Remote Managed Care Jobs
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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
365 jobs
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Case Manager Long-term Care - New Castle and Kent County (Delaware)
Case Manager Long-term Care - New Castle and Kent County (Delaware)
Today
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Care CoordinationCare ManagementHealth AssessmentCultural Competency Training
Program Manager, Quality Improvement & Health Equity
Program Manager, Quality Improvement & Health Equity
Today
Health Plan of San Joaquin
- From: California (USA) (Full Remote)
- Full time
AnalyticsHealth EquityProject ManagementQuality Assessment
Case Manager Long-term Care - (Kent County, Delaware)
Case Manager Long-term Care - (Kent County, Delaware)
Today
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Care CoordinationChronic CareBehavioral Health
Case Manager Long-term Care - Delaware ((New Castle and Kent County)
Case Manager Long-term Care - Delaware ((New Castle and Kent County)
Today
Highmark Health
- From: Delaware (USA) (Full Remote)
- Full time
Care CoordinationCare ManagementCultural Competency Training
Clinical Appeals Specialist RN (Remote NC)
Clinical Appeals Specialist RN (Remote NC)
Today
Vaya Health
- From: North Carolina (USA) (Full Remote)
- Full time
Clinical Data AnalysisUtilization ManagementAppealsMedicaid
Career Opportunities: Prior Authorization Pharmacist (31266)
Career Opportunities: Prior Authorization Pharmacist (31266)
Today
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
Clinical PharmacyDrug Utilization Review
Career Opportunities: Prior Authorization Pharmacist (31270)
Career Opportunities: Prior Authorization Pharmacist (31270)
Today
Gainwell Technologies LLC
- From: United States (Full Remote)
- Full time
Clinical Pharmacy
Dental Recontracting Professional - VSP
Dental Recontracting Professional - VSP
1 day ago
Humana
- From: Alabama (USA), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), Florida (USA), Georgia (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA), Kentucky (USA) (Full Remote)
- Part time
Financial AnalysisContract Management
Pharmacist - Remote
Pharmacist - Remote
1 day ago
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Full time
Pharmacy Benefit ManagementPrior Authorization
Clinician Reviewer RN OP Temp
Clinician Reviewer RN OP Temp
1 day ago
US Tech Solutions
- From: Massachusetts (USA) (Full Remote)
- Fixed term
Utilization ManagementClinical InformaticsCare ManagementMedical Necessity
Medical Economics Applications and Report Developer
Medical Economics Applications and Report Developer
1 day ago
Trillium Health Resources
- From: North Carolina (USA) (Full Remote)
- Full time
EconomicsPower BIHealthcare AnalyticsSQL (Programming Language)
Employer Stop Loss/Regional Sales Representative - Remote
Employer Stop Loss/Regional Sales Representative - Remote
Today
BlueCross BlueShield of South Carolina
- From: Minnesota (USA) (Full Remote)
- Full time
Presentation TrainingSales Strategy
RN Utilization Management Clinical Reviewer Senior Analyst - Work from Home, California
RN Utilization Management Clinical Reviewer Senior Analyst - Work from Home, California
1 day ago
The Cigna Group
- From: California (USA) (Full Remote)
- Full time
Care ManagementNursingClinical AssessmentsPatient Education And Counseling
RN Medical Reviewer III (W@H South Carolina)
RN Medical Reviewer III (W@H South Carolina)
Today
BlueCross BlueShield of South Carolina
- From: South Carolina (USA) (Full Remote)
- Full time
Medical GuidelineInsurance ReviewsClinical AssessmentsMedical Necessity
Pharmacy Tech I
Pharmacy Tech I
1 day ago
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Full time
MedicaidMedicareCall Center ExperiencePrior Authorization
Payor Solutions Executive- Illinois or Wisconsin
Payor Solutions Executive- Illinois or Wisconsin
1 day ago
Labcorp
- From: Illinois (USA), Wisconsin (USA) (Full Remote)
- Full time
