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
546 jobs
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Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- From: United States, Arizona (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
Clinical Reviewer, Physical Therapy
Clinical Reviewer, Physical Therapy
6 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementPhysical Therapy
CISC Care Coordinator
CISC Care Coordinator
25 days ago
Magellan Health
- From: New Mexico (USA) (Full Remote)
- Full time
Care CoordinationHealth Risk AssessmentsBehavioral HealthCross-Functional Collaboration
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
Director, Trade Client Strategy - Synergie Medication Collective (Fully Remote)
30+ days ago
BlueCross BlueShield of South Carolina
- From: Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Indiana (USA), Iowa (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Michigan (USA), Minnesota (USA), Missouri (USA) (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementPharmacy Benefit ManagementContract Management
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
RN Case Manager - California
RN Case Manager - California
30+ days ago
ConcertoCare
- From: California (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care CoordinationCare ManagementNurse Licensure CompactPatient Education And Counseling
Medical Director - Pediatric Cardiology
Medical Director - Pediatric Cardiology
7 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 203 - 203K
Evidence-Based PracticeCardiologyClinical AssessmentsClinical Assessments
Medical Director - Colon & Rectal Surgery- EviCore - Remote
Medical Director - Colon & Rectal Surgery- EviCore - Remote
7 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Abdominal SurgeryClinical AssessmentsClinical Assessments
Clinical Review, Physical Therapy - Part Time
Clinical Review, Physical Therapy - Part Time
5 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Physical Therapy
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
Remote Medical Case & Peer Reviewers (RNs & Certified Healthcare Professionals – 1099)
13 days ago
LivantaLLC
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Clinical Data AnalysisNurse Licensure CompactEvidence Analysis
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
Physician Reviewer- REMOTE
Physician Reviewer- REMOTE
21 days ago
Sierra Solutions Group
- From: Florida (USA), Texas (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
Regulatory ComplianceHealthcare Delivery ModelsClinical AssessmentsPeer Review
Manager Case Management Long-term Care - Delaware
Manager Case Management Long-term Care - Delaware
21 days ago
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Care ManagementRegulatory Compliance
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
14 days ago
Evolent Health
- From: North America (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementCardiologyCardiology
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
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
Behavioral Health Clinician-Child Home Based
Behavioral Health Clinician-Child Home Based
30+ days ago
Detroit Wayne Integrated Health Network
- From: Michigan (USA) (Full Remote)
- Full time
Treatment PlanningCare ManagementEducational AssessmentPsychotherapy
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
Care Manager, Health Plan, Part Time, Licensed/Remote in CA
Care Manager, Health Plan, Part Time, Licensed/Remote in CA
19 days ago
Magellan Health
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Health Risk AssessmentsClinical MedicineCare ManagementBehavioral Health
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
19 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical Licensing (Health Law)Internal MedicineGastroenterology
Part-Time Weekend Medical Director (Remote)
Part-Time Weekend Medical Director (Remote)
21 days ago
Highmark Health
- From: Alabama (USA), Alaska (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Indiana (USA) (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementMedical ManagementCare ManagementClinical Practices
Associate Medical Director, Cardiology
Associate Medical Director, Cardiology
10 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Value-Based CareCardiologyClinical Consulting
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
Care Manager (UMUR) Remote
Care Manager (UMUR) Remote
13 days ago
Magellan Health
- From: United States (Full Remote)
- Full time
Mental Health And Recovery ServicesUtilization ManagementCrisis InterventionAddiction Counseling
Field Medical Director Vascular Surgery
Field Medical Director Vascular Surgery
10 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementVascular MedicineMedical Necessity
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
Field Medical Director Vascular Surgery
Field Medical Director Vascular Surgery
10 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementVascular MedicineMedical Licensing (Health Law)
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
User Experience Designer
User Experience Designer
7 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- 85 - 85K
UsabilityUsability TestingUser ResearchFigma (Design Software)
Senior Director Clinical Revenue
Senior Director Clinical Revenue
20 days ago
Tufts Medicine
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Coding TheoryRevenue ManagementUtilization ManagementClinical Documentation
Med Mgmt Clinician Sr (US)
Med Mgmt Clinician Sr (US)
20 days ago
Elevance Health
- From: United States, Las Vegas (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementCare ManagementClinical AssessmentsHealth Policies
Clinical Review, Physical Therapy - Part Time
Clinical Review, Physical Therapy - Part Time
5 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementPhysical Therapy
Utilization Review Nurse
Utilization Review Nurse
14 days ago
Sidecar Health
- From: North America (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementMilliman Care Guidelines (MCG)Clinical InformaticsMedical Necessity
Field Medical Director, Oncology
Field Medical Director, Oncology
18 days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Associate Medical Director
Associate Medical Director
26 days ago
Network Health WI
- From: United States, Menasha (Full Remote)
- Part time
- Senior (5-10 years)
Medical DirectionUtilization ManagementManaged Care
Medical Director (REMOTE Appeals Medical Director Pacific Standard Time, Managed Care ExperienceAppeals Experience Preferred)
Medical Director (REMOTE Appeals Medical Director Pacific Standard Time, Managed Care ExperienceAppeals Experience Preferred)
13 days ago
CareSource
- From: United States (Full Remote)
- Full time
Clinical AssessmentsManaged CareCase AssessmentClinical Consulting
Associate Director, Performance Analytics
Associate Director, Performance Analytics
14 days ago
Evolent Health
- From: Asia (Full Remote)
- Full time
- Entry-level / graduate
SAS (Software)SQL (Programming Language)Healthcare Analytics
Licensed Physician Reviewer-GI (remote)
Licensed Physician Reviewer-GI (remote)
22 days ago
ChenMed
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementGastroenterology
Appeals Registered Nurse
Appeals Registered Nurse
5 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Junior (1-2 years)
- 37 - 37K
AppealsUtilization ManagementClinical Informatics
DSNP Supervisor-Clinical Operations
DSNP Supervisor-Clinical Operations
14 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: North America (Full Remote)
- Full time
- Junior (1-2 years)
Clinical SupervisionUtilization ManagementCare ManagementHealthcare Industry Knowledge
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
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical NecessityRadiation Oncology
Remote - Physicians - Utilization Review - Contract (1099)
Remote - Physicians - Utilization Review - Contract (1099)
21 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Freelance
- Senior (5-10 years)
Utilization ManagementBasic Patient CareMedical Licensing (Health Law)
Care Manager
Care Manager
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementPsychiatric TreatmentsAddiction TreatmentCrisis Intervention
Executive Director, Head of Medical Partnerships
Executive Director, Head of Medical Partnerships
4 days ago
Novartis
- From: United States (Full Remote)
- Full time
- 236 - 236K
Strategic PartnershipCustomer Experience ImprovementBusiness PartneringPerformance Management
User Experience Designer
User Experience Designer
7 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- 85 - 85K
UsabilityUsability TestingUser ResearchFigma (Design Software)
Licensed Physician Reviewer - Ortho (remote)
Licensed Physician Reviewer - Ortho (remote)
22 days ago
ChenMed
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementOrthopedics
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
Utilization Review, Management Physician Advisor
Utilization Review, Management Physician Advisor
22 days ago
Sutter Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementDiagnosis-Related GroupCoding Theory
Field Reimbursement Manager - Oklahoma/Arkansas
Field Reimbursement Manager - Oklahoma/Arkansas
21 days ago
AMGEN
- From: United States, Oklahoma City (Full Remote)
- Full time
Managed CareReimbursement RegulationsPatient Education And CounselingUnderwriting
