Remote Utilization Management 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
371 jobs
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Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
28 day ago
Evernorth Health Services
- Remote: Ohio (USA)
- Full time
Evidence-Based PracticeClinical AssessmentsMedical OncologyCare Management
Program Director - Eating Disorder, Residential
Program Director - Eating Disorder, Residential
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Expert & Leadership (>10 years)
- 77 - 95K
Utilization ManagementGroup TherapyClinical Supervision
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
12 day ago
Evolent Health
- Remote: United States
- Part time
Clinical Data AnalysisUtilization ManagementCardiologyCardiology
Primary Therapist - Virtual - (East Coast - NY license)
Primary Therapist - Virtual - (East Coast - NY license)
30+ days ago
Monte Nido & Affiliates
- Remote: New York (USA)
- Full time
Group TherapyFamily Therapy
USRN
USRN
30+ days ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
- Mid-level (2-5 years)
Utilization Management
Managed Care Contract Manager
Managed Care Contract Manager
13 day ago
Advocate Aurora Health
- Remote: United States
- Full time
Contract ManagementReimbursement RegulationsManaged CareContract Management
Care Manager II Utilization Management
Care Manager II Utilization Management
4 day ago
Sutter Health
- Remote: United States
- Full time
Utilization ManagementTransitional CareCare ManagementClinical Documentation
Staff Data Scientist, Health Services
Staff Data Scientist, Health Services
4 day ago
Devoted Health
- Remote: United States
- Full time
Data ScienceSQL (Programming Language)Python (Programming Language)R (Programming Language)
Provider Engagement Account Manager
Provider Engagement Account Manager
5 day ago
Centene Corporation
- Remote: United States
- Full time
Provider ModelAccount ManagementContract ManagementQuality Assessment
RMD - Virtual Care
RMD - Virtual Care
20 day ago
CenterWell Senior Primary Care
- Remote: Florida (USA), Mississippi (USA)
- Full time
Regulatory ComplianceMedical ManagementHealthcare Strategy
Medical Director - Kansas
Medical Director - Kansas
30+ days ago
Centene Corporation
- Remote: United States, Kansas (USA)
- Full time
- Expert & Leadership (>10 years)
- 221 - 420K
Clinical GovernanceUtilization ManagementClinical AssessmentsClinical Quality Management
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
Child & Adolescent Psychiatry Utilization Review - (Remote - 1099) TX
11 day ago
Medical Review Institute
- Remote: United States
- Freelance
Utilization ManagementChild And Adolescent Psychiatry
Care Manager, SCO
Care Manager, SCO
30+ days ago
Saviance Technologies Pvt. Ltd.
- Remote: Kentucky (USA), Massachusetts (USA)
Care CoordinationUtilization Management
Mental Health Therapist - Outpatient
Mental Health Therapist - Outpatient
30+ days ago
Discovery Behavioral Health
- Remote: United States, District of Columbia (USA), Washington (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Provider Engagement Account Manager
Provider Engagement Account Manager
3 day ago
Centene Corporation
- Remote: United States
- Full time
Provider ModelAccount ManagementPerformance ImprovementHEDIS (Healthcare Effectiveness Data And Information Set)
Nurse Practitioner (Ocean, New Jersey)
Nurse Practitioner (Ocean, New Jersey)
30+ days ago
CareCentrix
- Remote: New Jersey (USA)
- Full time
Utilization ManagementAcute Care NursingClinical AuditingBasic Patient Care
Clinical Nurse Case Manager – USRN
Clinical Nurse Case Manager – USRN
28 day ago
Nezda Technologies Inc.
- Remote: Philippines
- Full time
Medical ManagementClinical Assessments
Medical Case Management WC/UR Supervisor
Medical Case Management WC/UR Supervisor
30+ days ago
TRISTAR Insurance Group
- Remote: United States, South Carolina (USA)
- Full time
- Mid-level (2-5 years)
- 19 - 192K
Utilization Management
RMD - Virtual Care
RMD - Virtual Care
20 day ago
CenterWell Senior Primary Care
- Remote: Mississippi (USA), Texas (USA)
- Full time
Clinical GovernancePhysician CredentialingMedical Management
VP, PHCO Utilization Management - Medicare & Duals
VP, PHCO Utilization Management - Medicare & Duals
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 182 - 345K
Utilization ManagementCompliance ManagementNursing
Virtual Utilization Review Specialist - PART TIME WEEKENDS
Virtual Utilization Review Specialist - PART TIME WEEKENDS
19 day ago
Ensemble Health Partners
- Remote: United States
- Part time
Utilization ManagementClinical AssessmentsMedical Necessity
Utilization Clinical Reviewer
Utilization Clinical Reviewer
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Arizona (USA)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
UR Index Intake Coordinator - REMOTE! Mon- Fri 8:30am - 5:30pm PST
30+ days ago
EK Health Services Inc.
