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
377 jobs
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Clinical Sales Pharmacist Consultant
Clinical Sales Pharmacist Consultant
30+ days ago
MedImpact Healthcare Systems, Inc.
- Remote: United States, California (USA)
- Freelance
- Mid-level (2-5 years)
Clinical ConsultingPharmacy Benefit ManagementUtilization Management
Pharmacist, Prior Authorization & Appeals
Pharmacist, Prior Authorization & Appeals
5 day ago
EmblemHealth
- Remote: United States
- Full time
Utilization ManagementClinical InformaticsHospital Pharmacy
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
Medical Director - Post-Acute Care - Evernorth Home-based Care - Remote
14 day ago
The Cigna Group
- Remote: United States
- Full time
Discharge PlanningUtilization ManagementClinical Assessments
Remote Beahvioral Medical Director - Kentucky
Remote Beahvioral Medical Director - Kentucky
30+ days ago
Centene Corporation
- Remote: United States
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Clinical GovernanceUtilization ManagementClinical AssessmentsQuality Assessment
Medical Director - Gulf South
Medical Director - Gulf South
30+ days ago
Conviva Care Solutions
- Remote: United States
- Full time
- Senior (5-10 years)
- 199 - 274K
Utilization Management
Client Solutions Manager- CM & UM
Client Solutions Manager- CM & UM
26 day ago
Abacus Insights
- Remote: United States
- Full time
Utilization ManagementCare ManagementHealthcare AnalyticsCustomer Requirements Analysis
Clinical Auditor: Appeals and Grievances
Clinical Auditor: Appeals and Grievances
3 day ago
Healthfirst
- Remote: United States
- Full time
Utilization ManagementClinical AuditingCare Management
Utilization Clinical Reviewer - Appeals
Utilization Clinical Reviewer - Appeals
30+ days ago
TriWest Healthcare Alliance
- Remote: United States, Arizona (USA)
- Full time
- Mid-level (2-5 years)
- 73 - 93K
Nurse Licensure CompactUtilization Management
Field Medical Director, Radiology (Pulmonology Preferred)
Field Medical Director, Radiology (Pulmonology Preferred)
27 day ago
New Century Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Guideline
Director, Performance Analytics
Director, Performance Analytics
1 day ago
Evolent Health
- Remote: United States
- Full time
SQL (Programming Language)Healthcare Analytics
Registered Nurse-Review Analyst
Registered Nurse-Review Analyst
30+ days ago
Strategic Staffing Solutions
- Remote: United States, Michigan (USA)
- Junior (1-2 years)
Utilization Management
Clinical Reviewer WA L&I
Clinical Reviewer WA L&I
30+ days ago
Comagine Health
- Remote: United States
- Senior (5-10 years)
- 83 - 115K
Utilization ManagementNurse Licensure CompactHospital ExperienceClinical Assessments
Pre-Authorization Registered Nurse
Pre-Authorization Registered Nurse
30+ days ago
Conviva Care Solutions
- Remote: United States, Laos, Louisiana (USA)
- Full time
- Mid-level (2-5 years)
- 37 - 87K
Medical NecessityUtilization ManagementNursing
RN Care Management Coordinator #36314
RN Care Management Coordinator #36314
30+ days ago
Contemporary Staffing Solutions
- Remote: United States
- 64 - 72K
Behavioral HealthUtilization ManagementHealth Policies
Senior Absence Account Manager
Senior Absence Account Manager
8 day ago
ComPsych
- Remote: United States
- Full time
Account ManagementCustomer Success ManagementStrategic SellingProject Management
Clinical Systems Application Architect III
Clinical Systems Application Architect III
13 day ago
CareSource
- Remote: United States
- Full time
Architectural DesignClinical MedicineApplication Programming Interface (API)Calculus
Account Management
Account Management
Today
INNOPAY
- Remote: United States
- Full time
Client ServicesBenefits Administration
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
Career Opportunities: Nurse Reviewer (Registered Nurse) - Remote in US (26772)
30+ days ago
Gainwell Technologies LLC
- Remote: United States
- Senior (5-10 years)
- 3 - 75K
Utilization Management
Associate Director, Client Analytics
Associate Director, Client Analytics
3 day ago
Evolent Health
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Data VisualizationData Mining
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
Registered Nurse (RN), Utilization Review MediGold Health Plan - Remote
30+ days ago
Trinity Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Clinical AssessmentsUtilization ManagementNursing
Medical Director - Medical Oncology - eviCore - Remote
Medical Director - Medical Oncology - eviCore - Remote
30+ days ago
The Cigna Group
- Remote: United States
- Full time
- Senior (5-10 years)
- 203 - 338K
Evidence-Based PracticeMedical Oncology
Nursing - RN Level 1 RN Level 1
Nursing - RN Level 1 RN Level 1
30+ days ago
US Tech Solutions
- Remote: United States, New Jersey (USA)
- Fixed term
- Mid-level (2-5 years)
Nurse Licensure Compact
Business Development Director (Clinical Documentation and Coding)
Business Development Director (Clinical Documentation and Coding)
21 day ago
R1 RCM
- Remote: United States
- Full time
Coding TheoryRevenue ManagementClinical Documentation
Field Medical Director, Interventional Cardiology (Remote)
Field Medical Director, Interventional Cardiology (Remote)
8 day ago
New Century Health
- Remote: United States
- Part time
Utilization ManagementCardiologyMedical Guideline
Field Medical Director, Oncology
