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
542 jobs
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PRN Remote Utilization Review for Infectious Disease
PRN Remote Utilization Review for Infectious Disease
3 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Full time
- Senior (5-10 years)
Infectious DiseasesMedical Licensing (Health Law)Utilization Management
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Ohio (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
- Entry-level / graduate
Behavioral HealthNurse Licensure CompactPrior Authorization
Care Manager (UM/UR) - Remote, Idaho Licensed
Care Manager (UM/UR) - Remote, Idaho Licensed
9 days ago
Magellan Health
- From: Idaho (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementCrisis InterventionQuality Assessment
Healthcare - Care Review Clinician I
Healthcare - Care Review Clinician I
21 days ago
Saviance Technologies Pvt. Ltd.
- From: Kentucky (USA) (Full Remote)
- Full time
Utilization ManagementClinical Documentation
Case Manager RN Oncology (Remote)
Case Manager RN Oncology (Remote)
30+ days ago
Health Plans Inc
- From: Maine (USA), Massachusetts (USA), New Hampshire (USA), Vermont (USA) (Full Remote)
- Full time
OncologyCare ManagementPatient Education And CounselingUtilization Management
Group Health Medical Director
Group Health Medical Director
15 days ago
Dane Street, LLC
- From: Florida (USA) (Full Remote)
- Fixed term
- Senior (5-10 years)
Utilization ManagementClinical AuditingTotal Quality Management
Concurrent Review Nurse
Concurrent Review Nurse
30+ days ago
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Educational AssessmentQuantitative Analysis
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
9 days ago
Magellan Health
- From: Hawaii (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementPsychiatric TreatmentsCrisis Intervention
Chief Medical Officer - Texas
Chief Medical Officer - Texas
21 days ago
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Quality AssessmentMedical LawClinical Assessments
Clinical Account Manager
Clinical Account Manager
4 days ago
Abarca Health
- From: Puerto Rico (Full Remote)
- Full time
- Senior (5-10 years)
Financial AnalysisUtilization ManagementPharmacy Benefit ManagementHealthcare Strategy
Clinical Admissions Therapist (New Hampshire)
Clinical Admissions Therapist (New Hampshire)
30+ days ago
Charlie Health
- From: New Hampshire (USA) (Full Remote)
- Full time
TelehealthPsychosocial AssessmentsMental Health Assessments
Clinical Pharmacist
Clinical Pharmacist
9 days ago
Elevance Health
- From: Georgia (USA), Indiana (USA), Kansas (USA), North Carolina (USA), Ohio (USA), Washington (USA) (Full Remote)
- Full time
Clinical Data AnalysisPharmaceutical MarketingHospital PharmacyPharmaceutical Sciences
Medical Director - Pediatric Cardiology
Medical Director - Pediatric Cardiology
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Cardiology
Board Certified New York-Licensed Physician Reviewers - Orthopedic Surgery-Spine
Board Certified New York-Licensed Physician Reviewers - Orthopedic Surgery-Spine
30+ days ago
Dane Street, LLC
- From: New York (USA) (Full Remote)
- Fixed term
Spinal FusionOrthopedics
Texas Licensed Physician Reviewer - Neurological Surgery
Texas Licensed Physician Reviewer - Neurological Surgery
30+ days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Fixed term
NeurosurgeryMedical Licensing (Health Law)
Medical Director - Cardiology
Medical Director - Cardiology
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 203K
Cardiovascular DiseaseClinical Assessments
Grievance and Appeals Nurse Specialist
Grievance and Appeals Nurse Specialist
30+ days ago
Partnership HealthPlan of California
- From: California (USA) (Full Remote)
- Full time
Care ManagementGrievance ArbitrationUtilization ManagementClinical Assessments
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Remote Market Place Medical Director
Remote Market Place Medical Director
29 days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementQuality Assessment
Medical Director - Pediatric Cardiology
Medical Director - Pediatric Cardiology
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 203K
Evidence-Based PracticeCardiologyClinical AssessmentsClinical Assessments
Clinical Appeals Nurse
Clinical Appeals Nurse
14 days ago
CareSource
- From: Nevada (USA) (Full Remote)
- Full time
AppealsHealth PoliciesRegulatory ComplianceClinical Assessments
Medical Director - Colon & Rectal Surgery- EviCore - Remote
Medical Director - Colon & Rectal Surgery- EviCore - Remote
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Abdominal SurgeryClinical AssessmentsClinical Assessments
Remote Behavioral Medical Director
Remote Behavioral Medical Director
30+ days ago
Centene Corporation
- From: Missouri (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois)
30+ days ago
CNSI
- From: Illinois (USA) (Full Remote)
- Freelance
MedicaidGeneral PractitionerUtilization Management
Board Certified(M.D, D.O) Lubbock, Texas ENT Reviewer
Board Certified(M.D, D.O) Lubbock, Texas ENT Reviewer
6 days ago
Dane Street, LLC
- From: Texas (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementMedical NecessityClinical Consulting
Medical Biller (Remote) at Shuvel Digital
Medical Biller (Remote) at Shuvel Digital
9 days ago
Param Solutions
- From: New Jersey (USA) (Full Remote)
- Full time
Billing InquiriesClaims And Litigation Management
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
Member & Recipient Svcs Clinician (Remote NC, Thur-Sat, 9a-9p)
30+ days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Patient ReferralHealth ScreeningsTriageCrisis Intervention
Enterprise Licensing Specialist
Enterprise Licensing Specialist
2 days ago
Pall Corporation
- From: United States (Full Remote)
- Full time
- Expert & Leadership (>10 years)
- 155 - 155K
Product LiabilityMicrosoft LicensingMathematical OptimizationPower BI
Quality Management Monitoring Specialist (Remote-NC)
Quality Management Monitoring Specialist (Remote-NC)
30+ days ago
Partners Health Management
- From: North Carolina (USA) (Full Remote)
- Full time
AuditingCompliance ManagementContinuous MonitoringTotal Quality Management
Chief Medical Officer - Texas
Chief Medical Officer - Texas
21 days ago
Centene Corporation
- From: Texas (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Health AdministrationMedical LawClinical AssessmentsQuality Assessment
USRN (Utilization Review)
USRN (Utilization Review)
14 days ago
Nezda Technologies Inc.
