Remote Utilization Management Jobs

  • Current location
  • Anywhere
830 jobs
Sort by:
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 →
AvonRisk
Temp Workers Compensation Claims Adjuster I
4 days ago

AvonRisk

Remote from
Virginia (USA)
Freelance

Mid-level (2-5 years)

Settlement
Benefits Administration
Complaint Investigations
View Similar Jobs →
Centene Corporation
Remote Medical Director
5 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 →
PacificSource Health Plans
Care Management Clinician Team Lead - Behavioral Health (Monday - Friday)
6 days ago

PacificSource Health Plans - Insurance - Large

Remote from
Georgia (USA)
Full time

Senior (5-10 years)

Clinical Supervision
Care Management
Behavioral Health
View Similar Jobs →
EFI Global
Claim Examiner - Liability (REMOTE - Heavy GL, Lit & BI exp)
5 days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
South Carolina (USA)
Full time

Expert & Leadership (>10 years)

Settlement
Personal Injury Law
Adjudication
View Similar Jobs →
Axsome Therapeutics
Associate/Senior Associate, Pricing and Contracting
7 days ago

Axsome Therapeutics - Biotech: Biology + Technology - SME

Remote from
New York (USA)
Full time

Senior (5-10 years)

Contract Management
View Similar Jobs →
Salesforce
Engagement Delivery Sr. Manager
4 days ago

Salesforce - Computer Software / SaaS - XLarge

Remote from
Mexico
Full time

Senior (5-10 years)

Cloud Computing
Engagement Marketing
Agile Software Development
View Similar Jobs →
Geisinger
RN - Registered Nurse Case Manager
1 day ago

Geisinger - XLarge

Remote from
United States
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Perinatal Care
View Similar Jobs →
Centene Corporation
Clinical Review Nurse - Concurrent Review
6 days ago

Centene Corporation - XLarge

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Discharge Planning
Medical Necessity
Clinical Assessments
View Similar Jobs →
Guide Health
Utilization Management Registered Nurse
3 days ago

Guide Health

Remote from
Illinois (USA)
Full time
Care Coordination
Utilization Management
Medical Necessity
View Similar Jobs →
Independent Health
Case Manager- NCL
3 days ago

Independent Health - Large

Remote from
New York (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Case Management Systems
View Similar Jobs →
Sarah Cannon Research Institute
Sr IT Project Portfolio Manager
10 days ago

Sarah Cannon Research Institute

Remote from
Tennessee (USA)
Full time

Senior (5-10 years)

PlanSwift (Takeoff Software)
Governance Risk Management And Compliance
Financial Management
View Similar Jobs →
ilumed
Associate Medical Director
4 days ago

ilumed

Remote from
Florida (USA)
Full time

Expert & Leadership (>10 years)

Clinical Governance
Utilization Management
Risk Control
View Similar Jobs →
Jefferson Health
Actuarial Informatics Analyst Intermediate
5 days ago

Jefferson Health

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

SAS (Software)
Predictive Modeling
SQL (Programming Language)
View Similar Jobs →
Wellstar Health System
Clinical Documentation Auditor
11 days ago

Wellstar Health System - XLarge

Remote from
Georgia (USA)
Full time

Senior (5-10 years)

Clinical Documentation
Medical Coding
View Similar Jobs →
Okta
Senior Manager, Technical Architecture, Auth0
30+ days ago

Okta - Computer Software / SaaS - XLarge

Remote from
California (USA), Illinois (USA), New York (USA) +2
Full time
208 - 320K
Open Platform
Auth0
Identity And Access Management
UST HealthProof
Utilization Management QA RN
7 days ago

UST HealthProof - SME

Remote from
Canada, California (USA)
Full time

Senior (5-10 years)

Utilization Management
Nurse Registry
View Similar Jobs →
Point32Health
RN Care Manager - Senior Care Options - Central Boston Elder Services Area - Bilingual preferred (Spanish)
6 days ago

Point32Health - Insurance - Large

Remote from
Massachusetts (USA)
Full time

Senior (5-10 years)

Care Coordination
Care Management
Nurse Licensure Compact
View Similar Jobs →
WellSense Health Plan
Prior Authorization Medical Clinician
30+ days ago

