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
386 jobs
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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
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Discharge PlanningUtilization ManagementClinical Assessments
Medical Director - EviCore - Cardiology
Medical Director - EviCore - Cardiology
30+ days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 196 - 328K
Evidence-Based PracticeCardiology
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
Medical Director Utilization Management
Medical Director Utilization Management
30+ days ago
AmeriHealth Caritas
- From: United States (Full Remote)
- Expert & Leadership (>10 years)
Medical DirectionClinical PracticesUtilization ManagementQuality Assessment
UM Case Manager
UM Case Manager
10 days ago
Healthfirst
- From: United States (Full Remote)
- Full time
Care ManagementEducational AssessmentUtilization ManagementInternal Documentation
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
Utilization Review Specialist
Utilization Review Specialist
25 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
Part-time Pediatric / Family Medicine Medical Director - Florida
Part-time Pediatric / Family Medicine Medical Director - Florida
15 days ago
Centene Corporation
- From: United States (Full Remote)
- Part time
Cost ContainmentUtilization ManagementClinical AssessmentsQuality Assessment
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
Utilization Review Clinician - Behavioral Health
Utilization Review Clinician - Behavioral Health
9 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMental Health AssessmentsSubstance Abuse Assessments
Financial Benefit Analyst - Remote (PST preferred)
Financial Benefit Analyst - Remote (PST preferred)
24 days ago
OneDigital
- From: United States (Full Remote)
- Full time
AnalyticsGroup Insurance
PRN RN Utilization Review Audit Specialist
PRN RN Utilization Review Audit Specialist
30+ days ago
University of Maryland Medical System
- From: United States, Maryland (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 7 - 19K
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
Nurse Care Manager, Transition of Care - Eastern Time Zone
Nurse Care Manager, Transition of Care - Eastern Time Zone
30+ days ago
Evergreen Nephrology
- From: United States (Full Remote)
- Full time
Transitional CareCare ManagementClinical PracticesChronic Care
Clinical Systems Production Support Specialist III
Clinical Systems Production Support Specialist III
10 days ago
CareSource
- From: United States (Full Remote)
- Full time
Clinical System OperationsAgile Software DevelopmentProject Management.NET
Group Health Operations Manager (RN/LPN)
Group Health Operations Manager (RN/LPN)
23 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Full time
Revenue GrowthUtilization ManagementPerformance Management
Medical Director - Rheumatology
Medical Director - Rheumatology
25 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Care ManagementClinical InformaticsClinical AssessmentsUtilization Management
Supply Chain Solutions Director
Supply Chain Solutions Director
10 days ago
Intermountain Health
- From: United States (Full Remote)
- Full time
Leadership AnalysisStakeholder CommunicationsProcurementCategory Management
Remote Behavioral Medical Director
Remote Behavioral Medical Director
22 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality Assessment
Virtual Utilization Review Specialist
Virtual Utilization Review Specialist
10 days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical AssessmentsMedical Necessity
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
Clinical Systems Application Architect III
Clinical Systems Application Architect III
30+ days ago
CareSource
- From: United States (Full Remote)
- Full time
Architectural DesignClinical MedicineApplication Programming Interface (API)Calculus
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
Medical Director, Behavioral Health Services - Washington
Medical Director, Behavioral Health Services - Washington
14 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceBehavioral HealthPolicy DevelopmentQuality Assessment
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
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
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
17 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyUtilization Management
Product Support Application Developer II
Product Support Application Developer II
10 days ago
CareSource
- From: United States (Full Remote)
- Full time
Agile Software DevelopmentSoftware DevelopmentContinuous Delivery.NET
Field Medical Director, Oncology
Field Medical Director, Oncology
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Director, Performance Analytics
Director, Performance Analytics
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
SQL (Programming Language)Healthcare Analytics
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
Medical Director - Care Plus
Medical Director - Care Plus
30+ days ago
Humana
- From: United States (Full Remote)
- Full time
Language InterpretationClinical InformaticsRegulatory ComplianceUtilization Management
Clinical Pharmacist.
Clinical Pharmacist.
30+ days ago
Lifelancer
- From: United States, Hawaii (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 103 - 191K
Pharmacist AssistanceMedication Therapy ManagementPharmacotherapyPrior Authorization
Medical Director - EviCore - Remote (Family Medicine, Internal Medicine or Emergency Medicine)
Medical Director - EviCore - Remote (Family Medicine, Internal Medicine or Emergency Medicine)
25 days ago
The Cigna Group
- From: United States (Full Remote)
- Full time
Evidence-Based PracticeMedical Record ManagementEmployee ConsultationClinical Assessments
Associate Director, Client Analytics
Associate Director, Client Analytics
30+ days ago
Evolent Health
- From: United States (Full Remote)
- Full time
SAS (Software)SQL (Programming Language)Data VisualizationData Mining
Manager Utilization Management
Manager Utilization Management
30+ days ago
Spectrum Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Process ImprovementProject Collaboration
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Part time
Utilization ManagementCardiologyMedical Guideline
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)
30 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Utilization ManagementWorkers' Compensation ClaimsMedical NecessityOrthopedics
Physician Advisor
Physician Advisor
30+ days ago
Med-Metrix
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Patient SafetyUtilization Management
Central Denials Unit Coordinator
Central Denials Unit Coordinator
30+ days ago
Russell Tobin
- From: United States, California (USA) (Full Remote)
- 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
- From: United States, New Jersey (USA) (Full Remote)
- Full time
- Junior (1-2 years)
Client Services
Medical Director, LTSS - Delaware
Medical Director, LTSS - Delaware
18 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality AssessmentCare Coordination
