Remote Utilization Management Jobs

  • Current location
  • Anywhere
844 jobs
Sort by:
Humana
Medical Director - IP Claims Management
15 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Full time

Expert & Leadership (>10 years)

Utilization Management
Medical Guideline
Clinical Assessments
View Similar Jobs →
The Clinic by Cleveland Clinic
Oncology and Infusion Stewardship Clinical Coordinator
11 days ago

The Clinic by Cleveland Clinic

Remote from
United States
Full time

Expert & Leadership (>10 years)

Medical Devices
Oracle Billing and Revenue Management (BRM)
Clinical Pharmacy
View Similar Jobs →
GitLab
CX Resource & Staffing Manager, APJ
30+ days ago

GitLab - Information Technology & Services - Large

Remote from
Australia
Full time
Capacity Planning
Resource Management
View Similar Jobs →
Privia Health
Virtual Clinic NP OR PA
22 days ago

Privia Health - SME

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

Mid-level (2-5 years)

Performance Analytics
Family Medicine
Telehealth
View Similar Jobs →
Harris Regional Hospital - A Duke LifePoint Hospital
Senior Director Revenue Cycle Operations, Motor Vehicle Accident
30+ days ago

Harris Regional Hospital - A Duke LifePoint Hospital

Remote from
United States
Full time
1 - 231K
Accident Reporting
View Similar Jobs →
Prime Therapeutics
Physician Clinical Reviewer - Rheumatology- REMOTE
4 days ago

Prime Therapeutics - Insurance - Large

Remote from
United States
Part time
Utilization Management
Medical Guideline
Rheumatology
View Similar Jobs →
AmeriHealth Caritas
Utilization Management Technician
14 days ago

AmeriHealth Caritas - XLarge

Remote from
United States
Full time
Utilization Management
Medical Record Management
Drug Utilization Review
View Similar Jobs →
Humana
Medical Director, Medicare Grievances
25 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Full time
246 - 344K
Utilization Management
Clinical Informatics
Medical Management
View Similar Jobs →
Centene Corporation
Chief Medical Officer, Behavioral Health
30+ days ago

Centene Corporation - XLarge

Remote from
United States, Canada, California (USA) +4
Full time

Senior (5-10 years)

271 - 515K
Utilization Management
Public Health
View Similar Jobs →
Pie Insurance
Medical Only Claims Adjuster
30+ days ago

Pie Insurance - Insurance - Scaleup

Remote from
United States
Full time

Junior (1-2 years)

60 - 75K
Medical Management
Workers' Compensation Claims
Adjudication
View Similar Jobs →
AdventHealth Central Florida
Utilization Management RN EX
6 days ago

AdventHealth Central Florida

Remote from
United States
Full time

Senior (5-10 years)

Utilization Management
Electronic Medical Record
Medical Necessity
View Similar Jobs →
Epicor
Consulting Services PMO Manager | Distro & LBM
8 days ago

Epicor - Computer Software / SaaS - Large

Remote from
United States
Full time

Senior (5-10 years)

Financial Risk Management
Governance Risk Management And Compliance
Enterprise Resource Planning
View Similar Jobs →
Vaya Health
Care Manager (Caswell County, NC)
30+ days ago

Vaya Health - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Care Coordination
Human Health Risk Assessment
Transitional Care
View Similar Jobs →
Humana
Medical Director - Southeast Medicaid
15 days ago

Humana - Health, Sport, Wellness & Fitness - XLarge

Remote from
United States
Full time

Expert & Leadership (>10 years)

Utilization Management
Inpatient Care
Clinical Assessments
View Similar Jobs →
Lumanity
Director, HEOR Research
12 days ago

Lumanity

Remote from
United States
Full time

Expert & Leadership (>10 years)

Biomedical Instrumentation
Health Economics And Outcomes Research (HEOR)
Product Strategy
View Similar Jobs →
Infinit-O
Remote Care Manager
30+ days ago

Infinit-O - Large

Remote from
Philippines
Full time

Mid-level (2-5 years)

Care Coordination
Transitional Care
Biomedical Instrumentation
View Similar Jobs →
Lambda
Senior Pricing Analyst
25 days ago

Lambda - SME

Remote from
California (USA), Washington (USA)
Full time
Pricing Objectives
Pricing Strategies
Financial Modeling
View Similar Jobs →
WVU Medicine
Disease Mgmt Coord: Fam Med UTC Morgantown
13 days ago

WVU Medicine - XLarge

Remote from
United States
Full time

Expert & Leadership (>10 years)

Care Coordination
Nurse Licensure Compact
Disease Management
View Similar Jobs →
Logan Health
Utilization Management Specialist
11 days ago

Logan Health - Large

Remote from
United States
Full time

Senior (5-10 years)