WellSense Health Plan - SME

Remote from
Kentucky (USA), Massachusetts (USA)
Full time
68 - 98K
Utilization Management
Prior Authorization
Medical Necessity
View Similar Jobs →
UST HealthProof
Utilization Review RN
7 days ago

UST HealthProof - SME

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Utilization Management
Discharge Planning
Care Management
View Similar Jobs →
The Cigna Group
Medical Principal - Gastroenterologist
2 days ago

The Cigna Group - Health Care - XLarge

Remote from
United States, Austria
Full time

Senior (5-10 years)

212 - 354K
Utilization Management
Care Management
Medical Necessity
View Similar Jobs →
CorVel Corporation
Telephonic Case Manager I
12 days ago

CorVel Corporation - Insurance - Large

Remote from
Florida (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Care Management
Clinical Informatics
View Similar Jobs →
Inizio Evoke
Associate Director, Project Management
30+ days ago

Inizio Evoke - Marketing & Advertising - SME

Remote from
New York (USA)
Full time
120 - 140K
Financial Management
Project Management
Brand Management
View Similar Jobs →
ConcertoCare
RN Case Manager - Pennsylvania
14 days ago

ConcertoCare - Scaleup

Remote from
Pennsylvania (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Nurse Registry
Discharge Planning
View Similar Jobs →
accesa.eu
Architecture Chapter Lead
11 days ago

accesa.eu - Information Technology & Services - Large

Remote from
Romania
Full time

Senior (5-10 years)

Solution Architecture
Architectural Design
Enterprise Architecture
View Similar Jobs →
Doctronic
Sales Development Representative, Payers
30+ days ago

Doctronic

Remote from
California (USA)
Full time

Mid-level (2-5 years)

70 - 90K
HubSpot CRM
Inbound Sales
Pipeline Planning
View Similar Jobs →
Medline Industries, LP
Clinical Solutions Specialist-Namic
30+ days ago

Medline Industries, LP - XLarge

Remote from
Florida (USA), Georgia (USA), Maryland (USA) +7
Full time

Mid-level (2-5 years)

79 - 119K
Radiology
Cath Lab
Patient Education And Counseling
Monte Nido & Affiliates
Virtual Therapist ( MA)
15 days ago

Monte Nido & Affiliates - Large

Remote from
Massachusetts (USA)
Full time
Telehealth
Group Therapy
Family Therapy
View Similar Jobs →
Sedgwick Ireland
Claims Rep - Liability (REMOTE - Needs Adjuster License)
7 days ago

Sedgwick Ireland - Startup

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Liability Insurance
Settlement
Adjudication
View Similar Jobs →
Cambia Health Solutions
Senior Underwriter Stop Loss-1
30+ days ago

Cambia Health Solutions - Health, Sport, Wellness & Fitness - XLarge

Remote from
Idaho (USA), Oregon (USA), Utah (USA) +1
Full time
87 - 142K
Underwriting
Laser Levels
View Similar Jobs →
Centene Corporation
Remote Medical Director
5 days ago

Centene Corporation - XLarge

Remote from
Missouri (USA)
Full time

Expert & Leadership (>10 years)

Credential Manager
Utilization Management
Medical Record Management
View Similar Jobs →
Medline Industries, LP
Sr Perioperative Sales Specialist
19 days ago

Medline Industries, LP - XLarge

Remote from
District of Columbia (USA), Maryland (USA), Virginia (USA) +1
Full time

Senior (5-10 years)

Surgical Services
Sales Management
Full-Cycle Sales
View Similar Jobs →
Smile Digital Health
Business Solutions Manager - Remote Canada
13 days ago

Smile Digital Health - Scaleup

Remote from
Canada
Full time

Senior (5-10 years)

Account Management
Product Management
Fast Healthcare Interoperability Resources (FHIR)
View Similar Jobs →
Medical Review Institute
1099 Utilization Review for Sports Medicine Physicians
18 days ago

Medical Review Institute - SME

Remote from
Florida (USA)
Freelance

Senior (5-10 years)

Family Medicine
Utilization Management
Sports Medicine
View Similar Jobs →
Vantage MedTech
Program Director
17 days ago

