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
346 jobs
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Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
8 day ago
New Century Health
- Remote: United States
- Part time
Utilization ManagementCardiologyMedical Guideline
Field Medical Director, Oncology
Field Medical Director, Oncology
13 day ago
Evolent Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- Remote: United States, North Carolina (USA)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
Clinical Care Analyst
Clinical Care Analyst
30+ days ago
Lifelancer
- Remote: United States, District of Columbia (USA)
- Full time
- Senior (5-10 years)
Clinical AssessmentsElectronic Medical Record
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, Laos
- Full time
Institutional Review Board (IRB)Medical NecessityUtilization Management
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
30+ days ago
New Century Health
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Data Visualization
UR Intake Specialist
UR Intake Specialist
30+ days ago
CorVel Corporation
- Remote: United States, California (USA)
- 30 - 49K
Utilization Management
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
18 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Problem ManagementIncident Management
Remote Behavioral Medical Director – West Region
Remote Behavioral Medical Director – West Region
30+ days ago
Centene Corporation
- Remote: United States, Uganda
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Utilization Management
Utilization Review RN
Utilization Review RN
7 day ago
WVU Medicine
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementPatient Progress NotesMedical Necessity
Board Certified Pulmonologist Physician Advisor, Disability Peer Review
Board Certified Pulmonologist Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- Remote: United States
- Fixed term
Utilization ManagementClinical Consulting
Data and Reporting Lead (Value-Based Programs)
Data and Reporting Lead (Value-Based Programs)
4 day ago
Humana
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Analytics
Senior Insights Analyst 
Senior Insights Analyst
30+ days ago
Cohere Health
- Remote: United States
- Mid-level (2-5 years)
- 28 - 28K
AnalyticsHealthcare Industry KnowledgeData VisualizationStatistical Analysis
CARE NAVIGATOR
CARE NAVIGATOR
30+ days ago
Covenant Health
- Remote: United States, Tennessee (USA)
- 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
- Remote: United States, New Jersey (USA)
- Full time
Utilization ManagementNursing
Clinical Psychologist
Clinical Psychologist
30+ days ago
Sentara Healthcare
- Remote: United States, Virginia (USA)
- Full time
- Senior (5-10 years)
Quality AssessmentBehavioral HealthClinical PsychologyUtilization Management
Nurse Liaison - Post Acute Care - New Brunswick, NJ
Nurse Liaison - Post Acute Care - New Brunswick, NJ
30+ days ago
CareCentrix
- Remote: United States, New Jersey (USA)
- Full time
- 80 - 100K
Care CoordinationUtilization Management
Physician Reviewer, Utilization Management
Physician Reviewer, Utilization Management
30+ days ago
Oscar Health
- Remote: United States
- Junior (1-2 years)
- 211 - 277K
Evidence-Based PracticeClinical AssessmentsMedical NecessityUtilization Management
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
7 day ago
Evolent Health
- Remote: United States
- Full time
Utilization ManagementCardiologyMedical WritingOncology
Telephonic Case Manager
Telephonic Case Manager
30+ days ago
Genex Services
- Remote: United States
- Full time
Care ManagementWorkers' CompensationClinical PracticesNurse Registry
Care Coordinator, Licensed
Care Coordinator, Licensed
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Outcome InterpretationUtilization Management
Director, Clinical Pharmacy
Director, Clinical Pharmacy
15 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementClinical PharmacyPolicy DevelopmentDrug Development
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
5 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Orthopedics
Field Reimbursement Manager - Immunology - Newark, NJ
Field Reimbursement Manager - Immunology - Newark, NJ
23 day ago
Regeneron
- Remote: United States
- Full time
Reimbursement RegulationsMarket Access StrategyBiomedical Sciences
Senior Director of Implementations
Senior Director of Implementations
6 day ago
Cohere Health
- Remote: United States
- Full time
Project ImplementationProject ManagementComputational IntelligenceHealth Sciences
Medicare Grievances and Appeals Corporate Medical Director
Medicare Grievances and Appeals Corporate Medical Director
30+ days ago
Conviva Care Solutions
- Remote: United States
- Full time
- Senior (5-10 years)
- 246 - 344K
Medical Practice Experience
Primary Therapist - Virtual - (East Coast license)