Utilization Management
Inpatient Care
Medical Necessity
View Similar Jobs →
Bird
General Manager - (Southwest)
30+ days ago

Bird - Internet - Scaleup

Remote from
United States
Full time

Senior (5-10 years)

130 - 150K
Supply Chain
Business Operations
Profit And Loss (P&L) Management
View Similar Jobs →
Devoted Health
Medical Director II, Utilization Management
16 days ago

Devoted Health - Scaleup

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Medical Direction
Total Quality Management
View Similar Jobs →
G-P
Benefits Analyst
30+ days ago

G-P - Hrtech: Human Resources + Technology

Remote from
Ireland
Full time

Mid-level (2-5 years)

Vendor Management
View Similar Jobs →
Nuvance Health
Clinical Denials Prevention & Appeals Specialist RN
30+ days ago

Nuvance Health - XLarge

Remote from
Connecticut (USA)
Full time

Senior (5-10 years)

86 - 161K
InterQual Criteria
Milliman Care Guidelines (MCG)
Utilization Management
View Similar Jobs →
Carenet Health
Registered Nurse (RN) | Work from home | $34/hr | Starts 4/6/26
15 days ago

Carenet Health

Remote from
United States
Full time

Mid-level (2-5 years)

Utilization Management
Nurse Licensure Compact
Telecare
View Similar Jobs →
PROCEPT BioRobotics
Capital Sales Director- Midwest
30+ days ago

PROCEPT BioRobotics - SME

Remote from
United States
Full time
180 - 180K
Equipment Financing
Sales Management
View Similar Jobs →
Netflix
Manager, IT Asset Management
30+ days ago

Netflix - Leisure & Entertainment - XLarge

Remote from
United States
Full time

Senior (5-10 years)

150 - 300K
Inventory Control
Lifecycle Management
Product Liability
View Similar Jobs →
Prime Therapeutics
Physician Clinical Reviewer - Psychiatry- REMOTE
4 days ago

Prime Therapeutics - Insurance - Large

Remote from
United States
Part time
Psychiatry
Utilization Management
Behavioral Health
View Similar Jobs →
Georgia IT, Inc.
SAP FSM Consultant-Mason, OH (Remote)
30+ days ago

Georgia IT, Inc.

Remote from
Ohio (USA)
Freelance
SAP ERP
Mobile Application Development
Solution Architecture
View Similar Jobs →
UNITE HERE HEALTH
Claims Operations Director
30+ days ago

UNITE HERE HEALTH - Scaleup

Remote from
Illinois (USA)
Full time
137 - 174K
Adjudication
View Similar Jobs →
Carrum Health
Manager, Care Navigation
26 days ago

Carrum Health

Remote from
United States
Full time

Senior (5-10 years)

90 - 110K
Patient Positioning
Care Coordination
View Similar Jobs →
CareSource
Clinical Care Reviewer II-BH - MSL - Must be RN
7 days ago

CareSource - Insurance - Large

Remote from
United States, Belgium, Ohio (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Utilization Management
Behavioral Health
View Similar Jobs →
Harris Regional Hospital - A Duke LifePoint Hospital
Revenue Integrity Analyst II
12 days ago

Harris Regional Hospital - A Duke LifePoint Hospital

Remote from
United States
Full time

Mid-level (2-5 years)

Vlookups
Auditing
CPT Coding
View Similar Jobs →
Nezda Technologies Inc.
Clinical Nurse Case Manager – USRN
30+ days ago

Nezda Technologies Inc. - Human Resources, Staffing & Recruiting - Scaleup

Remote from
Philippines
Full time
Medical Management
Clinical Assessments
View Similar Jobs →
Harris Computer
Director of Operations (w/m/d)
30+ days ago

Harris Computer - Computer Software / SaaS - Large

Remote from
Germany
Full time
Operational Excellence
Business Operations
KPI Management
View Similar Jobs →
Exavalu
Portfolio Lead – Data & Analytics
Today

Exavalu - Information Technology & Services - Scaleup

New
Remote from
Anywhere
Full time

Senior (5-10 years)

Data Management
Advanced Analytics
Technology Ecosystems
View Similar Jobs →
AristaMD
Nurse Care Manager (Temporary, Remote)
1 day ago

AristaMD

Remote from
Anywhere
Full time

Mid-level (2-5 years)

Care Coordination
Chronic Care
Clinical Nursing
View Similar Jobs →
Charlie Health
Clinical Admissions Therapist (Montana)
30+ days ago

Charlie Health - Health Care - SME

Remote from
United States, Montana (USA)
Full time
60 - 70K
Psychosocial Assessments
Mental Health Assessments
View Similar Jobs →
US Tech Solutions
Licensed Vocational Nurse
30+ days ago

