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
458 jobs
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Care Manager I, Specialty Programs-Medicaid, Care, Case and Disease Management- ID/DD and DCPP
Care Manager I, Specialty Programs-Medicaid, Care, Case and Disease Management- ID/DD and DCPP
7 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Care CoordinationMedical GuidelineResource AllocationCare Management
Regional Business Manager
Regional Business Manager
25 day ago
Takeda
- Remote: Ohio (USA)
- Full time
Consultative SellingPharmaceutical SalesGastroenterology
PM&R Telecommute Medical Review Stream
PM&R Telecommute Medical Review Stream
8 day ago
Concentra
- Remote: New Jersey (USA)
- Full time
Utilization ManagementLanguage InterpretationMedical Licensing (Health Law)
Insurance Strategy Lead
Insurance Strategy Lead
14 day ago
Humana
- Remote: Arizona (USA), California (USA), Colorado (USA), Florida (USA), Georgia (USA), Illinois (USA), Indiana (USA), Kentucky (USA), Maryland (USA), Michigan (USA), Minnesota (USA), Nebraska (USA), Nevada (USA), New Hampshire (USA), New Jersey (USA)
- Full time
Business Strategies
Referral Coordinator
Referral Coordinator
5 day ago
SSM Health
- Remote: Oklahoma (USA)
- Full time
Electronic ReferralsPrior Authorization
Family Practice Telecommute Medical Review
Family Practice Telecommute Medical Review
8 day ago
Concentra
- Remote: Illinois (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
MBB Care Manager - Ohio, Indiana, and/or Georgia Based RN's
MBB Care Manager - Ohio, Indiana, and/or Georgia Based RN's
13 day ago
CareSource
- Remote: Georgia (USA), Indiana (USA), Ohio (USA)
- Full time
Care CoordinationCare ManagementMaternity HospitalBehavior Evaluation
Regional Business Manager - Phoenix AZ
Regional Business Manager - Phoenix AZ
13 day ago
Biolife Plasma Service
- Remote: Arizona (USA)
- Full time
Pharmaceutical SalesClinical Consulting
Clinical Sales Specialist - Minnesota
Clinical Sales Specialist - Minnesota
8 day ago
Biolife Plasma Service
- Remote: Minnesota (USA)
- Full time
Medical SalesConsultative SellingGastroenterology
Account Executive, Ultrasound Radiology (Pacific Northwest)
Account Executive, Ultrasound Radiology (Pacific Northwest)
27 day ago
Boston Imaging
- Remote: Washington (USA)
- Full time
Customer Relationship ManagementTherapeutic UltrasoundRadiology
Managed Care Benefit Configuration Analyst
Managed Care Benefit Configuration Analyst
22 day ago
Dignity Health Global Education
- Remote: California (USA)
- Full time
Managed CareExplanation Of Benefits (EOB)
Utilization Review Clinician (RN, PT, OT) - Oregon
Utilization Review Clinician (RN, PT, OT) - Oregon
19 day ago
WellSky
- Remote: Oregon (USA)
- Full time
Care CoordinationUtilization ManagementMedical GuidelineNursing
Sr. Business Systems Analyst
Sr. Business Systems Analyst
13 day ago
Prospect Medical Systems
- Remote: California (USA)
- Full time
SQL (Programming Language)Managed Care
Quality Improvement Professional
Quality Improvement Professional
12 day ago
Humana
- Remote: Oklahoma (USA)
- Full time
Healthcare QualityQuality Assessment
Patient Services Representative I - Bilingual - Remote - Nationwide
Patient Services Representative I - Bilingual - Remote - Nationwide
5 day ago
Vituity
- Remote: California (USA)
- Full time
Data EntryMedical Abbreviations
Spine Telecommute Medical Review Stream
Spine Telecommute Medical Review Stream
8 day ago
Concentra
- Remote: Texas (USA)
- Full time
Utilization ManagementClinical AssessmentsMedical Licensing (Health Law)
