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
373 jobs
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Utilization Management Physician Reviewer
Utilization Management Physician Reviewer
8 day ago
Dane Street, LLC
- Remote: United States
- Full time
Utilization ManagementMedical NecessityClinical Consulting
Utilization Review Nurse- PT (9a-9p EST)
Utilization Review Nurse- PT (9a-9p EST)
3 day ago
Netsmart
- Remote: United States
- Part time
Utilization ManagementMedical Record ManagementInterQual Criteria
Mental Health Therapist (RMHCI, RCSWI)
Mental Health Therapist (RMHCI, RCSWI)
30+ days ago
Discovery Behavioral Health
- Remote: United States, Florida (USA)
- Full time
- Entry-level / graduate
- 52 - 65K
Physician Advisor
Physician Advisor
30+ days ago
Ensemble Health Partners
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
Project ManagementBudget ManagementContinuing Medical Education
Associate Director, Client Analytics
Associate Director, Client Analytics
6 day ago
New Century Health
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Data Visualization
Research Analyst- Family Health Advocate
Research Analyst- Family Health Advocate
24 day ago
Sharecare
- Remote: United States
- Full time
Senior Complex Bill Reviewer 2
Senior Complex Bill Reviewer 2
27 day ago
Mitchell International
- Remote: United States
- Full time
Workers' CompensationClinical ConsultingMedical Coding
Medical Director - EviCore - Cardiology
Medical Director - EviCore - Cardiology
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 196 - 328K
Evidence-Based PracticeCardiology
Pre-Service Utilization Management LVN
Pre-Service Utilization Management LVN
25 day ago
CommonSpirit Health
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsMedical Necessity
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
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Behavioral HealthDischarge PlanningUtilization ManagementCrisis Intervention
Medical Director Utilization Management
Medical Director Utilization Management
30+ days ago
AmeriHealth Caritas
- Remote: United States
- Expert & Leadership (>10 years)
Medical DirectionClinical PracticesUtilization ManagementQuality Assessment
Remote Medical Director
Remote Medical Director
24 day ago
Centene Corporation
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Manager, Clinical Operations
Manager, Clinical Operations
23 day ago
UST HealthProof
- Remote: United States
- Full time
Clinical System OperationsUtilization ManagementQuality Assessment
Clinical Letter Writer PT Role -UM Experience Essential
Clinical Letter Writer PT Role -UM Experience Essential
4 day ago
New Century Health
- Remote: United States
- Part time
Utilization ManagementMedical WritingOnline Communication
VP, Payer Analytics
VP, Payer Analytics
30+ days ago
Trinity Health
- Remote: United States, Michigan (USA)
- Full time
- Expert & Leadership (>10 years)
Financial AnalysisCost Management
Sales Executive - Payer
Sales Executive - Payer
30+ days ago
Notable
- Remote: United States, California (USA)
- Full time
- Senior (5-10 years)
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
30 day ago
Ensemble Health Partners
- Remote: United States
- Full time
Utilization ManagementClinical AssessmentsMedical NecessityResource Management
Neurologist Needed for Utilization Review work - Remote 1099
Neurologist Needed for Utilization Review work - Remote 1099
30+ days ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementMedical Licensing (Health Law)Neurology
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: United States
- Full time
Discharge PlanningCare CoordinationClinical Assessments
Residential Mental Health Therapist
Residential Mental Health Therapist
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 67 - 84K
PRN RN Utilization Review Audit Specialist
PRN RN Utilization Review Audit Specialist
30+ days ago
University of Maryland Medical System
- Remote: United States, Maryland (USA)
- Full time
- Mid-level (2-5 years)
- 7 - 19K
RN Medical Case Manager I
RN Medical Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, New Mexico (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Registry
Utilization Review Nurse 
Utilization Review Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Illinois (USA)
- Mid-level (2-5 years)
Assurance ServicesMedicaid Management Information Systems (MMIS)Prior Authorization
Medical Principal - Oncologist
Medical Principal - Oncologist
17 day ago
The Cigna Group
- Remote: United States
- Full time
Oncology
Medical Director
Medical Director
30+ days ago
Samaritan Health Services
- Remote: United States
- Part time
- Senior (5-10 years)
Clinical Quality ManagementMedical ManagementUtilization Management
Actuarial Manager
Actuarial Manager
30+ days ago
Pediatric Associates Family of Companies