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

Remote from
Georgia (USA)
Fixed term

Mid-level (2-5 years)

Utilization Management
Prior Authorization
View Similar Jobs →
Highmark Health
Assoc Care Management Coord
4 days ago

Highmark Health

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

Expert & Leadership (>10 years)

19 - 96K
Utilization Management
Medical Necessity
View Similar Jobs →
LIBERTY Dental Plan
Manager UM Compliance and Audit
7 days ago

LIBERTY Dental Plan

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

Senior (5-10 years)

Utilization Management
Auditing
View Similar Jobs →
Armanino LLP
Private Equity Performance Improvement Leader
30+ days ago

Armanino LLP - Accounting - Large

Remote from
California (USA), Colorado (USA), Illinois (USA) +5
Full time
223 - 302K
Asset Valuation
Corporate Finance
Financial Modeling
Highmark Health
Associate Care Management Coordinator
4 days ago

Highmark Health

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

Expert & Leadership (>10 years)

19 - 96K
Utilization Management
Health Care Finance Administration (HCFA) Regulations
Medical Necessity
View Similar Jobs →
The CGC Group
Grievance & Appeals Specialist
30+ days ago

The CGC Group

Remote from
United States
Fixed term
Utilization Management
Grievance Arbitration
Medical Necessity
View Similar Jobs →
UnityPoint Health
Registered Nurse Utilization Management Specialist
30+ days ago

UnityPoint Health - XLarge

Remote from
United States
Full time
Utilization Management
Nursing
View Similar Jobs →
Highmark Health
Medical Director, Medical Management
12 days ago

Highmark Health

Remote from
United States, Austria, Canada +12
Full time

Mid-level (2-5 years)

19 - 96K
Utilization Management
Case Management Systems
Medical Necessity
View Similar Jobs →
Prime Therapeutics
Physician Clinical Reviewer - Gastroenterology- REMOTE
4 days ago

Prime Therapeutics - Insurance - Large

Remote from
United States
Part time
Clinical Data Analysis
Utilization Management
Medical Guideline
View Similar Jobs →
Amynta Group
Claims Advocate III-
30+ days ago

Amynta Group - Insurance - Large

Remote from
Missouri (USA), North Carolina (USA)
Full time
Settlement
Litigation Management
Workers' Compensation Claims
Centene Corporation
Clinical Review Nurse - Concurrent Review (RN)
6 days ago

Centene Corporation - XLarge

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

Mid-level (2-5 years)

Discharge Planning
Utilization Management
Medical Necessity
View Similar Jobs →
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 →
AMGEN
Value and Access Insights - FRM, Senior Manager
19 days ago

AMGEN - Biotech: Biology + Technology - Large

Remote from
United States
Full time

Senior (5-10 years)

178 - 213K
Data Modeling
Data Integration
Managed Markets
View Similar Jobs →
Software Development17838B2B Sales & Account Management10968CRM & Direct Marketing10917Product9303Back-End Development9223

Trending Searches

Explore more remote jobs:

Remote Jobs in Europe Product Management Customer Success Marketing & Growth Data Analytics Operations UX Design

Explore by Category

Browse thousands of remote opportunities across all industries

+686 new

Data, IT & Product

42074 remote jobs

e.g.: Technical Product Manager (f/m/x), Project Manager

+284 new

Sales

16829 remote jobs

e.g.: Account Executive - Field Integrated Solutions (Remote), Account Executive

+275 new

Marketing & Communication

13620 remote jobs

e.g.: Associate Manager, Customer Success, Strategic Accounts Manager, Multi-Family

+185 new

Customer Service

8444 remote jobs

e.g.: Associate Manager, Customer Success, Strategic Accounts Manager, Multi-Family

+154 new

Finance, Accounting & Audit

8434 remote jobs

e.g.: Vice President Payroll - Enterprise Remote, Staff Engineer, ERP Oracle Cloud SCM Functional Consultant

+114 new

Other

8104 remote jobs

e.g.: BIM Tutor, Registered Nurse - Virtual Nurse Observation (VNO) - FT Nights (NOT a remote position)

+98 new

Strategy & Consulting

7198 remote jobs

e.g.: Crisis Care Consultant, Data Migration Consultant

+131 new

Business & Operation

6711 remote jobs

e.g.: Project Manager, Hospital Coding Quality Specialist - Inpatient / Outpatient

+60 new

Human Resources

2507 remote jobs

e.g.: Global Tech - Change Management Officer, Senior Manager - HR Transformation & Operations

Compete Smarter. Land Sooner.

The remote market is already moving. Do not just apply. Compete.

Let your AI coach guide you through the noise and into your next opportunity.

For less than $1 a day. No contract. Cancel anytime.

Upgrade to Premium