Remote Utilization Management Jobs
Remote from:
Software Development 17838B2B Sales & Account Management 10968CRM & Direct Marketing 10917Product 9303Back-End Development 9223Management and Leadership 8423Data and Analytics 8147finance 8094IT & Engineering 6553Enterprise Sales 6500Project & Program Management 5958Customer Support & Service 5958Sustainability & CSR 5474Sales Leadership & Strategy 5011DevOps & Infrastructure 4737Growth & Performance 3338Front-End Development 2857
338 jobs
Sort by:
Physician Advisor
Physician Advisor
30+ days ago
CHI
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementICD 503Clinical Documentation
Care Manager, BH
Care Manager, BH
30+ days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionDischarge Planning
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
30+ days ago
Concentra
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Care Manager (CM - MH/ID) Field Based
Care Manager (CM - MH/ID) Field Based
20 days ago
Magellan Health
- From: Idaho (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementCrisis InterventionQuality Assessment
Care Management Associate I (Appeals)
Care Management Associate I (Appeals)
30+ days ago
MetroPlusHealth
- From: New York (USA) (Full Remote)
- Full time
ICD 503CppunitMedical Abbreviations
Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- From: United States, Arizona (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
Payment Integrity Manager
Payment Integrity Manager
30+ days ago
CorVel Corporation
- From: United States, Texas (USA) (Full Remote)
- Senior (5-10 years)
- 5 - 121K
Auditing
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
26 days ago
BlueCross BlueShield of South Carolina
- From: Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA), Minnesota (USA), Missouri (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementPharmacy Benefit ManagementContract Management
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
30+ days ago
Centene Corporation
- From: Nevada (USA) (Full Remote)
- Full time
Clinical Data AnalysisMental Health AssessmentsSubstance Abuse Assessments
Career Opportunities: Actuary (24993)
Career Opportunities: Actuary (24993)
27 days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Data ManagementSAS (Software)SQL (Programming Language)Actuarial Science
Senior Mainframe Systems Programmer - zOS 
Senior Mainframe Systems Programmer - zOS
30+ days ago
Ensono
- From: India (Full Remote)
- Senior (5-10 years)
z/OSDisaster Recovery
RN Reviewer 
RN Reviewer
30+ days ago
Cohere Health
- From: United States (Full Remote)
- Mid-level (2-5 years)
- 28 - 28K
Utilization ManagementNursing
Senior Data Analyst, Population Health
Senior Data Analyst, Population Health
30+ days ago
Brighton Health Plan Solutions
- From: North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
AnalyticsSQL (Programming Language)Microsoft SQL Server Data Engine (MSDE)Statistical Modeling
RN Compliance Auditor
RN Compliance Auditor
30+ days ago
Conviva Care Solutions
- From: United States, Georgia (country), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA) (Full Remote)
- Full time
- 3 - 97K
Nurse Licensure CompactUtilization Management
Medical Case Manager I (RN)
Medical Case Manager I (RN)
30+ days ago
CorVel Corporation
- From: United States, Missouri (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Registry
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
Medical Director - Physical Medicine and Rehabilitation - EviCore - Remote
20 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeMedical Record ManagementMedical DevicesClinical Assessments
Physician Reviewer, Neurological Surgery - NV
Physician Reviewer, Neurological Surgery - NV
30+ days ago
Dane Street, LLC
- From: Nevada (USA) (Full Remote)
- Fixed term
Utilization ManagementAdvisory CircularMedical NecessityClinical Consulting
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Clinical AssessmentsUtilization Management
Senior FP&A & Costing Analyst
Senior FP&A & Costing Analyst
30+ days ago
Epiq
- From: Arizona (USA), Florida (USA), Illinois (USA), Kansas (USA), New York (USA), Oregon (USA), Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Financial ManagementProcess CostingCost AccountingCost Benefit Analysis
Licensed Physician Reviewer- Pulmo (remote)
Licensed Physician Reviewer- Pulmo (remote)
13 days ago
ChenMed
- From: United States (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementPulmonology
Utilization Review Case Manager - SUD
Utilization Review Case Manager - SUD
30+ days ago
Discovery Behavioral Health
- From: United States, California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 74 - 74K
Medical Director - OneHome
Medical Director - OneHome
19 days ago
Humana
- From: United States (Full Remote)
- Full time
Clinical GovernanceLanguage InterpretationRegulatory ComplianceUtilization Management
Board Certified Urology Physician Advisor, Disability Peer Review
Board Certified Urology Physician Advisor, Disability Peer Review
8 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
- Expert & Leadership (>10 years)
Urogynecology
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Acuity Systems, Inc.
