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
563 jobs
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User Experience Designer
User Experience Designer
5 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- 85 - 85K
UsabilityUsability TestingUser ResearchFigma (Design Software)
DSNP Supervisor-Clinical Operations
DSNP Supervisor-Clinical Operations
12 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
Licensed Physician Reviewer-GI (remote)
Licensed Physician Reviewer-GI (remote)
20 days ago
ChenMed
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementGastroenterology
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
Utilization Management: Program Design & Insights Senior Manager
Utilization Management: Program Design & Insights Senior Manager
6 days ago
Devoted Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 104 - 104K
Utilization ManagementAnalyticsKPI ManagementStakeholder Engagement
Care Manager
Care Manager
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementPsychiatric TreatmentsAddiction TreatmentCrisis Intervention
Licensed Physician Reviewer - Neurology (remote)
Licensed Physician Reviewer - Neurology (remote)
4 days ago
ChenMed
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementNeurology
Licensed Physician Reviewer - Ortho (remote)
Licensed Physician Reviewer - Ortho (remote)
20 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
Clinical Review Nurse - Concurrent Review
Clinical Review Nurse - Concurrent Review
6 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
- 0 - 0K
Discharge PlanningUtilization ManagementMedical Necessity
Field Reimbursement Manager - Oklahoma/Arkansas
Field Reimbursement Manager - Oklahoma/Arkansas
19 days ago
AMGEN
- From: United States, Oklahoma City (Full Remote)
- Full time
Managed CareReimbursement RegulationsPatient Education And CounselingUnderwriting
Field Medical Director, Oncology
Field Medical Director, Oncology
12 days ago
Evolent Health
- From: North America (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical Oncology
Field Medical Director-Vascular Surgery
Field Medical Director-Vascular Surgery
8 days ago
Evolent Health
- From: United States (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementVascular MedicineMedical Guideline
Utilization Review, Management Physician Advisor
Utilization Review, Management Physician Advisor
21 days ago
Sutter Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementDiagnosis-Related GroupCoding Theory
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
Board Certified Gastroenterology, Dual board Internal Medicine Physician Advisor
12 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Patient EvaluationClinical AssessmentsInternal MedicineGastroenterology
Medical Director - Orthopedic Spine Surgery - EviCore - Remote
Medical Director - Orthopedic Spine Surgery - EviCore - Remote
6 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Clinical AssessmentsOrthopedics
Licensed Physician Reviewer - Ortho (remote)
Licensed Physician Reviewer - Ortho (remote)
19 days ago
ChenMed
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementOrthopedics
Field Medical Director, Radiology (Endocrinology)
Field Medical Director, Radiology (Endocrinology)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsClinical Assessments
Utilization Management Coordinator
Utilization Management Coordinator
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
Utilization ManagementDigital File ManagementCPT Coding
Utilization Review RN, Part-Time
Utilization Review RN, Part-Time
24 days ago
Netsmart
- From: United States (Full Remote)
- Part time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
Utilization Review RN, Full-Time - Multiple Shifts Available
Utilization Review RN, Full-Time - Multiple Shifts Available
30+ days ago
Netsmart
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Utilization ManagementNurse Licensure CompactInterQual Criteria
Clinical Consulting Partner Lead
Clinical Consulting Partner Lead
30+ days ago
Guidehouse
- From: United States (Full Remote)
- Full time
Inpatient CareClinical PracticesBusiness TransformationCustomer Relationship Management
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- From: United States, Laos, Louisiana (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
PRN Remote UROLOGY Utilization Review
PRN Remote UROLOGY Utilization Review
5 days ago
Medical Review Institute
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
UrologyUtilization Management
Utilization Review Manager - Clinical Performance - FT - Days
Utilization Review Manager - Clinical Performance - FT - Days
4 days ago
Stormont Vail Health
- From: United States, Topeka (Full Remote)
- Full time
- Senior (5-10 years)
- 83 - 83K
Performance ImprovementUtilization ManagementRegulatory ComplianceCare Management
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
RN Utilization Management Reviewer
RN Utilization Management Reviewer
17 days ago
DCX PH Inc.
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementClinical InformaticsRegulatory ComplianceMedical Necessity
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
12 days ago
Magellan Health
- From: North America (Full Remote)
- Full time
Mental Health And Recovery ServicesUtilization ManagementCare CoordinationAddiction Counseling
Medical Director- South Central
Medical Director- South Central
25 days ago
Humana
- From: United States (Full Remote)
- Full time
Language Interpretation
Medical Review Nurse II - Government/Clinical Outpatient Focus
Medical Review Nurse II - Government/Clinical Outpatient Focus
12 days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
CppunitICD 503Clinical Assessments
Board Certified Forensic Pathology Physician Advisor, Disability Peer Review
Board Certified Forensic Pathology Physician Advisor, Disability Peer Review
12 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Forensic PathologyMedical GuidelineClinical Assessments
Care Manager, BH - Remote in PA , Bedford, Somerset
Care Manager, BH - Remote in PA , Bedford, Somerset
24 days ago
Magellan Health
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementMental HealthAddiction Treatment
Vice President Professional Services
Vice President Professional Services
12 days ago
Altera Digital Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Operational ExcellenceFinancial ManagementProject Management
Remote Medical Director
Remote Medical Director
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsMedical ManagementQuality Assessment
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
30+ days ago
Trinity Health
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization ManagementNursing
RN Clinical Auditor – Claims and Coding Review (Remote)
RN Clinical Auditor – Claims and Coding Review (Remote)
20 days ago
Morgan Stephens
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Utilization ManagementCPT CodingAuditing
Field Medical Director , Radiology (Neurology)
Field Medical Director , Radiology (Neurology)
24 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Field Medical Director, Oncology
Field Medical Director, Oncology
12 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical Oncology
Medical Director - Dermatology - EviCore - Remote
Medical Director - Dermatology - EviCore - Remote
6 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Evidence-Based PracticeMedical Record ManagementDermatologyClinical Assessments
Utilization Review Specialist
Utilization Review Specialist
30+ days ago
Charlie Health
- From: United States (Full Remote)
- Full time
Insurance LawUtilization ManagementHospital ExperienceProject Management
Utilization Review Nurse
Utilization Review Nurse
30+ days ago
LanceSoft, Inc.
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementDischarge PlanningInterQual Criteria
Product Adoption Analyst
Product Adoption Analyst
17 days ago
LogicManager
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
User AnalysisUtilization Management
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
12 days ago
Evolent Health
- From: North America (Full Remote)
- Part time
Clinical Data AnalysisUtilization ManagementCardiologyCardiology
Medical Director Florida
Medical Director Florida
12 days ago
Humana
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Language InterpretationClinical InformaticsRegulatory ComplianceUtilization Management
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- From: United States, North Carolina (USA) (Full Remote)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
Associate Principal, Strategic Account Services (Authorizations & UM) - Remote
Associate Principal, Strategic Account Services (Authorizations & UM) - Remote
7 days ago
Availity
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Cross-Functional CollaborationPerformance AnalyticsCustomer Relationship Management
Provider Engagement Account Manager
Provider Engagement Account Manager
30+ days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Provider ModelData MiningPerformance ManagementValue-Based Care
Clinical Care Analyst
Clinical Care Analyst
30+ days ago
Lifelancer
- From: United States, District of Columbia (USA) (Full Remote)
- Full time
- Senior (5-10 years)
Clinical AssessmentsElectronic Medical Record
Medical Review Nurse II SNFMDS
Medical Review Nurse II SNFMDS
11 days ago
Performant Corp
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
ICD Coding (ICD-9/ICD-10)CPT CodingClinical AuditingUtilization Management