Registered Nurse, Outpatient Case Manager
Registered Nurse, Outpatient Case Manager
5 day ago
AltaMed Health Services
- Remote: California (USA)
- Full time
Care CoordinationCare ManagementChronic CareCross-Functional Collaboration
Medical Director
Medical Director
1 day ago
Health Care Service Corporation
- Remote: Texas (USA)
- Full time
Clinical AssessmentsMedical Licensing (Health Law)
Customer Account Representative - Diabetes
Customer Account Representative - Diabetes
1 day ago
Aeroflow Health
- Remote: North Carolina (USA)
- Full time
Organizational Structure
Insurance Claims Representative- Remote
Insurance Claims Representative- Remote
12 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical Insurance ClaimsClinical AuditingBusiness Cycle
Senior Medicaid Change Management Specialist (Remote)
Senior Medicaid Change Management Specialist (Remote)
8 day ago
S2Tech
- Remote: Missouri (USA)
- Full time
Program ImplementationChange ManagementStakeholder EngagementManaged Care
Nurse Practitioner Advisor - 20 hours/Remote
Nurse Practitioner Advisor - 20 hours/Remote
20 day ago
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Part time
Business Development Manager
Business Development Manager
29 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
Stakeholder CommunicationsProposal DevelopmentHealthcare Industry KnowledgeBusiness Development
Utilization Management Clinician - Behavioral Health
Utilization Management Clinician - Behavioral Health
8 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Clinical Data AnalysisInterQual CriteriaBehavioral HealthMedical Necessity
Medical Billing Specialist - Remote
Medical Billing Specialist - Remote
21 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical BillingMedical Insurance ClaimsClaims And Litigation ManagementBusiness Cycle
Denials Specialist - Remote
Denials Specialist - Remote
7 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)Managed CareCPT Coding
Regional Territory Manager - New Orleans, LA
Regional Territory Manager - New Orleans, LA
13 day ago
Takeda
- Remote: Louisiana (USA)
- Full time
Account ManagementMedical SalesSales Strategy
Population Health Integration Consultant
Population Health Integration Consultant
6 day ago
Capital Blue Cross
- Remote: Pennsylvania (USA)
- Full time
Process ImprovementPublic HealthProject ManagementHelp Desk Support
NP/PA Primary Care Remote
NP/PA Primary Care Remote
9 day ago
CenterWell Senior Primary Care
- Remote: Florida (USA)
- Full time
Medical PrescriptionNursingTelehealthPatient Evaluation
Utilization Management Registered Nurse, MI - Remote
Utilization Management Registered Nurse, MI - Remote
16 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
Utilization ManagementNursingManaged CareCare Management
Patient Access Scheduling Representative - Remote
Patient Access Scheduling Representative - Remote
8 day ago
McLaren Health Care
- Remote: Michigan (USA)
- Full time
Medical AbbreviationsICD Coding (ICD-9/ICD-10)
Quality Management Nurse Consultant
Quality Management Nurse Consultant
30+ days ago
US Tech Solutions
- Remote: Rhode Island (USA)
- Mid-level (2-5 years)
Assurance ServicesPrior Authorization
Medical Specialist II-Ophthalmology-New Orleans, LA, Jackson, MS & Arkansas
Medical Specialist II-Ophthalmology-New Orleans, LA, Jackson, MS & Arkansas
30+ days ago
Regeneron
- Remote: Arkansas (USA), Louisiana (USA), Mississippi (USA)
- Full time
BiopharmaceuticalsSales ManagementReimbursement RegulationsOphthalmology
Patient Account Representative- Remote
Patient Account Representative- Remote
11 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
