Remote Utilization Management Jobs

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839 jobs
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ConcertoCare
RN Case Manager - Florida
Today

ConcertoCare - Scaleup

New
Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Care Planning
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Veeva Systems
Service Delivery Lead - MedTech Commercial
Today

Veeva Systems - Computer Software / SaaS - SME

New
Remote from
Illinois (USA)
Full time

Senior (5-10 years)

Enterprise Application Software
Systems Integration
Service Management
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Vivo Care
Care Navigator- Licensed Nurse - Remote - PST Time Zone - Oregon License Required, Compact a Plus
Today

Vivo Care

New
Remote from
Oregon (USA)
Full time

Mid-level (2-5 years)

Biomedical Instrumentation
Nurse Licensure Compact
Telecare
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Centene Corporation
Remote Outpatient Medical Director
Just Now

Centene Corporation - XLarge

New
Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Credential Manager
Utilization Management
Medical Management
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Humana
Utilization Management Nurse
Just Now

Humana - Health, Sport, Wellness & Fitness - XLarge

New
Remote from
Indiana (USA)
Full time
Care Coordination
Utilization Management
Clinical Nursing
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Acrisure
Case Management Assistant
Just Now

Acrisure

New
Remote from
Florida (USA)
Full time

Junior (1-2 years)

Care Management
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Centene Corporation
Vice President, Payment Innovation & Value-Based Contracting
Just Now

Centene Corporation - XLarge

New
Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Prospective Payment Systems
Performance Based Contracting
Actuarial Science
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Humana
Pre-Authorization Nurse
Just Now

Humana - Health, Sport, Wellness & Fitness - XLarge

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

Mid-level (2-5 years)

InterQual Criteria
Utilization Management
Prior Authorization
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Vivo Care
Care Navigator- Licensed Nurse - Remote - EST Time Zone - New York AND Compact License Required
Today

Vivo Care

New
Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Telecare
Nurse Licensure Compact
Biomedical Instrumentation
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Catalyst MedTech
National Service Manager
Today

Catalyst MedTech

New
Remote from
Texas (USA)
Full time
KPI Management
Service Management
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Vivo Care
Care Navigator- Licensed Nurse - Remote - EST Time Zone - Massachusetts AND Compact License Required
Today

Vivo Care

New
Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Telecare
Nurse Licensure Compact
Biomedical Instrumentation
View Similar Jobs →
PGBA
LPN Medical Reviewer (Myrtle Beach, Remote after 6 months)
Today

PGBA

New
Remote from
South Carolina (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Medical Insurance Claims
Clinical Assessments
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Vivo Care
Care Navigator- Licensed Nurse - Remote - EST Time Zone - Michigan AND Compact License Required
Today

Vivo Care

New
Remote from
Michigan (USA)
Full time

Mid-level (2-5 years)

Telecare
Chronic Care
Nurse Licensure Compact
View Similar Jobs →
AdventHealth Central Florida
Consumer Access Specialist
Today

AdventHealth Central Florida

New
Remote from
United States
Full time
Patient Education And Counseling
Medicare
Electronic Health Record Applications
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Scale Army Careers
Retention Marketing Strategist (Klaviyo | Enterprise DTC) – Remote LATAM
Today

Scale Army Careers

New
Remote from
Africa, Latin America
Fixed term

Senior (5-10 years)

Customer Lifecycle Management
Email Marketing
Mobile Marketing
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Ping Identity
Director, Professional Services - Southern EMEA
Today

Ping Identity - Large

New
Remote from
EMEA
Full time

Expert & Leadership (>10 years)

Service Layer
Client Services
Business Development
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Centene Corporation
Senior Director, Provider Relations
Just Now

Centene Corporation - XLarge

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

Senior (5-10 years)

Provider Data Management
Network Administration
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Blue Cross NC
Episodic Care Manager - Medicare
1 day ago

Blue Cross NC - Insurance - XLarge

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Clinical Data Analysis
Utilization Management
Medical Necessity
View Similar Jobs →
Centene Corporation
Pharmacy Technician Care Advocate
1 day ago