- From: Texas (USA) (Full Remote)
- Full time
Utilization ManagementProject ManagementClinical Assessments
Clinical Product Specialist - UM
Clinical Product Specialist - UM
30+ days ago
Acuity Systems, Inc.
- From: Texas (USA) (Full Remote)
- Full time
Revenue ManagementUtilization ManagementClinical InformaticsArtificial Intelligence
Vice President, Behavioral Health
Vice President, Behavioral Health
30+ days ago
Centene Corporation
- From: Washington (USA) (Full Remote)
- Full time
Behavioral HealthProgram DevelopmentRegulatory Compliance
Clinical Review Registered Nurse
Clinical Review Registered Nurse
30+ days ago
Strategic Staffing Solutions
- From: Vermont (USA) (Full Remote)
- Freelance
Evidence-Based PracticeUtilization ManagementMedical NecessityClinical Assessments
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
30+ days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Medical ManagementClinical Assessments
UM Administration Coordinator
UM Administration Coordinator
30+ days ago
Conviva Care Solutions
- From: United States, Florida (USA) (Full Remote)
- Full time
- Junior (1-2 years)
- 40 - 52K
Utilization ManagementPrior Authorization
Primary Therapist - Virtual (OR)
Primary Therapist - Virtual (OR)
30+ days ago
Monte Nido & Affiliates
- From: Oregon (USA) (Full Remote)
- Freelance
PsychotherapyCounseling TechniquesEmotional DisordersUtilization Management
Triage Nurse I - Carebridge - Bilingual
Triage Nurse I - Carebridge - Bilingual
30+ days ago
Elevance Health
- From: Arizona (USA), Florida (USA), Indiana (USA), Iowa (USA), Kansas (USA), Massachusetts (USA), New Mexico (USA), Ohio (USA), Tennessee (USA), Texas (USA), Virginia (USA) (Full Remote)
- Full time
Nurse Licensure CompactTriageCare ManagementClinical Documentation
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
Discharge PlanningCare Coordination
Utilization Review Clinician - BH
Utilization Review Clinician - BH
26 days ago
Centene Corporation
- From: Nevada (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Clinical Reviewer, Nurse Surgery - Part Time
Clinical Reviewer, Nurse Surgery - Part Time
3 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
RN Case Manager II
RN Case Manager II
30+ days ago
CorVel Corporation
- From: United States, Oregon (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Nurse Licensure CompactUtilization ManagementNeurology
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
Cardiac Electrophysiology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical GuidelineCardiologyClinical Assessments
Board Certified Pathology Physician Advisor, Disability Peer Review
Board Certified Pathology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Utilization ManagementPathologyMedical NecessityMedical Testing
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Project ManagementUtilization Management
Care Manager
Care Manager
21 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementPsychiatric TreatmentsAddiction TreatmentCrisis Intervention
Medical Director - Gulf South
Medical Director - Gulf South
30+ days ago
Conviva Care Solutions
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 199 - 274K
Utilization Management
Field Medical Director, Radiology (Endocrinology)
Field Medical Director, Radiology (Endocrinology)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsClinical Assessments
Utilization Management Coordinator
Utilization Management Coordinator
21 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementDigital File ManagementCPT Coding
Field Medical Director, Musculoskeletal
Field Medical Director, Musculoskeletal
9 days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical MedicineClinical AssessmentsOrthopedics
Clinical Consulting Partner Lead
Clinical Consulting Partner Lead
21 days ago
Guidehouse
- From: United States (Full Remote)
- Full time
Inpatient CareClinical PracticesBusiness TransformationCustomer Relationship Management
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- From: United States, Laos, Louisiana (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
Medical Director
Medical Director
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Medical Director-Payment Integrity
Medical Director-Payment Integrity
14 days ago
Humana
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisLanguage InterpretationRegulatory ComplianceUtilization Management
RN Care Management Coordinator #36314
RN Care Management Coordinator #36314
30+ days ago
Contemporary Staffing Solutions
- From: United States (Full Remote)
- 64 - 72K
Behavioral HealthUtilization ManagementHealth Policies
Clinical Psychologist(Preferred Experience in Substance Use Disorder Or Utilization Management)
Clinical Psychologist(Preferred Experience in Substance Use Disorder Or Utilization Management)
14 days ago
CareSource
- From: United States (Full Remote)
- Full time
Utilization ManagementBehavioral HealthClinical PsychologyQuality Assessment
Associate Director, Sponsor Success
Associate Director, Sponsor Success
30+ days ago
OneStudyTeam
- From: United States (Full Remote)
- Full time
Customer Success ManagementProject ManagementCustomer Relationship Management