Primary Therapist - Virtual - (East Coast license)
25 day ago
Monte Nido & Affiliates
- Remote: United States
- Full time
PsychotherapyCounseling TechniquesEmotional DisordersClinical Consulting
Field Medical Director, Pain Management
Field Medical Director, Pain Management
5 day ago
Evolent Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementPain Management
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- Remote: United States
- Part time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
Field Care Coordinator RN, Franklin County, OH and Surrounding Areas - Remote
Field Care Coordinator RN, Franklin County, OH and Surrounding Areas - Remote
30+ days ago
UnitedHealthcare
- Remote: United States, Ireland, Texas (USA)
- Mid-level (2-5 years)
- 54 - 107K
Care ManagementNursingClinical Assessments
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- Remote: United States, New York (USA)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
Manager, Clinical Care Management (New Mexico - Active RN License)
Manager, Clinical Care Management (New Mexico - Active RN License)
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 85 - 107K
Financial ManagementNurse Licensure CompactUtilization Management
Medical Director - Pediatric Infectious Disease - EviCore
Medical Director - Pediatric Infectious Disease - EviCore
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 203 - 338K
Evidence-Based PracticePediatric Diseases And Disorders
Telephonic Case Manager I
Telephonic Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, Pennsylvania (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Medical Humanities
Field Medical Director, Radiology (Pulmonology Preferred)
Field Medical Director, Radiology (Pulmonology Preferred)
3 day ago
Evolent Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelinePulmonology
Remote Care Management Nurse (Future Opportunities)
Remote Care Management Nurse (Future Opportunities)
30+ days ago
Cambia Health Solutions
- Remote: United States, District of Columbia (USA), Idaho (USA), Iowa (USA), Maine (USA), Massachusetts (USA), Oregon (USA), Utah (USA), Washington (USA)
- Freelance
- Mid-level (2-5 years)
- 64 - 105K
Enterprise PHCO - Medicare & Duals - Lead
Enterprise PHCO - Medicare & Duals - Lead
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Care ManagementMedical ManagementUtilization Management
Director of Clinical Network Operations
Director of Clinical Network Operations
6 day ago
NOCD
- Remote: United States
- Full time
Clinical System OperationsCross-Functional Collaboration
Medical Director - Florida
Medical Director - Florida
25 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementTreatment Planning
Business Development Director (Clinical Documentation and Coding)
Business Development Director (Clinical Documentation and Coding)
21 day ago
R1 RCM
- Remote: United States
- Full time
Coding TheoryRevenue ManagementClinical Documentation
Senior Manager, Resource Management
Senior Manager, Resource Management
30+ days ago
Wpromote
- Remote: United States
- Full time
Utilization ManagementStaff PlanningResource Management
Board Certified Hematology Physician Advisor, Disability Peer Review
Board Certified Hematology Physician Advisor, Disability Peer Review
5 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Resource Coordinator
Resource Coordinator
14 day ago
Half Helix
- Remote: United States
- Full time
Resource PlanningProject ManagementProcess Management
Staff Vice President, Medicare Quality & Affordability Strategy
Staff Vice President, Medicare Quality & Affordability Strategy
5 day ago
Centene Corporation
- Remote: United States
- Full time
Value-Based CarePublic Health
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
7 day ago
New Century Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical WritingOnline Communication
Nurse Coder DRG Auditor I (US Remote)
Nurse Coder DRG Auditor I (US Remote)
14 day ago
Trend Health Partners
- Remote: United States
- Full time
Coding TheoryDiagnosis-Related GroupCPT Coding
Provider Engagement Account Manager
Provider Engagement Account Manager
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- 55 - 99K
Provider ModelAccount ManagementNetwork Performance Management
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
Associate Director, Access Reimbursement Management- WI/MN/Northern OH
22 day ago
Sage Therapeutics
- Remote: United States
- Full time
Health AdministrationActivities Of Daily Living (ADLs)Reimbursement RegulationsPayer Marketing
Remote Medical Director
Remote Medical Director
21 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Board Certified Dermatology Physician Advisor, Disability Peer Review
Board Certified Dermatology Physician Advisor, Disability Peer Review
5 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Disability ManagementClinical AssessmentsDermatology
