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
366 jobs
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Career Opportunities: Actuary (24993)
Career Opportunities: Actuary (24993)
30+ 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
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
14 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical NecessityRadiation Oncology
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
Utilization Review RN, Full-Time - Multiple Shifts Available
Utilization Review RN, Full-Time - Multiple Shifts Available
12 days ago
Netsmart
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
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
Chief Medical Officer - Indiana
Chief Medical Officer - Indiana
5 days ago
Centene Corporation
- From: United States, Indianapolis (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementMedical LawTotal Quality Management
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
Clinical Appeals Specialist RN (Remote NC)
Clinical Appeals Specialist RN (Remote NC)
30+ days ago
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementAppealsMedicaid
Provider Engagement Account Executive
Provider Engagement Account Executive
12 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Provider ModelValue-Based CarePerformance ManagementData Mining
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
Clinical Finance Case Management - RN Specialist 2
Clinical Finance Case Management - RN Specialist 2
6 days ago
The Ohio State University
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Care ManagementClinical MedicineUtilization Management
Provider Engagement Account Manager
Provider Engagement Account Manager
11 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Provider ModelData MiningPerformance ManagementValue-Based Care
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
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
11 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
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
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
14 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical GuidelineRadiation Oncology
Clinical Denial Coordinator - Remote
Clinical Denial Coordinator - Remote
4 days ago
WVU Medicine
- From: United States (Full Remote)
- Full time
AppealsClinical AssessmentsMedical Necessity
Field Medical Director, MSK (Spine) Surgery
Field Medical Director, MSK (Spine) Surgery
11 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
Spinal FusionUtilization ManagementClinical Data Analysis
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
15 days ago
Magellan Health
- From: United States (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsBehavioral HealthCross-Functional Collaboration
Support Specialist- Utilization Review/Remote
Support Specialist- Utilization Review/Remote
16 days ago
Henry Ford Health
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Epic EMRUtilization 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
Utilization Review RN - PRN - Evening Shift
Utilization Review RN - PRN - Evening Shift
18 days ago
Netsmart
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
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
Remote Medical Director - California HealthNet
Remote Medical Director - California HealthNet
18 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
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
Orthopedic Spine Surgeon - Remote - EviCore
Orthopedic Spine Surgeon - Remote - EviCore
20 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical AssessmentsClinical AssessmentsOrthopedics
Care Manager
Care Manager
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementPsychiatric TreatmentsAddiction TreatmentCrisis Intervention
Field Medical Director, MSK Surgery
Field Medical Director, MSK Surgery
6 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsClinical AssessmentsOrthopedics
Remote Medical Director -Indiana
Remote Medical Director -Indiana
18 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementQuality AssessmentCredential Manager
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
13 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
Clinical Data AnalysisCardiologyUtilization Management
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
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementDigital File ManagementCPT Coding
Clinical Consulting Partner Lead
Clinical Consulting Partner Lead
30+ 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
Field Medical Director, MSK (Spine) Surgery
Field Medical Director, MSK (Spine) Surgery
12 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
Spinal FusionUtilization ManagementMedical GuidelineClinical Data Analysis
Case Manager, RN
Case Manager, RN
16 days ago
Imagine360
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Care ManagementNursingUtilization ManagementClinical Assessments
Field Medical Director, Cardiology
Field Medical Director, Cardiology
12 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementCardiologyMedical Necessity
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
30+ days ago
Trinity Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization ManagementNursing
Associate Medical Director, Cardiology
Associate Medical Director, Cardiology
6 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Value-Based CareCardiologyClinical Assessments
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
16 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementNursing
RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
17 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNurse Licensure Compact