Account ManagementSales DevelopmentManaged CareContract Management
Territory Manager - Richmond, VA - Johnson & Johnson Innovative Medicine, Pulmonary Arterial Hypertension
Territory Manager - Richmond, VA - Johnson & Johnson Innovative Medicine, Pulmonary Arterial Hypertension
1 day ago
Johnson & Johnson Innovative Medicine
- From: Virginia (USA) (Full Remote)
- Full time
Clinical MedicinePharmaceutical SalesBusiness Development
Career Opportunities: Actuary (24999)
Career Opportunities: Actuary (24999)
1 day ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Fixed term
Data ManagementSAS (Software)SQL (Programming Language)Actuarial Science
Growth Strategy Consultant
Growth Strategy Consultant
1 day ago
Humana
- From: Illinois (USA), Kentucky (USA), Massachusetts (USA), New York (USA) (Full Remote)
- Full time
Qualitative AnalysisQuantitative AnalysisBusiness Strategies
Chief Medical Officer, Global Medical Team
Chief Medical Officer, Global Medical Team
1 day ago
Sun Life
- From: Connecticut (USA), Maine (USA), Maryland (USA), Massachusetts (USA), Missouri (USA), Wisconsin (USA) (Full Remote)
- Full time
UnderwritingClinical PracticesManaged Care
Career Opportunities: Provider Network Communications Specialist (25004)
Career Opportunities: Provider Network Communications Specialist (25004)
1 day ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Data MiningRegulatory ComplianceExternal MarketingHealthcare Marketing
Senior Clinical Pharmacist
Senior Clinical Pharmacist
Today
Blue Cross NC
- From: North Carolina (USA), South Carolina (USA), Virginia (USA) (Full Remote)
- Full time
Medication Therapy ManagementClinical PharmacyUnited States Pharmacopeia (USP) ComplianceCare Coordination
Field Reimbursement Manager (Midwest Central) - Job ID: FRMMC
Field Reimbursement Manager (Midwest Central) - Job ID: FRMMC
1 day ago
Ascendis Pharma
- From: Denmark (Full Remote)
- Full time
- Mid-level (2-5 years)
Direct Market AccessCustomer DevelopmentReimbursement RegulationsPharmaceuticals
Social Worker I
Social Worker I
1 day ago
AltaMed Health Services
- From: California (USA) (Full Remote)
- Full time
Electronic ReferralsCare Management
PPP Clinical Care Associate
PPP Clinical Care Associate
Today
Horizon Blue Cross Blue Shield of New Jersey
- From: Connecticut (USA), Delaware (USA), New Jersey (USA), New York (USA), Pennsylvania (USA) (Full Remote)
- Full time
Care CoordinationHealthcare Industry Knowledge
Pharmacist - Prior Authorizations
Pharmacist - Prior Authorizations
1 day ago
US Tech Solutions
- From: Rhode Island (USA) (Full Remote)
- Full time
Managed CarePharmacy Benefit ManagementMedicarePrior Authorization
Payor Solutions Executive- Illinois or Wisconsin
Payor Solutions Executive- Illinois or Wisconsin
Today
Labcorp Drug Development
- From: Illinois (USA), Wisconsin (USA) (Full Remote)
- Full time
Account ManagementSales DevelopmentManaged CareContract Management
OneSource Support Specialist (CST)
OneSource Support Specialist (CST)
Today
Alexion Pharmaceuticals,Inc.
- From: United States (Full Remote)
- Full time
Cross-Functional CollaborationActivities Of Daily Living (ADLs)Reimbursement Regulations
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
Independent Contractor-Hospital RN (Appeal Writing/Denials Mgmt) (Remote)
1 day ago
CorroHealth
- From: United States (Full Remote)
- Part time
Utilization ManagementClinical MedicineCare ManagementMedical Necessity
Medical Director (PRN)
Medical Director (PRN)
1 day ago
Centene Corporation
- From: United States (Full Remote)
- Full time
Clinical GovernanceUtilization ManagementQuality AssessmentClinical Consulting
Medical Director - National Medicare
Medical Director - National Medicare
Today
Humana
- From: United States (Full Remote)
- Full time
Clinical Data AnalysisLanguage InterpretationRegulatory ComplianceUtilization Management
Sales Executive - Healthcare / Managed Care / Workers Comp (FL)
Sales Executive - Healthcare / Managed Care / Workers Comp (FL)
2 days ago
EK Health Services Inc.