- Remote: United States
- Expert & Leadership (>10 years)
- 30 - 32K
Case Management SystemsUtilization ManagementData EntryLaser Scanning
Senior Medical Director, Behavioral Health - New Mexico
Senior Medical Director, Behavioral Health - New Mexico
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Senior (5-10 years)
- 222 - 422K
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
New Mexico Manager, Clinical Care Management (New Mexico - Active RN License)
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 85 - 107K
Utilization ManagementNurse Licensure CompactFinancial ManagementTotal Quality Management
Payment Integrity Manager
Payment Integrity Manager
30+ days ago
CorVel Corporation
- Remote: United States, Texas (USA)
- Senior (5-10 years)
- 5 - 121K
Auditing
Senior Mainframe Systems Programmer - zOS 
Senior Mainframe Systems Programmer - zOS
30+ days ago
Ensono
- Remote: India
- Senior (5-10 years)
z/OSDisaster Recovery
Board Certified Toxicology Physician Advisor, Disability Peer Review
Board Certified Toxicology Physician Advisor, Disability Peer Review
10 day ago
Dane Street, LLC
- Remote: United States
- Freelance
ToxicologyClinical Assessments
Utilization Management Specialist
Utilization Management Specialist
3 day ago
Cleveland Clinic
- Remote: United States
- Part time
Utilization ManagementMedical GuidelineClinical Assessments
Senior Business Analyst – Clinical Operations Support
Senior Business Analyst – Clinical Operations Support
20 day ago
UST HealthProof
- Remote: United States
- Full time
AnalyticsBusiness AnalysisProject ManagementHealthcare Industry Knowledge
RN Reviewer 
RN Reviewer
30+ days ago
Cohere Health
- Remote: United States
- Mid-level (2-5 years)
- 28 - 28K
Utilization ManagementNursing
RN Compliance Auditor
RN Compliance Auditor
30+ days ago
Conviva Care Solutions
- Remote: United States, Georgia (country), Arizona (USA), Arkansas (USA), California (USA), Colorado (USA), Connecticut (USA), Delaware (USA), District of Columbia (USA), Florida (USA), Idaho (USA), Illinois (USA), Indiana (USA), Iowa (USA), Kansas (USA)
- Full time
- 3 - 97K
Nurse Licensure CompactUtilization Management
Medical Case Manager I (RN)
Medical Case Manager I (RN)
30+ days ago
CorVel Corporation
- Remote: United States, Missouri (USA)
- Full time
- Mid-level (2-5 years)
- 60 - 90K
Nurse Registry
RN I
RN I
30+ days ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: New Jersey (USA)
- Full time
Utilization ManagementCare ManagementClinical AssessmentsPatient Education And Counseling
CISC Care Coordinator, Licensed
CISC Care Coordinator, Licensed
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 58 - 93K
Clinical AssessmentsUtilization Management
Utilization Review Case Manager - SUD
Utilization Review Case Manager - SUD
30+ days ago
Discovery Behavioral Health
- Remote: United States, California (USA)
- Full time
- Mid-level (2-5 years)
- 74 - 74K
Medical Director - Pediatric Pulmonology - EviCore - Remote
Medical Director - Pediatric Pulmonology - EviCore - Remote
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 203 - 338K
Evidence-Based PracticePulmonologyClinical Assessments
Supervisor PA & UM Programs
Supervisor PA & UM Programs
30+ days ago
MedImpact Healthcare Systems, Inc.
- Remote: California (USA)
- Full time
Clinical InvestigationsPrior AuthorizationPharmacy Operations
Resource Management, Sr. Specialist (Tax)
Resource Management, Sr. Specialist (Tax)
12 day ago
CohnReznick
- Remote: United States
- Full time
Financial AnalysisAnalyticsWorkforce PlanningResource Management
UM Administration Coordinator
UM Administration Coordinator
30+ days ago
Conviva Care Solutions
- Remote: United States, Florida (USA)
- Full time
- Junior (1-2 years)
- 40 - 52K
Utilization ManagementPrior Authorization
Utilization review Nurse
Utilization review Nurse
30+ days ago
LanceSoft, Inc.
- Remote: Michigan (USA)
Discharge PlanningCare Coordination
RN II - Primary Nurse Care
RN II - Primary Nurse Care
9 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: United States
- Full time
Care ManagementPatient Education And CounselingNurse Licensure CompactClinical Assessments
Care Coordinator- CISC
Care Coordinator- CISC
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
- 50 - 75K
Director, Care & Case Management - Government Programs
Director, Care & Case Management - Government Programs
11 day ago
Horizon Blue Cross Blue Shield of New Jersey
- Remote: United States
- Full time
Medical ManagementCare ManagementDisease ManagementUtilization Management
Registered Nurse Well Care Coordinator
Registered Nurse Well Care Coordinator
11 day ago
Professional Management Enterprises
- Remote: United States
- Full time
Care CoordinationCare ManagementNursingPatient Education And Counseling
Clinician, C365
Clinician, C365
18 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
Utilization ManagementProcess ManagementMental Health Counseling
Nurse Care Manager, Transition of Care - Eastern Time Zone
Nurse Care Manager, Transition of Care - Eastern Time Zone
5 day ago
Evergreen Nephrology
- Remote: United States
- Full time
Transitional CareCare ManagementClinical PracticesChronic Care
Clinical Operations Manager (Internal Only)
Clinical Operations Manager (Internal Only)
24 day ago
NOCD
- Remote: United States
- Full time
Medical Management
RN Case Manager II
RN Case Manager II
30+ days ago
CorVel Corporation
- Remote: United States, Oregon (USA)
- Full time
- Mid-level (2-5 years)
- 63 - 96K
Nurse Licensure CompactUtilization ManagementNeurology
Registered Nurse Advocate, Proactive Care Management
Registered Nurse Advocate, Proactive Care Management
30+ days ago
EPIC Insurance Brokers & Consultants
- Remote: United States
- Full time
Care ManagementUtilization ManagementClinical Auditing
