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
374 jobs
Sort by:
Medical Director - Orthopedic Surgeon
Medical Director - Orthopedic Surgeon
4 day ago
The Cigna Group
- Remote: United States
- Full time
Care ManagementClinical InformaticsClinical AssessmentsPeer Review
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
11 day ago
Evolent Health
- Remote: United States
- Full time
Utilization ManagementCardiologyMedical WritingOncology
Reimbursement Business Manager - Allergy/ENT - St. Louis, MO
Reimbursement Business Manager - Allergy/ENT - St. Louis, MO
1 day ago
Regeneron
- Remote: United States
- Full time
Reimbursement RegulationsBiomedical Sciences
Telephonic Case Manager
Telephonic Case Manager
30+ days ago
Genex Services
- Remote: United States
- Full time
Care ManagementWorkers' CompensationClinical PracticesNurse Registry
Clinical Support Coordinator
Clinical Support Coordinator
5 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
PsychologyUtilization ManagementSocial Work
Care Coordinator, Licensed
Care Coordinator, Licensed
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Outcome InterpretationUtilization Management
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
9 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Orthopedics
Field Reimbursement Manager - Immunology - Newark, NJ
Field Reimbursement Manager - Immunology - Newark, NJ
27 day ago
Regeneron
- Remote: United States
- Full time
Reimbursement RegulationsMarket Access StrategyBiomedical Sciences
Senior Director of Implementations
Senior Director of Implementations
10 day ago
Cohere Health
- Remote: United States
- Full time
Project ImplementationProject ManagementComputational IntelligenceHealth Sciences
Training and Quality Assurance Coordinator (W@H Anywhere)
Training and Quality Assurance Coordinator (W@H Anywhere)
4 day ago
Palmetto GBA
- Remote: United States
- Full time
Clinical Data Analysis
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)
29 day ago
Monte Nido & Affiliates
- Remote: United States
- Full time
PsychotherapyCounseling TechniquesEmotional DisordersClinical Consulting
Field Medical Director, Pain Management
Field Medical Director, Pain Management
9 day ago
Evolent Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementPain Management
Compliance UM Audit Registered Nurse
Compliance UM Audit Registered Nurse
3 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementNurse Licensure CompactAuditingClinical Nursing
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
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
Account Management
Account Management
4 day ago
Marsh McLennan Agency
- Remote: United States
- Full time
Benefits AdministrationClient Services
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)
7 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
10 day ago
NOCD
- Remote: United States
- Full time
Clinical System OperationsCross-Functional Collaboration
Medical Director - Florida
Medical Director - Florida
29 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)
25 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
9 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Utilization ManagementHematologyMedical NecessityMedical Testing
Medical Director
Medical Director
4 day ago
The Cigna Group
- Remote: United States
- Full time
Care ManagementClinical InformaticsClinical Assessments
Resource Coordinator
Resource Coordinator
18 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
9 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
11 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)
18 day ago
Trend Health Partners
- Remote: United States
- Full time
Coding TheoryDiagnosis-Related GroupCPT Coding
Denials Specialist
Denials Specialist
9 day ago
Ensemble Health Partners
- Remote: United States
- Full time
AppealsInsurance Law
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
Remote Medical Director
Remote Medical Director
25 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
9 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Disability ManagementClinical AssessmentsDermatology
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
Pediatrician - Utilization Review - (Remote 1099 - Independent Contractor)
5 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementClinical AssessmentsPediatrics
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
Consulting Team Lead - Microsoft Fabric & Power BI at Collectiv
30+ days ago
Collectiv
- Remote: United States, Illinois (USA)
- Full time
- Senior (5-10 years)
Power BIMicrosoft Azure
Clinical Admissions Therapist (Michigan)
Clinical Admissions Therapist (Michigan)
29 day ago
Charlie Health
- Remote: United States
- Full time
TelehealthBehavioral HealthMental Health Assessments
Care manager (LMFT or LCSW) - Remote
Care manager (LMFT or LCSW) - Remote
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Discharge Planning
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
Speech Therapist /Clinical Reviewer - eviCore - Work at Home
22 day ago
The Cigna Group
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical GuidelineSpeech Therapy
Senior Customer Success Technical Architect
Senior Customer Success Technical Architect
25 day ago
Confluent
- Remote: United States
- Full time
PLINK (Genetic Analysis Software)Apache KafkaData StreamingCloud Computing
Clinical Formulary Pharmacist - Government Programs
Clinical Formulary Pharmacist - Government Programs
30+ days ago
Maxor National Pharmacy Services, LLC
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementCompliance Management
UR Case Manager II
UR Case Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Texas (USA)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Utilization Management
Field Medical Director, Radiology (ENT Preferred)
Field Medical Director, Radiology (ENT Preferred)
7 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementOtolaryngologyMedical Guideline
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
Career Opportunities: Utilization Management Medical Director - Remote in US (28039)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 100 - 150K
InterQual CriteriaUtilization Management
Medical Director, Children's Services (SafetyNet & Behavioral Health)
Medical Director, Children's Services (SafetyNet & Behavioral Health)
30+ days ago
Univera Healthcare
- Remote: United States, Massachusetts (USA), New York (USA), Virginia (USA)
- Full time
- Expert & Leadership (>10 years)
Behavioral HealthChild And Adolescent PsychiatryClinical Auditing
Remote Child & Adolescent Behavioral Medical Director - Washington
Remote Child & Adolescent Behavioral Medical Director - Washington
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Utilization Management
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- Remote: United States
- Freelance
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsProject Management