Field Medical Director, Oncology
13 day ago
Evolent Health
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementMedical Oncology
Associate Medical Director
Associate Medical Director
30+ days ago
Lifelancer
- Remote: United States, North Carolina (USA)
- Full time
- Senior (5-10 years)
- 146 - 278K
Clinical ConsultingBusiness StrategiesMedical Law
Clinical Care Analyst
Clinical Care Analyst
30+ days ago
Lifelancer
- Remote: United States, District of Columbia (USA)
- Full time
- Senior (5-10 years)
Clinical AssessmentsElectronic Medical Record
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
Louisiana-Licensed Physician Reviewers (M.D., D.O.)-Multiple Specialties
30+ days ago
Dane Street, LLC
- Remote: United States, Laos
- Full time
Institutional Review Board (IRB)Medical NecessityUtilization Management
Senior Analyst, Client Analytics
Senior Analyst, Client Analytics
30+ days ago
New Century Health
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Data Visualization
UR Intake Specialist
UR Intake Specialist
30+ days ago
CorVel Corporation
- Remote: United States, California (USA)
- 30 - 49K
Utilization Management
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
Career Opportunities: Help Desk Representative - Healthcare - Remote US (29667)
19 day ago
Gainwell Technologies LLC
- Remote: United States
- Full time
Problem ManagementIncident Management
Remote Behavioral Medical Director – West Region
Remote Behavioral Medical Director – West Region
30+ days ago
Centene Corporation
- Remote: United States, Uganda
- Full time
- Expert & Leadership (>10 years)
- 231 - 440K
Utilization Management
Utilization Review RN
Utilization Review RN
7 day ago
WVU Medicine
- Remote: United States
- Full time
Clinical Data AnalysisUtilization ManagementPatient Progress NotesMedical Necessity
Board Certified Pulmonologist Physician Advisor, Disability Peer Review
Board Certified Pulmonologist Physician Advisor, Disability Peer Review
30+ days ago
Dane Street, LLC
- Remote: United States
- Fixed term
Utilization ManagementClinical Consulting
Data and Reporting Lead (Value-Based Programs)
Data and Reporting Lead (Value-Based Programs)
4 day ago
Humana
- Remote: United States
- Full time
SAS (Software)SQL (Programming Language)Analytics
Senior Insights Analyst 
Senior Insights Analyst
30+ days ago
Cohere Health
- Remote: United States
- Mid-level (2-5 years)
- 28 - 28K
AnalyticsHealthcare Industry KnowledgeData VisualizationStatistical Analysis
CARE NAVIGATOR
CARE NAVIGATOR
30+ days ago
Covenant Health
- Remote: United States, Tennessee (USA)
- Full time
- Mid-level (2-5 years)
Care CoordinationChronic CareClinical Assessments
Nurse Liaison - Post Acute Care - Ocean County, NJ
Nurse Liaison - Post Acute Care - Ocean County, NJ
30+ days ago
CareCentrix
- Remote: United States, New Jersey (USA)
- Full time
Utilization ManagementNursing
Clinical Psychologist
Clinical Psychologist
30+ days ago
Sentara Healthcare
- Remote: United States, Virginia (USA)
- Full time
- Senior (5-10 years)
Quality AssessmentBehavioral HealthClinical PsychologyUtilization Management
Nurse Liaison - Post Acute Care - New Brunswick, NJ
Nurse Liaison - Post Acute Care - New Brunswick, NJ
30+ days ago
CareCentrix
- Remote: United States, New Jersey (USA)
- Full time
- 80 - 100K
Care CoordinationUtilization Management
Physician Reviewer, Utilization Management
Physician Reviewer, Utilization Management
30+ days ago
Oscar Health
- Remote: United States
- Junior (1-2 years)
- 211 - 277K
Evidence-Based PracticeClinical AssessmentsMedical NecessityUtilization Management
Medical Director - Orthopedic Surgeon
Medical Director - Orthopedic Surgeon
Today
The Cigna Group
- Remote: United States
- Full time
Care ManagementClinical InformaticsClinical AssessmentsPeer Review
Clinical Letter Writer - UM & Specialty Experience is a MUST
Clinical Letter Writer - UM & Specialty Experience is a MUST
7 day ago
Evolent Health
- Remote: United States
- Full time
Utilization ManagementCardiologyMedical WritingOncology
Telephonic Case Manager
Telephonic Case Manager
30+ days ago
Genex Services
- Remote: United States
- Full time
Care ManagementWorkers' CompensationClinical PracticesNurse Registry
Clinical Support Coordinator
Clinical Support Coordinator
2 day ago
Lucet (formerly New Directions + Tridiuum)
- Remote: United States
- Full time
PsychologyUtilization ManagementSocial Work
Care Coordinator, Licensed
Care Coordinator, Licensed
30+ days ago
Magellan Health
- Remote: United States
- Full time
- Mid-level (2-5 years)
Outcome InterpretationUtilization Management
Director, Clinical Pharmacy
Director, Clinical Pharmacy
15 day ago
Humana
- Remote: United States
- Full time
Utilization ManagementClinical PharmacyPolicy DevelopmentDrug Development
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
Board Certified Orthopaedic Sports Medicine Physician Advisor,Disability Peer
6 day ago
Dane Street, LLC
- Remote: United States
- Freelance
Orthopedics
Field Reimbursement Manager - Immunology - Newark, NJ
Field Reimbursement Manager - Immunology - Newark, NJ
23 day ago
Regeneron
- Remote: United States
- Full time
Reimbursement RegulationsMarket Access StrategyBiomedical Sciences
Senior Director of Implementations
Senior Director of Implementations
7 day ago
Cohere Health
- Remote: United States
- Full time
Project ImplementationProject ManagementComputational IntelligenceHealth Sciences