Centene Corporation - XLarge

Remote from
Florida (USA), Illinois (USA), Indiana (USA) +4
Full time

Junior (1-2 years)

Medication Therapy Management
Drug Utilization Review
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Personify Health
Utilization Review Nurse-RN
Today

Personify Health - TPE

New
Remote from
United States
Full time

Junior (1-2 years)

48 - 48K
Utilization Management
Prior Authorization
Medical Necessity
View Similar Jobs →
Centene Corporation
Data Analyst IV Healthcare Analytics, Medical Economics
1 day ago

Centene Corporation - XLarge

Remote from
Michigan (USA)
Full time

Senior (5-10 years)

Database Queries
Business Intelligence
Quantitative Analysis
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Centene Corporation
Clinical Review Clinician - Appeals
Just Now

Centene Corporation - XLarge

New
Remote from
United States, Canada, Arizona (USA) +9
Full time

Senior (5-10 years)

Medical Record Management
Medical Necessity
View Similar Jobs →
The Cigna Group
Business Architect, Operations Senior Advisor - Cigna Healthcare - Remote
Today

The Cigna Group - Health Care - XLarge

New
Remote from
United States, Austria
Full time

Senior (5-10 years)

116 - 193K
Business Architecture
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Advocate Aurora Health
Social Worker
Just Now

Advocate Aurora Health - Health Care - XLarge

New
Remote from
United States
Full time

Junior (1-2 years)

Care Coordination
Discharge Planning
Psychosocial Assessments
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Availity
Medical Director (Remote)
Today

Availity - Large

New
Remote from
United States
Full time

Expert & Leadership (>10 years)

Utilization Management
Unified Medical Language Systems
Prior Authorization
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Guide Health
Utilization Management Registered Nurse
1 day ago

Guide Health

Remote from
Illinois (USA)
Full time
Care Coordination
Utilization Management
Regulatory Compliance
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baker Tilly US
Specialist, Deployment - Resource Management
1 day ago

baker Tilly US - Accounting - Large

Remote from
Connecticut (USA), District of Columbia (USA), Florida (USA) +7
Full time

Mid-level (2-5 years)

Resource Management
Utilization Management
Resource Allocation
View Similar Jobs →
Humana
Utilization Management Behavioral Health Registered Nurse
1 day ago

Humana - Health, Sport, Wellness & Fitness - XLarge

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

Mid-level (2-5 years)

Nurse Registry
Medical Necessity
Utilization Management
View Similar Jobs →
The Cigna Group
Business Analytics Senior Advisor (Transparency and UM Analytics) -
1 day ago

The Cigna Group - Health Care - XLarge

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

Senior (5-10 years)

112 - 188K
Utilization Management
Industry Trend Analysis
Methods Engineering
View Similar Jobs →
Blue Cross NC
Episodic Care Manager
1 day ago

Blue Cross NC - Insurance - XLarge

Remote from
North Carolina (USA)
Full time

Senior (5-10 years)

Care Coordination
Utilization Management
Medical Necessity
View Similar Jobs →
Humana
Preauthorization Registered Nurse
1 day ago

Humana - Health, Sport, Wellness & Fitness - XLarge

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

Mid-level (2-5 years)

Clinical Assessments
Medical Guideline
Prior Authorization
View Similar Jobs →
Brigham and Women's Hospital
Clinical Pharmacy Informatics Lead
3 days ago

Brigham and Women's Hospital

Remote from
Massachusetts (USA)
Full time

Senior (5-10 years)

Utilization Management
Pharmacy Benefit Management
Clinical Informatics
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Geisinger
RN - Case Manager Registered Nurse - Care Coordination
1 day ago

Geisinger - XLarge

Remote from
United States
Full time

Expert & Leadership (>10 years)

Care Coordination
Care Management
Utilization Management
View Similar Jobs →
OLIVER Agency South Africa
Resource & Project Manager
4 days ago

