Remote Utilization Management Jobs

Associate, Data Analytics

6 days ago

Oscar Health - Insurance - Large

Remote from

United States

Clinical Risk Manager, Cost Containment, C&F Stop Loss - Remote

30+ days ago

Crum & Forster - Insurance - Large

Remote from

Indiana (USA), New Jersey (USA), Oregon (USA)

Junior (1-2 years)

Medical Director, Medical Oncology Performance (Pittsburgh and Surrounding area)

10 days ago

New Century Health - SME

Remote from

United States, Austria

Expert & Leadership (>10 years)

Channel Operations Support Analyst

21 days ago

Rubrik, Inc. - Large

Remote from

India

Mid-level (2-5 years)

Product Sales Specialist - Remedy & Readycare (West Coast)

30+ days ago

Medline Industries, LP - XLarge

Remote from

California (USA), Oregon (USA), Washington (USA)

Mid-level (2-5 years)

Utilization Manager, Registered Nurse

30+ days ago

COPE Health Solutions - SME

Remote from

United States

90 - 110K

Team Manager - Migration

30+ days ago

Veeva Systems - Computer Software / SaaS - SME

Remote from

Asia

Senior (5-10 years)

3 - 3K

AVP FP&A

8 days ago

HealthEquity

Remote from

United States

Expert & Leadership (>10 years)

Epic Tapestry Business Systems Analyst

30+ days ago

NTT DATA - Information Technology & Services - XLarge

Remote from

Louisiana (USA)

Senior (5-10 years)

Legal Intake Specialist (Colombia | Remote)

30+ days ago

OperationsArmy

Remote from

Colombia

Director, Inpatient UM

30+ days ago

Point32Health - Insurance - Large

Remote from

Massachusetts (USA)

Expert & Leadership (>10 years)

Senior Key Channel Executive

14 days ago

Integrated DNA Technologies - Biotech: Biology + Technology - Large

Remote from

United States

Senior (5-10 years)

ERP Implementation Consultant – Manufacturing

30+ days ago

Epicor - Computer Software / SaaS - Large

Remote from

Mexico

Senior (5-10 years)

Remote Physician (MD/DO), (IC to FTE) PMR, Orthopedics or Neurology, Outpatient Prior Authorizations (REMOTE/FT)

30+ days ago

Virtix Health

Remote from

Maryland (USA), Oregon (USA)

Director, Customer Success - Health Plans & Digital Health

9 days ago

Ribbon Health

Remote from

United States

Expert & Leadership (>10 years)

Director, Medical Physician Advisor

8 days ago

AdventHealth Central Florida

Remote from

United States

Expert & Leadership (>10 years)

Strategy Partner - Utilization Management

20 days ago

Highmark Health

Remote from

United States, Austria, Pennsylvania (USA)

Senior (5-10 years)

19 - 96K

Underwriter Sr - Remote

7 days ago

Prime Therapeutics - Insurance - Large

Remote from

United States

Senior (5-10 years)

Virtual Clinic NP OR PA

30+ days ago

Privia Health - SME

Remote from

Oregon (USA), Pennsylvania (USA)

Mid-level (2-5 years)

Senior Pharmacy Benefit Consultant

5 days ago

EPIC Insurance Brokers & Consultants - Insurance - Large

Remote from

United States

Senior (5-10 years)

Strategy and Operations Associate

28 days ago

Inersia AE. Consultant, PT

Remote from

Canada

Senior (5-10 years)

RN I

30+ days ago

Horizon Blue Cross Blue Shield of New Jersey - Insurance - XLarge

Remote from

New Jersey (USA)

Manager, Client Services

12 days ago

NICE Ltd - XLarge

Remote from

United States

Expert & Leadership (>10 years)

Principal Consultant, Healthcare BPO Transformation

7 days ago

ISG (Information Services Group) - Information Technology & Services - Large

Remote from

United States

Senior Drug Rebate Analyst - Remote

13 days ago

Prime Therapeutics - Insurance - Large

Remote from

United States

Senior (5-10 years)

Senior Project Manager (US remote- EST/CST regions only)

22 days ago

QAD - Large

Remote from

Pennsylvania (USA)

Senior (5-10 years)

Senior Payment Strategy Manager

8 days ago

Cohere Health - SME

Remote from

United States

Senior (5-10 years)

Client Policy Manager I

6 days ago

Cotiviti - Large

Remote from

United States

Care Coordinator Central BH-Searcy (White Co)

26 days ago

Empower Healthcare Solutions - SME

Remote from

Arkansas (USA), Colorado (USA), Oregon (USA)

Expert & Leadership (>10 years)

Registered Nurse (RN) | Work from home | $34/hr | Starts 5/4/26

7 days ago

Carenet Health

Remote from

United States

Mid-level (2-5 years)

RN Clinical Appeals

5 days ago

Ensemble Health Partners - XLarge

Remote from

United States, Austria, Virginia (USA)

Mid-level (2-5 years)

Clinical Documentation Integrity Specialist - Remote

20 days ago

Guidehouse - Professional Services - Large

Remote from

United States

Mid-level (2-5 years)

Remote Care Manager

30+ days ago

Infinit-O - Large

Remote from

Philippines

Mid-level (2-5 years)

Senior Pricing Analyst

30+ days ago

Lambda - SME

Remote from

California (USA), Washington (USA)

VP, Regional Leader, Spend Management Services & Delivery

12 days ago

Vizient, Inc - Large

Remote from

United States

Senior (5-10 years)

Sr. Manager, Workforce Management & Quality

30+ days ago

CharterUP - Information Technology & Services - Scaleup

Remote from

United States

Senior (5-10 years)

110 - 110K

Board Certified- Diagnostic Radiologist

25 days ago

Dane Street, LLC - Insurance - SME

Remote from

Pennsylvania (USA)

Utilization Management Nurse

29 days ago

Brighton Health Plan Solutions - Scaleup

Remote from

North Carolina (USA)

Mid-level (2-5 years)

Clinical Denials Prevention & Appeals Specialist RN

30+ days ago

Nuvance Health - XLarge

Remote from

Connecticut (USA)

Senior (5-10 years)

86 - 161K

Space Strategist I

14 days ago

Colliers - Real Estate Management & Development - XLarge

Remote from

United States

Mid-level (2-5 years)

US Customer Marketing Senior Manager, Global Diagnostics

13 days ago

Zoetis - Pharmaceuticals - XLarge

Remote from

United States, Canada, California (USA)

Senior (5-10 years)

Patient Access Support Specialist

6 days ago

Medtronic - Medical Device - XLarge

Remote from

United States

Mid-level (2-5 years)

78 - 117K

Utilization Management Administration Coordinator - SNF

14 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from

United States

Expert & Leadership (>10 years)

Clinical Documentation Integrity Specialist - Remote

16 days ago

Guidehouse - Professional Services - Large

Remote from

United States

Mid-level (2-5 years)

SAP FSM Consultant-Mason, OH (Remote)

30+ days ago

Georgia IT, Inc.

Remote from

Ohio (USA)

Utilization Management Registered Nurse

7 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from

United States, Austria, Alabama (USA) +12

VP, Clinical Operations & Care Delivery - Remote

5 days ago

Sharecare - Health, Sport, Wellness & Fitness - XLarge

Remote from

United States

Expert & Leadership (>10 years)

Prior Authorization Medical Clinician

30+ days ago

WellSense Health Plan - SME

Remote from

Massachusetts (USA)

Medical Principal - Gastroenterologist

30+ days ago

The Cigna Group - Health Care - XLarge

Remote from

United States, Austria

Senior (5-10 years)

212 - 354K