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
524 jobs
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Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
Board Certified Medical Toxicology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Toxicology
Medicare Grievances and Appeals Corporate Medical Director
Medicare Grievances and Appeals Corporate Medical Director
30+ days ago
Conviva Care Solutions
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
- 246 - 344K
Medical Practice Experience
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
30+ days ago
Ensemble Health Partners
- From: United States (Full Remote)
- Part time
Care CoordinationUtilization ManagementClinical AssessmentsMedical Necessity
UM Clinical Team Lead
UM Clinical Team Lead
30+ days ago
Lifelancer
- From: United States, New York (USA) (Full Remote)
- Full time
- Mid-level (2-5 years)
- 84 - 94K
Medical Insurance ClaimsInterQual CriteriaUtilization Management
Case Manager, East Coast (Remote)
Case Manager, East Coast (Remote)
16 days ago
Alnylam Pharmaceuticals
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Care ManagementInsurance ReviewsPatient Education And CounselingHealth Reimbursement Arrangement
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
Career Opportunities: Nurse Reviewer- Registered Nurse (Remote) (31696)
30+ days ago
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementNursing
Utilization Review RN Care Manager -Weekends
Utilization Review RN Care Manager -Weekends
15 days ago
UAMS - University of Arkansas for Medical Sciences
- From: United States, Little Rock (Full Remote)
- Full time
- Mid-level (2-5 years)
Discharge PlanningUtilization ManagementCare ManagementHealth Screenings
Field Medical Director, MSK (Spine) Surgery
Field Medical Director, MSK (Spine) Surgery
8 days ago
Evolent Health
- From: United States (Full Remote)
- Full time
Spinal FusionUtilization ManagementMedical GuidelineClinical Data Analysis
Case Manager, East Coast (Remote)
Case Manager, East Coast (Remote)
30+ days ago
Alnylam Pharmaceuticals
- From: United States (Full Remote)
- Full time
Patient Education And CounselingCare ManagementInsurance ReviewsReimbursement Regulations
Care Manager (UM/UR) - Remote
Care Manager (UM/UR) - Remote
8 days ago
Magellan Health
- From: United States (Full Remote)
- Full time
Care CoordinationUtilization ManagementMental HealthCrisis Intervention
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
HMSA Care Manager - BH, UM Reviewer - Remote Hawaii
8 days ago
Magellan Health
- From: North America (Full Remote)
- Full time
Mental Health And Recovery ServicesUtilization ManagementCare CoordinationAddiction Counseling
Utilization Review Nurse
Utilization Review Nurse
14 days ago
US Tech Solutions
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
MedicaidUtilization ManagementMedicareManaged Care
Remote - Physicians - Utilization Review - Contract (1099)
Remote - Physicians - Utilization Review - Contract (1099)
14 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Freelance
- Senior (5-10 years)
Utilization ManagementBasic Patient Care
Licensed Physician Reviewer-GI (remote)
Licensed Physician Reviewer-GI (remote)
16 days ago
ChenMed
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementGastroenterology
Occupancy Planning Analyst
Occupancy Planning Analyst
8 days ago
Horizon Blue Cross Blue Shield of New Jersey
- From: United States (Full Remote)
- Full time
Space PlanningAnalyticsProject Management
Physician Advisor (Administrative Role)
Physician Advisor (Administrative Role)
13 days ago
MASC Medical Recruitment Firm
- From: United States, Boynton Beach (Full Remote)
- Full time
Utilization ManagementRegulatory ComplianceGood Documentation PracticesClinical Consulting
Remote - Urologist - Utilization Review - Contract (1099)
Remote - Urologist - Utilization Review - Contract (1099)
16 days ago
Medical Review Institute
- From: United States, Dallas (Full Remote)
- Freelance
- Senior (5-10 years)
Urology
Associate Director, Performance Analytics
Associate Director, Performance Analytics
21 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
SAS (Software)SQL (Programming Language)AnalyticsHealthcare Analytics
Clinical Operations Configuration Analyst II - GuidingCare
Clinical Operations Configuration Analyst II - GuidingCare
28 days ago
CareSource
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Dev TestingSystems DesignSystem ConfigurationCustomer Requirements Analysis
Physician, Inpatient Denials Management (FT/M-F/REMOTE)
Physician, Inpatient Denials Management (FT/M-F/REMOTE)
8 days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical MedicineMedical Record Management
Medical Director- South Central
Medical Director- South Central
21 days ago
Humana
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisLanguage InterpretationConflict ResolutionUtilization Management
Utilization Review, Management Physician Advisor
Utilization Review, Management Physician Advisor
16 days ago
Sutter Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementCoding TheoryHealthcare Delivery ModelsClinical Documentation
Associate Medical Director
Associate Medical Director
21 days ago
Network Health WI
- From: United States, Menasha (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementMedical ManagementManaged Care
Field Medical Director-Radiation Oncology