- From: Florida (USA) (Full Remote)
- Full time
Medical SalesSales StrategyCustomer Relationship Management
Sr Clinical Pharmacist - Program & Automation Strategy
Sr Clinical Pharmacist - Program & Automation Strategy
Today
Humana
- From: United States (Full Remote)
- Full time
Automation Anywhere (RPA Software)Clinical PharmacyManaged CareDrug Utilization Review
Manager - PBM/Payer Industry
Manager - PBM/Payer Industry
2 days ago
Optimity Advisors
- From: District of Columbia (USA), Washington (USA) (Full Remote)
- Full time
Pharmacy Benefit ManagementProject ManagementPayment Systems
Market RN - New York
Market RN - New York
2 days ago
ConcertoCare
- From: New York (USA) (Full Remote)
- Full time
Care CoordinationPatient Education And CounselingChronic CareTelecare
Nurse Practitioner or Physician Assistant
Nurse Practitioner or Physician Assistant
2 days ago
ConcertoCare
- From: New York (USA) (Full Remote)
- Full time
General PractitionerNursingChronic CareTreatment Planning
Senior Consultant - Healthcare/Payor Industries
Senior Consultant - Healthcare/Payor Industries
2 days ago
Optimity Advisors
- From: Washington (USA) (Full Remote)
- Full time
Managed Care
Clinical Improvement Specialist
Clinical Improvement Specialist
2 days ago
CenCal Health
- From: California (USA) (Full Remote)
- Full time
AnalyticsNursingHEDIS (Healthcare Effectiveness Data And Information Set)Quality Assessment
Hematology Clinical Account Manager/ Sr. Clinical Account Manager (Fort Wayne, IN)
Hematology Clinical Account Manager/ Sr. Clinical Account Manager (Fort Wayne, IN)
2 days ago
Sobi - Swedish Orphan Biovitrum AB (publ)
- From: Indiana (USA) (Full Remote)
- Full time
Clinical MedicineSales ManagementMarketing
'Model N' RMS Consultant
'Model N' RMS Consultant
3 days ago
Infoplus Technologies UK Limited
- From: Germany (Full Remote)
- Full time
Oracle CRMPL/SQLUnix
Benefits Specialist
Benefits Specialist
3 days ago
Progressive Leasing
- From: Utah (USA) (Full Remote)
- Full time
Compliance ManagementBenefits Administration
Project Manager
Project Manager
1 day ago
Saviance Technologies Pvt. Ltd.
- From: United States (Full Remote)
- Fixed term
Project Management
Prior Authorization Specialist
Prior Authorization Specialist
Today
Logan Health
- From: United States (Full Remote)
- Full time
ICD Coding (ICD-9/ICD-10)Prior AuthorizationCPT Coding
Hematology Clinical Account Manager/ Sr. Clinical Account Manager (Mobile, AL)
Hematology Clinical Account Manager/ Sr. Clinical Account Manager (Mobile, AL)
2 days ago
Sobi - Swedish Orphan Biovitrum AB (publ)
- From: Alabama (USA) (Full Remote)
- Full time
Sales ManagementClinical MedicinePharmaceutical Sales
Career Opportunities: Delegation Oversight Specialist- Auditor (24998)
Career Opportunities: Delegation Oversight Specialist- Auditor (24998)
6 days ago
CareOregon
- From: Arizona (USA), Idaho (USA), Montana (USA), Nevada (USA), Oregon (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA) (Full Remote)
- Full time
Regulatory ComplianceAuditingProcess Improvement
Health Partner Network Manager
Health Partner Network Manager
5 days ago
CareSource
- From: North Carolina (USA) (Full Remote)
- Full time
Financial AnalysisRecruitment ConsultancyReimbursement RegulationsContract Management
Sales Executive - Healthcare / Managed Care / Workers Comp (VA)
Sales Executive - Healthcare / Managed Care / Workers Comp (VA)
2 days ago
EK Health Services Inc.
- From: Virginia (USA) (Full Remote)
- Full time
Sales ManagementMarket AnalysisSales StrategyCustomer Relationship Management
Medicaid Drug Strategy Lead
Medicaid Drug Strategy Lead
Today
Humana
- From: United States (Full Remote)
- Full time
Managed CareAnalyticsHospital PharmacyDrug Protocols
Provider Partner Consultant, DentaQuest
Provider Partner Consultant, DentaQuest
3 days ago
Sun Life
- From: Virginia (USA) (Full Remote)
- Full time
Dental ExperiencePresentation TrainingManaged Care
Sales Executive - Healthcare / Managed Care / Workers Comp (WY)
Sales Executive - Healthcare / Managed Care / Workers Comp (WY)
2 days ago
EK Health Services Inc.
- From: Wyoming (USA) (Full Remote)
- Full time
Sales ManagementMarket AnalysisSales StrategyCustomer Relationship Management