- From: Philippines (Full Remote)
- Full time
Utilization Management Clinician I
Utilization Management Clinician I
21 days ago
Community Health Plan of Washington
- From: Washington (USA) (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementCare Coordination
Manager, Technical Consulting
Manager, Technical Consulting
30+ days ago
Okta
- From: Canada (Full Remote)
- Full time
- Senior (5-10 years)
Identity And Access ManagementCustomer Engagement
Care Manager, BH Remote PA
Care Manager, BH Remote PA
9 days ago
Magellan Health
- From: Pennsylvania (USA) (Full Remote)
- Full time
Discharge PlanningUtilization ManagementCrisis InterventionClinical Data Analysis
Physician Reviewer, Medical Managment
Physician Reviewer, Medical Managment
17 days ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementAssessment And AuthorizationMedical ManagementCare Management
Medical Director
Medical Director
17 days ago
Highmark Health
- From: Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMedical ManagementCare ManagementClinical Consulting
Manager Case Management Long-term Care - Delaware
Manager Case Management Long-term Care - Delaware
17 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementRegulatory ComplianceAnalytics
User Experience Designer
User Experience Designer
3 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- 85 - 85K
UsabilityUsability TestingUser ResearchFigma (Design Software)
Clinical Appeals Coordinator
Clinical Appeals Coordinator
21 days ago
Centene Corporation
- From: Oregon (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementMedical Necessity
Enterprise Licensing Specialist
Enterprise Licensing Specialist
1 day ago
Cytiva
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 155 - 155K
Product LiabilityMicrosoft LicensingMathematical OptimizationPower BI
Physician Advisor, Utilization Review/Management
Physician Advisor, Utilization Review/Management
16 days ago
Sutter Health
- From: Ohio (USA) (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementDiagnosis-Related GroupHealthcare Delivery ModelsCoding Theory
Utilzation Review
Utilzation Review
30+ days ago
LanceSoft, Inc.
- From: Michigan (USA) (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Care Manager – Behavioral Health
Care Manager – Behavioral Health
9 days ago
ICONMA
- From: California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementBehavioral HealthCrisis InterventionQuality Assessment
Part-Time Weekend Medical Director (Remote)
Part-Time Weekend Medical Director (Remote)
16 days ago
Highmark Health
- From: Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA) (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementMedical ManagementClinical AssessmentsCare Management
Clinical Director
Clinical Director
3 days ago
Sedgwick Ireland
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 106 - 106K
Utilization ManagementMedical ManagementCare Management
Remote 1099 Work for Internal Medicine Physicians
Remote 1099 Work for Internal Medicine Physicians
30+ days ago
Medical Review Institute
- From: Minnesota (USA), New Mexico (USA) (Full Remote)
- Freelance
Utilization ManagementMedical Licensing (Health Law)CardiologyClinical Assessments
Medical Management Nurse
Medical Management Nurse
9 days ago
Elevance Health
- From: Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
Nursing EthicsCare ManagementClinical Assessments
Remote Medical Director - Pennsylvania
Remote Medical Director - Pennsylvania
30+ days ago
Centene Corporation
- From: Pennsylvania (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Utilization Review Nurse 
Utilization Review Nurse
9 days ago
US Tech Solutions
- From: Illinois (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementManaged CarePrior Authorization
Medical Director - Cardiology
Medical Director - Cardiology
3 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Cardiovascular DiseaseClinical Assessments
