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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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
Field Medical Director , Radiology (Gastroenterology))
Field Medical Director , Radiology (Gastroenterology))
11 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsClinical Practices
Remote Medical Director - New York
Remote Medical Director - New York
11 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementQuality Assessment
Care Manager, SCO
Care Manager, SCO
17 days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Care CoordinationUtilization ManagementEducational Assessment
Manager, Healthcare Analytics
Manager, Healthcare Analytics
16 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Data ManagementProject ManagementSQL (Programming Language)Healthcare Analytics
Care Manager – BH
Care Manager – BH
30+ days ago
ICONMA
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Establishment LicensingUtilization ManagementCrisis InterventionDischarge Planning
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
Remote Licensed Clinical Therapist - NC/SC licenses
Remote Licensed Clinical Therapist - NC/SC licenses
30+ days ago
Monte Nido
- From: United States (Full Remote)
- Freelance
PsychotherapyClinical Social WorkCounseling TechniquesEmotional Disorders
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
Behavioral Health Care Manager Remote, must be Licensed and Reside in California
30+ days ago
Magellan Health
- From: United States, California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Behavioral HealthDischarge PlanningUtilization ManagementCrisis Intervention
VP, Payer Analytics
VP, Payer Analytics
30+ days ago
Trinity Health
- From: United States, Michigan (USA) (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Financial AnalysisCost Management
Sales Executive - Payer
Sales Executive - Payer
30+ days ago
Notable
- From: United States, California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Neurologist Needed for Utilization Review work - Remote 1099
Neurologist Needed for Utilization Review work - Remote 1099
30+ days ago
Medical Review Institute
- From: United States (Full Remote)
- Freelance
Utilization ManagementMedical Licensing (Health Law)Neurology
Provider Engagement Account Executive
Provider Engagement Account Executive
11 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Provider ModelData MiningPerformance Improvement
Utilization Management Nurse, Prior Authorization
Utilization Management Nurse, Prior Authorization
15 days ago
Brighton Health Plan Solutions
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNursingMedical Record ManagementClinical Assessments
Utilization Review Specialist
Utilization Review Specialist
30+ days ago
Staffosaurus
- From: United States (Full Remote)
- Full time
Utilization ManagementBehavioral HealthInsurance Policies
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Residential Mental Health Therapist
Residential Mental Health Therapist
30+ days ago
Discovery Behavioral Health
- From: United States, California (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 67 - 84K
Business Development Manager - District of Columbia
Business Development Manager - District of Columbia
11 days ago
Hydrafacial
- From: United States (Full Remote)
- Full time
Account ManagementBusiness Development
Medicare Grievances and Appeals Corporate Medical Director
Medicare Grievances and Appeals Corporate Medical Director
25 days ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Medical DirectionClinical AssessmentsManaged Care
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 GuidelineRadiation Oncology
Sr. Medical Director, FEP Utilization Management
Sr. Medical Director, FEP Utilization Management
4 days ago
Blue Shield of California
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementRegulatory ComplianceClinical Data Analysis
Medical Director- Radiation Oncology - EviCore - REMOTE
Medical Director- Radiation Oncology - EviCore - REMOTE
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Clinical AssessmentsRadiation Oncology
RN Medical Case Manager I
RN Medical Case Manager I
30+ days ago
CorVel Corporation
- From: United States, New Mexico (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Registry
Utilization Review Nurse 
Utilization Review Nurse
30+ days ago
US Tech Solutions
- From: United States, Illinois (USA) (Full Remote)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems (MMIS)Prior Authorization
Clinical Finance Case Management - RN Specialist 2
Clinical Finance Case Management - RN Specialist 2
5 days ago
The Ohio State University
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementClinical MedicineUtilization Management
RN I
RN I
10 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Nurse Licensure Compact
Psychologist Reviewer
Psychologist Reviewer
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Utilization ManagementBehavioral HealthPsychometricsClinical Psychology
Utilization review Nurse
Utilization review Nurse
5 days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementInterQual Criteria
Remote Medical Director - South Carolina
Remote Medical Director - South Carolina
10 days ago
TieTalent
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Medical Director - Care Plus - Florida
Medical Director - Care Plus - Florida
16 days ago
Humana
- From: United States (Full Remote)
- Full time
Clinical AssessmentsMedical Licensing (Health Law)
Actuarial Manager
Actuarial Manager
30+ days ago
Pediatric Associates Family of Companies
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementStatistical Analysis
Remote Medical Director - Michigan
Remote Medical Director - Michigan
18 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
11 days ago
LivantaLLC
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Clinical Data AnalysisOnline CommunicationMedical Necessity
Clinical Auditor: Appeals and Grievances
Clinical Auditor: Appeals and Grievances
30+ days ago
Healthfirst
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AuditingCare Management
CA Telephonic Case Manager II - RN
CA Telephonic Case Manager II - RN
30+ days ago
CorVel Corporation
- From: United States, California (USA) (Full Remote)
- Mid-level (2-5 years)
- 58 - 89K
Educational EvaluationMedical Humanities
Sr. Project Manager Senior (Healthcare)
Sr. Project Manager Senior (Healthcare)
30+ days ago
Southern Talent Specialists, Inc.
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementHealth SciencesProject Management
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
SAS (Software)SQL (Programming Language)AnalyticsData Visualization
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- From: United States, Kansas (USA) (Full Remote)
- Fixed term
- Mid-level (2-5 years)
Managed CareUtilization ManagementPrior Authorization
Case Manager, Rare
Case Manager, Rare
30+ days ago
Alnylam Pharmaceuticals
- From: United States (Full Remote)
- Full time
Cross-Functional CollaborationCare ManagementHealth Reimbursement ArrangementPatient Education And Counseling
Call Center Supervisor Clinical - AbbVie
Call Center Supervisor Clinical - AbbVie
19 days ago
UBC
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical System OperationsUtilization ManagementAnalytics
Field Medical Director, Cardiology
Field Medical Director, Cardiology
10 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelineCardiology
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical NecessityResource Management
CA Utilization Review Case Manager I
CA Utilization Review Case Manager I
30+ days ago
CorVel Corporation
- From: United States, California (USA) (Full Remote)
- Mid-level (2-5 years)
- 56 - 83K
ICD Coding (ICD-9/ICD-10)CPT Coding
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
30+ days ago
CommonSpirit Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)AnalyticsData Visualization