Field Medical Director-Radiation Oncology
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementMedical GuidelineRadiation Oncology
Sr Utilization Management
Sr Utilization Management
30+ days ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Continuing CareUtilization ManagementClinical Assessments
Field Medical Director, Musculoskeletal
Field Medical Director, Musculoskeletal
30+ days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Utilization ManagementClinical MedicineClinical AssessmentsOrthopedics
Chief Medical Officer - Indiana
Chief Medical Officer - Indiana
29 days ago
Centene Corporation
- From: United States, Indianapolis (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementMedical LawTotal Quality Management
Board Certified Neurologist Physician Advisor, Disability Peer Review
Board Certified Neurologist Physician Advisor, Disability Peer Review
14 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Medical Record ManagementDisability ManagementClinical Consulting
Physician (MD or DO) Medical Director, Inpatient Audit (FTREMOTE)
Physician (MD or DO) Medical Director, Inpatient Audit (FTREMOTE)
8 days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical Medicine
Board Certified Neurologist Physician Advisor, Disability Peer Review
Board Certified Neurologist Physician Advisor, Disability Peer Review
8 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Fixed term
Medical Record ManagementClinical Consulting
Board Certified Toxicology Physician Advisor, Disability Peer Review
Board Certified Toxicology Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
ToxicologyClinical Assessments
Remote Medical Director - California HealthNet
Remote Medical Director - California HealthNet
8 days ago
Centene Corporation
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsMedical ManagementQuality Assessment
Field Medical Director- (MD/DO)
Field Medical Director- (MD/DO)
13 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsClinical Practices
Case Manager
Case Manager
4 days ago
OU Health
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Utilization ManagementClinical AssessmentsCare Management
Clinical Finance Case Management - RN Specialist 2
Clinical Finance Case Management - RN Specialist 2
29 days ago
The Ohio State University
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Care ManagementClinical MedicineUtilization Management
Utilization Management RN - Remote
Utilization Management RN - Remote
13 days ago
Guidehouse
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Clinical Data AnalysisUtilization ManagementNursingBasic Patient Care
Field Medical Director, MSK Surgery
Field Medical Director, MSK Surgery
30+ days ago
New Century Health
- From: United States (Full Remote)
- Part time
- Senior (5-10 years)
Clinical Data AnalysisUtilization ManagementPeer ReviewOrthopedics
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
Board Certified Endocrinologist Physician Advisor, Disability Peer Review
14 days ago
Dane Street, LLC
- From: United States (Full Remote)
- Freelance
Medical Record ManagementClinical Consulting
Clinical Formulary Pharmacist - Government Programs
Clinical Formulary Pharmacist - Government Programs
30+ days ago
Maxor National Pharmacy Services, LLC
- From: United States (Full Remote)
- Full time
- Expert & Leadership (>10 years)
Utilization ManagementCompliance Management
Physician (MD or DO), Inpatient Concurrent Review (OBS) (FTRemote)
Physician (MD or DO), Inpatient Concurrent Review (OBS) (FTRemote)
8 days ago
CorroHealth
- From: United States (Full Remote)
- Full time
Utilization ManagementClinical Medicine
Field Medical Director , Radiology (Neurology)
Field Medical Director , Radiology (Neurology)
21 days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
Clinical Data AnalysisMedical GuidelineUtilization Management
Field Medical Director , Radiology (Urology)
Field Medical Director , Radiology (Urology)
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementMedical Guideline
Clinical Product Consultant - UM
Clinical Product Consultant - UM
30+ days ago
Iodine Software
- From: United States (Full Remote)
- Freelance
- Senior (5-10 years)
Utilization ManagementClinical AssessmentsProject Management
Sr Analyst, Performance Suite Analytics
Sr Analyst, Performance Suite Analytics
30+ days ago
New Century Health
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
SAS (Software)SQL (Programming Language)Data Visualization
Utilization Management Onsite Nurse
Utilization Management Onsite Nurse
8 days ago
Humana
- From: United States (Full Remote)
- Full time
- Entry-level / graduate
Nurse Licensure CompactClinical Nursing
Care Manager – BH
Care Manager – BH
30+ days ago
ICONMA
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Establishment LicensingUtilization ManagementCrisis InterventionDischarge Planning
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 Utilization Management Oncology: Remote 
Medical Director Utilization Management Oncology: Remote
8 days ago
The Oncology Institute
- From: United States (Full Remote)
- Full time
- Senior (5-10 years)
OncologyClinical InformaticsUtilization Management
Medical Director - Mid West Region
Medical Director - Mid West Region
21 days ago
Humana
- From: United States (Full Remote)
- Full time
- Mid-level (2-5 years)
Clinical Data AnalysisLanguage InterpretationRegulatory ComplianceUtilization Management