- Remote: United States
- Full time
- Senior (5-10 years)
Utilization ManagementStatistical Analysis
CA Telephonic Case Manager II - RN
CA Telephonic Case Manager II - RN
30+ days ago
CorVel Corporation
- Remote: United States, California (USA)
- Mid-level (2-5 years)
- 58 - 89K
Educational EvaluationMedical Humanities
Registered Nurse
Registered Nurse
30+ days ago
US Tech Solutions
- Remote: United States, Kansas (USA)
- Fixed term
- Mid-level (2-5 years)
Managed CareUtilization ManagementPrior Authorization
Non-Clinical Coding and OASIS Review Manager
Non-Clinical Coding and OASIS Review Manager
18 day ago
BAYADA Home Health Care
- Remote: United States
- Full time
Medical Coding
Virtual Primary Therapist - East
Virtual Primary Therapist - East
30+ days ago
Monte Nido & Affiliates
- Remote: United States
- Full time
Psychosocial AssessmentsGroup TherapyFamily Therapy
Payer Strategy Director
Payer Strategy Director
30+ days ago
Cohere Health
- Remote: United States
- Senior (5-10 years)
- 28 - 28K
Utilization ManagementHealthcare StrategySales StrategyBusiness Analysis
CA Utilization Review Case Manager I
CA Utilization Review Case Manager I
30+ days ago
CorVel Corporation
- Remote: United States, California (USA)
- Mid-level (2-5 years)
- 56 - 83K
ICD Coding (ICD-9/ICD-10)CPT Coding
Medical Director - Care Plus
Medical Director - Care Plus
30+ days ago
Humana
- Remote: United States
- Full time
Language InterpretationClinical InformaticsRegulatory ComplianceUtilization Management
Clinical Pharmacist.
Clinical Pharmacist.
30+ days ago
Lifelancer
- Remote: United States, Hawaii (USA)
- Full time
- Mid-level (2-5 years)
- 103 - 191K
Pharmacist AssistanceMedication Therapy ManagementPharmacotherapyPrior Authorization
Medical Director - Mid West Region
Medical Director - Mid West Region
30+ days ago
Humana
- Remote: United States
- Full time
Language InterpretationRegulatory ComplianceUtilization ManagementClinical Documentation
Physician Advisor, Utilization Review Management
Physician Advisor, Utilization Review Management
30 day ago
Sutter Health
- Remote: United States
- Full time
Utilization ManagementHealthcare Delivery ModelsCare ManagementClinical Documentation
Manager Utilization Management
Manager Utilization Management
30+ days ago
Spectrum Health
- Remote: United States
- Full time
- Senior (5-10 years)
Process ImprovementProject Collaboration
Board Certified-Texas Licensed Physician Reviewer-Multiple Specialties
Board Certified-Texas Licensed Physician Reviewer-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, Texas (USA)
- Full time
Connecticut-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Connecticut-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States
- Fixed term
Medical Necessity
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- Remote: United States
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization Management
Central Denials Unit Coordinator
Central Denials Unit Coordinator
30+ days ago
Russell Tobin
- Remote: United States, California (USA)
- Fixed term
- Senior (5-10 years)
- 38 - 42K
ICD Coding (ICD-9/ICD-10)
Financial Analyst (Remote)
Financial Analyst (Remote)
30+ days ago
HR Prospect
- Remote: United States, New Jersey (USA)
- Full time
- Junior (1-2 years)
Client Services
Board Certified NC - Licensed Physician Reviewers - Multiple Specialties
Board Certified NC - Licensed Physician Reviewers - Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, North Carolina (USA)
Medical Director- South Central
Medical Director- South Central
30+ days ago
Conviva Care Solutions
- Remote: United States
- Full time
- Senior (5-10 years)
- 223 - 313K
Utilization ManagementClinical AssessmentsRegulatory Compliance
Medical Director
Medical Director
26 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Clinical GovernanceUtilization ManagementRegulatory ComplianceMedical Law
Medical Case Manager II - RN (Bilingual English-Spanish)
Medical Case Manager II - RN (Bilingual English-Spanish)
30+ days ago
CorVel Corporation
- Remote: United States, California (USA)
- Mid-level (2-5 years)
- 58 - 89K
Nursing
Director Managed Care Contracting
Director Managed Care Contracting
7 day ago
Advocate Aurora Health
- Remote: United States
- Full time
Financial ModelingManaged CareContract Management
Clinical Operations Manager
Clinical Operations Manager
30+ days ago
Gravie
- Remote: United States
- Full time
General SurgeryHealthcare StrategyCost ContainmentUtilization Management
Medical Economics Manager
Medical Economics Manager
30+ days ago
Healthmap Solutions
- Remote: United States
- Full time
Data MiningEconomicsSQL (Programming Language)Actuarial Science
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- Remote: United States, New Mexico (USA)
- Full time
- Mid-level (2-5 years)
- 50 - 75K
