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
367 jobs
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RN Clinical Review Clinician - Appeals
RN Clinical Review Clinician - Appeals
16 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementNurse Licensure Compact
Utilization Review Specialist
Utilization Review Specialist
30+ days ago
Charlie Health
- From: United States (Full Remote)
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
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
Field Medical Director, MSK Surgery
Field Medical Director, MSK Surgery
8 days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementPeer ReviewOrthopedics
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
UR Intake Specialist
UR Intake Specialist
30+ days ago
CorVel Corporation
- From: United States, California (USA) (Full Remote)
- 30 - 49K
Utilization Management
Manager, Healthcare Analytics
Manager, Healthcare Analytics
14 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Data ManagementProject ManagementSQL (Programming Language)Healthcare Analytics
Sales Solutions Architect
Sales Solutions Architect
30+ days ago
MCG Health
- From: United States (Full Remote)
- Full time
Customer EngagementClinical Consulting
Medical Director, Behavioral Health (Part Time)
Medical Director, Behavioral Health (Part Time)
4 days ago
Blue Shield of California
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical InformaticsBehavioral HealthChronic CareUtilization Management
Sales and Development Lead
Sales and Development Lead
25 days ago
Aspire Software
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementRevenue GrowthBusiness DevelopmentClinical Consulting
Medical Director - Gulf South
Medical Director - Gulf South
4 days ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Language InterpretationClinical InformaticsRegulatory ComplianceUtilization Management
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
15 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical GuidelineRadiation Oncology
Medical Director - Southeast Medicaid
Medical Director - Southeast Medicaid
11 days ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Language InterpretationMedical GuidelineUtilization Management
Utilization Review Nurse
Utilization Review Nurse
6 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementAcute CareInterQual Criteria
Medical Director - Pulmonology - EviCore - Remote
Medical Director - Pulmonology - EviCore - Remote
18 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical AssessmentsPulmonologyClinical Assessments
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
Field Medical Director, MSK Surgery
Field Medical Director, MSK Surgery
5 days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsClinical AssessmentsOrthopedics
Sr Utilization Management
Sr Utilization Management
17 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Continuing CareUtilization ManagementClinical Assessments
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
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
Board Certified Urology Physician Advisor, Disability Peer Review
Board Certified Urology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
- Expert & Leadership (>10 years)
Urogynecology
Remote - Contract (1099) - Child Neurologist for Utilization Review
Remote - Contract (1099) - Child Neurologist for Utilization Review
24 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Full time
Utilization ManagementNeurology
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
10 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
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
Medical Director -Pediatric Surgery- Evicore
Medical Director -Pediatric Surgery- Evicore
25 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeClinical AssessmentsClinical Assessments
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
Director of Clinical Operations
Director of Clinical Operations
18 days ago
DCX PH Inc.
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Business Process OutsourcingGeneral SurgeryPublic HealthUtilization Management
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
13 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
CardiologyCardiology
Field Medical Director, Cardiology
Field Medical Director, Cardiology
10 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelineCardiology
Remote Medical Director
Remote Medical Director
9 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Medical Review Nurse II - Clinical Validation
Medical Review Nurse II - Clinical Validation
30+ days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementClinical InformaticsAuditingMedical Coding
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
Care Coordinator, LSW
Care Coordinator, LSW
4 days ago
Bluestone Physician Services
- From: United States, Minneapolis (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationCare ManagementEducational AssessmentElderly Care
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
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
18 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
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
Sr. Medical Director, Medical Policy
Sr. Medical Director, Medical Policy
4 days ago
Blue Shield of California
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceEvidence-Based PracticeHealth Policy DevelopmentMedication Therapy Management
Peer-to-Peer Nurse Author
Peer-to-Peer Nurse Author
11 days ago
R1 RCM
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineDocumentation GenerationCase Assessment
Utilization Review Nurse
Utilization Review Nurse
17 days ago
Acrisure
- From: United States, Bradenton (Full Remote)
- Full time
Utilization ManagementCare ManagementMedical Abbreviations
Analyst, Performance Suite Analytics
Analyst, Performance Suite Analytics
18 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
SAS (Software)SQL (Programming Language)Healthcare Analytics
Field Medical Director , Radiology (Gastroenterology))
Field Medical Director , Radiology (Gastroenterology))
10 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical Guideline
Medical Director, MSK Surgery
Medical Director, MSK Surgery
10 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AuditingOrthopedics
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
14 days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization Management
Field Medical Director, Musculoskeletal
Field Medical Director, Musculoskeletal
30+ days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical MedicineClinical AssessmentsOrthopedics
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
SAS (Software)SQL (Programming Language)Healthcare AnalyticsData Visualization
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
