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
339 jobs
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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
Medical Review Nurse II - Clinical Validation
Medical Review Nurse II - Clinical Validation
14 days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical InformaticsAuditingMedical Coding
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
Utilization Review Specialist
Utilization Review Specialist
30+ days ago
Charlie Health
- From: United States (Full Remote)
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
UM Nurse Analyst (Remote)
UM Nurse Analyst (Remote)
9 days ago
Availity
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Natural Language Processing (NLP)Utilization ManagementArtificial Intelligence
Field Medical Director, Vascular Surgery
Field Medical Director, Vascular Surgery
14 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementVascular Medicine
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- From: United States, North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
Clinical Care Analyst
Clinical Care Analyst
30+ days ago
Lifelancer
- From: United States, District of Columbia (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical AssessmentsElectronic Medical Record
Care Manager – BH
Care Manager – BH
9 days ago
ICONMA
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Establishment LicensingUtilization ManagementCrisis InterventionDischarge Planning
UR Intake Specialist
UR Intake Specialist
30+ days ago
CorVel Corporation
- From: United States, California (USA) (Full Remote)
- 30 - 49K
Utilization Management
Mgr Utilization Management
Mgr Utilization Management
14 days ago
MultiCare Health System
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementNursingBasic Patient Care
Sales Solutions Architect
Sales Solutions Architect
30+ days ago
MCG Health
- From: United States (Full Remote)
- Full time
Customer EngagementClinical Consulting
AVP Clinical Revenue Cycle
AVP Clinical Revenue Cycle
30+ days ago
WVU Medicine
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical Documentation
CARE NAVIGATOR
CARE NAVIGATOR
30+ days ago
Covenant Health
- From: United States, Tennessee (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Care CoordinationChronic CareClinical Assessments
Nurse Liaison - Post Acute Care - Ocean County, NJ
Nurse Liaison - Post Acute Care - Ocean County, NJ
30+ days ago
CareCentrix
- From: United States, New Jersey (USA) (Full Remote)
- Full time
Utilization ManagementNursing
Technical Account Manager, Utilization Management (Remote)
Technical Account Manager, Utilization Management (Remote)
30+ days ago
Availity
- From: United States (Full Remote)
- Full time
Utilization ManagementBiomedical InstrumentationHelp Desk SupportCustomer Relationship Management
Nurse Liaison - Post Acute Care - New Brunswick, NJ
Nurse Liaison - Post Acute Care - New Brunswick, NJ
30+ days ago
CareCentrix
- From: United States, New Jersey (USA) (Full Remote)
- Full time
- 80 - 100K
Care CoordinationUtilization Management
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
17 days ago
New Century Health
- From: United States (Full Remote)
- Full time
SAS (Software)SQL (Programming Language)Healthcare AnalyticsData Visualization
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical AssessmentsMedical Necessity
Director, Strategic Account Management (Remote)
Director, Strategic Account Management (Remote)
9 days ago
Availity
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementChange ManagementStrategic Management
CLINICAL CARE COORDINATOR
CLINICAL CARE COORDINATOR
4 days ago
Mountain View Hospital
- From: United States, Idaho Falls (Full Remote)
- Full time
Care CoordinationPatient Education And CounselingClinical Data ExchangePublic Health
Clinical Reviewer, Nurse Surgery - Full Time
Clinical Reviewer, Nurse Surgery - Full Time
3 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisUtilization Management
Care Coordinator, Licensed
Care Coordinator, Licensed
30+ days ago
Magellan Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Outcome InterpretationUtilization Management
Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Toxicology
Medicare Grievances and Appeals Corporate Medical Director
Medicare Grievances and Appeals Corporate Medical Director
30+ days ago
Conviva Care Solutions
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 246 - 344K
Medical Practice Experience
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Part time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- From: United States, New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
Senior Analyst, Healthcare Analytics Consultant
Senior Analyst, Healthcare Analytics Consultant
13 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Healthcare AnalyticsData Visualization
Case Manager, East Coast (Remote)
Case Manager, East Coast (Remote)
30+ days ago
Alnylam Pharmaceuticals
- From: United States (Full Remote)
- Full time
Patient Education And CounselingCare ManagementInsurance ReviewsReimbursement Regulations
Telephonic Case Manager I
Telephonic Case Manager I
30+ days ago
CorVel Corporation
- From: United States, Pennsylvania (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Medical Humanities
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
30+ days ago
Medical Review Institute
- From: United States (Full Remote)
- Freelance
Utilization ManagementChild And Adolescent Psychiatry
Medical Director, MSK Surgery
Medical Director, MSK Surgery
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Utilization ManagementQuality AssessmentOrthopedics
Online Mental Health Therapist - East Coast
Online Mental Health Therapist - East Coast
30+ days ago
Monte Nido & Affiliates
- From: United States (Full Remote)
- Full time
PsychotherapyDiversity And InclusionCounseling TechniquesEmotional Disorders
Field Medical Director, Vascular Surgery
Field Medical Director, Vascular Surgery
13 days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementVascular Medicine
Psychologist Reviewer
Psychologist Reviewer
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Utilization ManagementNeuropsychological TestsPsychometricsApplied Behavior Analysis
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
30+ days ago
Collectiv
- From: United States, Illinois (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Power BIMicrosoft Azure
Assistant Medical Director (Part-Time)
Assistant Medical Director (Part-Time)
15 days ago
Availity
- From: United States (Full Remote)
- Part time
Utilization ManagementMedical GuidelinePrior Authorization
Board Certified Toxicology Physician Advisor, Disability Peer Review
Board Certified Toxicology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
ToxicologyClinical Assessments
Clinical Formulary Pharmacist - Government Programs
Clinical Formulary Pharmacist - Government Programs
30+ days ago
Maxor National Pharmacy Services, LLC
- From: United States (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementCompliance Management
UR Case Manager II
UR Case Manager II
30+ days ago
CorVel Corporation
- From: United States, Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization Management
Field Medical Director , Radiology (Urology)
Field Medical Director , Radiology (Urology)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Guideline
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsProject Management
Manager, Utilization Management
Manager, Utilization Management
9 days ago
Healthfirst
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementRegulatory ComplianceClinical PracticesCare Management
Mental Health Therapist (RMHCI, RCSWI)
Mental Health Therapist (RMHCI, RCSWI)
30+ days ago
Discovery Behavioral Health
- From: United States, Florida (USA) (Full Remote)
- Full time
- Entry-level / graduate
- 52 - 65K
Physician Advisor
Physician Advisor
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Project ManagementBudget ManagementContinuing Medical Education