Vantage MedTech - SME

Remote from
Kansas (USA)
Full time

Expert & Leadership (>10 years)

Medical Devices
Electromechanical Engineering
ISO 13485 Standard
View Similar Jobs →
PacificSource Health Plans
Senior Clinical Pharmacy Strategist
27 days ago

PacificSource Health Plans - Insurance - Large

Remote from
Montana (USA)
Full time
72 - 126K
Healthcare Analytics
Medication Administration
View Similar Jobs →
EFI Global
Claims Rep - Liability (REMOTE - Needs Adjuster License)
7 days ago

EFI Global - Construction & Civil Engineering - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

Liability Insurance
Subrogation
Adjudication
View Similar Jobs →
Sentara Healthcare
Nurse Case Manager
19 days ago

Sentara Healthcare - XLarge

Remote from
Virginia (USA)
Full time

Mid-level (2-5 years)

Care Coordination
Nurse Registry
Care Management
View Similar Jobs →
Public Digital
Head of Delivery & Consulting Operations
6 days ago

Public Digital - Information Technology & Services - Scaleup

Remote from
United Kingdom
Full time

Mid-level (2-5 years)

Technical Delivery Management
Agile Software Development
View Similar Jobs →
UST HealthProof
Healthcare Management Coordinator
28 days ago

UST HealthProof - SME

Remote from
California (USA)
Full time
33 - 41K
Care Coordination
Care Management Software
Triage
View Similar Jobs →
Centene Corporation
Provider Engagement Account Manager
30+ days ago

Centene Corporation - XLarge

Remote from
Kentucky (USA)
Full time
56 - 101K
Provider Model
Account Management
Value-Based Care
View Similar Jobs →
NVIDIA
Service Production Manager - Repair
10 days ago

NVIDIA - XLarge

Remote from
Texas (USA)
Full time
176 - 276K
Yield Management
Fault Management
Reverse Logistics
View Similar Jobs →
UMass Memorial Medical Center
Coding Specialist II, Physician Billing
4 days ago

UMass Memorial Medical Center - XLarge

Remote from
Massachusetts (USA)
Full time

Mid-level (2-5 years)

Clinical Document Architecture
ICD Coding (ICD-9/ICD-10)
CPT Coding
View Similar Jobs →
MedImpact Healthcare Systems, Inc.
Clinical Administrative Pharmacist
30+ days ago

MedImpact Healthcare Systems, Inc. - Pharmaceuticals - Large

Remote from
Tennessee (USA)
Full time

Senior (5-10 years)

48 - 48K
Drug Utilization Review
Medicaid Management Information Systems (MMIS)
View Similar Jobs →
Bluestone Physician Services
Care Coordinator, LSW or RN (Part-time, 16-32 hrs/week)
17 days ago

Bluestone Physician Services - Medical Device - SME

Remote from
Minnesota (USA)
Part time

Expert & Leadership (>10 years)

Care Coordination
Care Management
Care Planning
View Similar Jobs →
Metal Toad
Technical Team Lead
Today

Metal Toad - SME

New
Remote from
California (USA)
Full time

Senior (5-10 years)

Software Estimation
Resource Allocation
Health And Safety Standards
View Similar Jobs →
NVIDIA
Senior Systems Software Engineer - Deep Learning Solutions
18 days ago

NVIDIA - XLarge

Remote from
Canada
Full time

Senior (5-10 years)

225 - 275K
GPU Optimization
View Similar Jobs →
Sentara Healthcare
Integrated Case Manager/Registered Nurse (RN) for the Commercial Complex Cases - Remote in Virginia or North Carolina
19 days ago

Sentara Healthcare - XLarge

Remote from
Indiana (USA), North Carolina (USA), Oregon (USA) +1
Full time
Care Coordination
Case Management Systems
Biomedical Instrumentation
View Similar Jobs →
Vaya Health
Care Manager - LP (Chatham County, NC)
30+ days ago

Vaya Health - SME

Remote from
North Carolina (USA)
Full time

Mid-level (2-5 years)

19 - 19K
Care Coordination
Care Planning
Clinical Assessments
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