OLIVER Agency South Africa

Remote from
Canada
Full time

Senior (5-10 years)

85 - 85K
Process Management
Utilization Management
Project Management
View Similar Jobs →
Caris Life Sciences
Director - Strategic Accounts (Indiana & Michigan)
5 days ago

Caris Life Sciences - Large

Remote from
Indiana (USA), Michigan (USA)
Full time

Expert & Leadership (>10 years)

48 - 48K
Molecular Medicine
Medical Laboratory
Strategic Management
View Similar Jobs →
Caylent
Data Practice Director
3 days ago

Caylent - Scaleup

Remote from
Brazil
Full time

Expert & Leadership (>10 years)

Data Engineering
AWS Cloud Services
Data Architecture
View Similar Jobs →
Impresiv Health
Inpatient Care Manager, RN
4 days ago

Impresiv Health - SME

Remote from
Canada, California (USA)
Freelance

Mid-level (2-5 years)

Care Coordination
Utilization Management
Discharge Planning
View Similar Jobs →
The Cigna Group
Business Analytics Senior Advisor (UM Analytics) - Remote
1 day ago

The Cigna Group - Health Care - XLarge

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

Senior (5-10 years)

112 - 188K
Utilization Management
Compliance Management
Healthcare Analytics
View Similar Jobs →
Caylent
Data Practice Director
4 days ago

Caylent - Scaleup

Remote from
Argentina
Full time

Expert & Leadership (>10 years)

Data Engineering
Practice Management
AWS Big Data
View Similar Jobs →
GE Vernova
Resource Manager - Controls, ( 26-2239)
5 days ago

GE Vernova - Machinery - XLarge

Remote from
Mexico
Full time
ServiceMax
Crew Scheduling
Microsoft Dynamics 365 Field Service
View Similar Jobs →
Detroit Wayne Integrated Health Network
Manager of PAR Services
5 days ago

Detroit Wayne Integrated Health Network - Scaleup

Remote from
Michigan (USA)
Full time

Senior (5-10 years)

Clinical Supervision
Behavioral Health
Crisis Management
View Similar Jobs →
Point32Health
RN Care Manager - SCO (Worcester area, Spanish speaking preferred)
5 days ago

Point32Health - Insurance - Large

Remote from
Massachusetts (USA)
Full time

Senior (5-10 years)

Care Coordination
Nurse Registry
Chronic Care
View Similar Jobs →
Centene Corporation
Remote Medical Director, Outpatient
4 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 →
Sanford Health
Utilization Management Specialist (Home-Based) - Prior Authorization
3 days ago

Sanford Health - Large

Remote from
North Dakota (USA)
Full time
Utilization Management
Prior Authorization
Medical Necessity
View Similar Jobs →
Salvo Health
Registered Dietitian Supervisor (RD or RDN)
4 days ago

Salvo Health

Remote from
Oregon (USA)
Full time

Senior (5-10 years)

Clinical Quality Management
View Similar Jobs →
MedStar Health
Financial Coordinator
5 days ago

MedStar Health - XLarge

Remote from
Idaho (USA), New York (USA)
Full time

Expert & Leadership (>10 years)

59 - 101K
Utilization Management
Financial Needs Assessment
Health Reimbursement Arrangement
View Similar Jobs →
LanceSoft, Inc.
Clinical Case Manager II - ICM CCM Illinois (Hybrid)
4 days ago

LanceSoft, Inc. - XLarge

Remote from
Illinois (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Benefits Administration
View Similar Jobs →
Auvik
Account Manager
14 days ago

Auvik

Remote from
Canada
Full time
113 - 113K
Account Management
Customer Success Management
Business Alignment
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The Home Depot
Field Director Services - Dallas
6 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
View Similar Jobs →
Highmark Health
Manager Case Management Long-term Care - Delaware
3 days ago

Highmark Health

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

Senior (5-10 years)

19 - 96K
Care Management
Utilization Management
View Similar Jobs →
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