Medical Insurance ClaimsClinical AuditingBusiness Cycle
Denials Specialist - Remote
Denials Specialist - Remote
8 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)CPT Coding
Medical Director - 20 hours/Remote
Medical Director - 20 hours/Remote
20 day ago
UMass Chan Medical School
- Remote: Massachusetts (USA)
- Part time
Clinical GovernanceRegulatory ComplianceDisability Management
VP of Healthcare Partnerships
VP of Healthcare Partnerships
30+ days ago
Talkspace
- Remote: New York (USA)
- Full time
Business Development
Project Manager LU 5-10
Project Manager LU 5-10
30+ days ago
FOCUSED HR SOLUTIONS LLC
- Remote: Illinois (USA)
- Full time
Microsoft ProjectEnterprise Information Management
Manager Medical Economics & Business Process
Manager Medical Economics & Business Process
2 day ago
AmeriHealth Caritas
- Remote: Pennsylvania (USA)
- Full time
SQL (Programming Language)Healthcare AnalyticsManaged Care
Prior Authorization LVN Nurse - Remote
Prior Authorization LVN Nurse - Remote
10 day ago
Conifer Health Solutions
- Remote: Texas (USA)
- Full time
ICD Coding (ICD-9/ICD-10)Prior AuthorizationCPT CodingManaged Care
Quality Program Strategist II
Quality Program Strategist II
14 day ago
Centene Corporation
- Remote: North Carolina (USA)
- Full time
AnalyticsHEDIS (Healthcare Effectiveness Data And Information Set)Quality Assessment
Managed Care Coordinator I
Managed Care Coordinator I
1 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Medical Abbreviations
Practice Performance Partner II
Practice Performance Partner II
9 day ago
Unified Women's Healthcare
- Remote: Illinois (USA)
- Full time
Medical ManagementOperational EfficiencyAccount AnalysisPerformance Analysis
Quality Improvement Specialist
Quality Improvement Specialist
17 day ago
Centene Corporation
- Remote: Illinois (USA)
- Full time
Data MiningCompliance ManagementQuality Assessment
Vice President, Risk Stratification, Remote
Vice President, Risk Stratification, Remote
30+ days ago
Aledade, Inc.
- Remote: Virginia (USA)
- Full time
AnalyticsMedicareRisk Selection
Senior Associate Business Intelligence
Senior Associate Business Intelligence
6 day ago
NTT Ltd.
- Remote: Arkansas (USA), Colorado (USA), Connecticut (USA), Florida (USA), Georgia (USA), Hawaii (USA), Idaho (USA), Illinois (USA), Kansas (USA), Maryland (USA), Massachusetts (USA), Mississippi (USA), Missouri (USA), Nevada (USA), New Jersey (USA)
- Full time
Job Scheduling (Inventory Management)Control-M (Batch Scheduling Software)
Regional Territory Manager Denver S, CO
Regional Territory Manager Denver S, CO
13 day ago
Takeda
- Remote: Colorado (USA)
- Full time
Account ManagementMedical SalesSales Strategy
URAC Accreditation Coordinator
URAC Accreditation Coordinator
30+ days ago
TriWest Healthcare Alliance
- Remote: Azerbaijan
- Senior (5-10 years)
- 68 - 87K
Regulatory ComplianceData Management
Utilization Management Nurse – Behavioral Health Focus (Remote)
Utilization Management Nurse – Behavioral Health Focus (Remote)
16 day ago
Morgan Stephens
- Remote: Arizona (USA), Florida (USA), Georgia (USA), Idaho (USA), Iowa (USA), Kentucky (USA), Michigan (USA), Nebraska (USA), New Mexico (USA), New York (USA), Texas (USA), Utah (USA), Washington (USA), Wisconsin (USA)
- Full time
Utilization ManagementBehavioral HealthNurse Licensure Compact
Certified Risk Adjustment Coder
Certified Risk Adjustment Coder
12 day ago
AltaMed Health Services
- Remote: California (USA)
- Full time
Electronic Health Record ApplicationsRisk Adjustment Coding (RAC)AuditingClinical Documentation
