10 years)

MPLS VPN
Traffic Engineering
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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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Clover Health
AI Strategist, Revenue & Cost Management
30 days ago

Clover Health - Health Care - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

200 - 230K
SQL (Programming Language)
Python (Programming Language)
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OneDigital
Senior Benefit Consultant - Remote (EST)
4 days ago

OneDigital - Large

Remote from
United States
Freelance

Senior (5-10 years)

Financial Analysis
Benefits Administration
Benefits Administration
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UST HealthProof
Healthcare Business Systems Analyst
30+ days ago

UST HealthProof - SME

Remote from
United States
Full time

Expert & Leadership (>10 years)

80 - 100K
Health Reimbursement Arrangement
Business Analysis
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Devoted Health
Medical Director II, Utilization Management
20 days ago

Devoted Health - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Medical Direction
Total Quality Management
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UNITE HERE HEALTH
Claims Operations Director
30+ days ago

UNITE HERE HEALTH - Scaleup

Remote from
Illinois (USA)
Full time
137 - 174K
Adjudication
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Humana
Director Provider Contracting
30+ days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
Texas (USA)
Full time
138 - 191K
Financial Analysis
Vendor Contracts
Reimbursement Regulations
View Similar Jobs →
Carenet Health
Patient Care Coordinator | $15/hour | 4/9/26
4 days ago

Carenet Health

Remote from
United States
Full time

Expert & Leadership (>10 years)

Care Coordination
Inbound Calls
Triage
View Similar Jobs →
Personify Health
Utilization Review Nurse-RN
5 days ago

Personify Health - TPE

Remote from
United States
Full time

Junior (1-2 years)

48 - 48K
Utilization Management
Prior Authorization
Medical Necessity
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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
View Similar Jobs →
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
View Similar Jobs →
Datavant
Outreach Agent 6234
5 days 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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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)
View Similar Jobs →
Avesis, Incorporated
Credentialing Supervisor
3 days ago

Avesis, Incorporated - Insurance - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Provider Data Management
Physician Credentialing
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Point32Health
Director, Network Contracting
30+ days ago

Point32Health - Insurance - Large

Remote from
Maine (USA), Massachusetts (USA), New Hampshire (USA)
Full time

Expert & Leadership (>10 years)

154 - 232K
Provider Network Management
Vendor Management
Contract Management
Anchorage Digital
Member of Technical Staff, Network Engineer
30+ days ago

Anchorage Digital - Financial Services - Scaleup

Remote from
United States
Full time
5 - 5K
Enterprise Network Security
Network Architecture
File Systems
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